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肘关节后内侧间室关节镜手术中避免直接使用后内侧入路。

Avoidance of Direct Posterior Portal During Elbow Arthroscopic Surgery in Posterior Compartment.

作者信息

Chanlalit Cholawish, Sakdapanichkul Chidchanok, Mahasupachai Nattakorn

机构信息

Center of Excellence in Upper Extremity Reconstruction and Sports Medicine, HRH Princess Maha Chakri Sirindhorn Medical Center, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.

Department of Orthopaedics, Nopparat Rajathanee Hospital, Khwaeng Khan Na Yao, Khet Khan Na Yao, Bangkok, Thailand.

出版信息

Arthrosc Tech. 2023 Nov 13;12(12):e2211-e2218. doi: 10.1016/j.eats.2023.07.047. eCollection 2023 Dec.

DOI:10.1016/j.eats.2023.07.047
PMID:38196865
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10772972/
Abstract

Arthroscopic surgery for the posterior compartment in elbow has been used in the treatment of many pathologies. The direct posterior portal has been commonly used for this compartment. However, this portal involves penetrating the triceps brachii tendon responsible for extensor mechanism. This can possibly lead to poor performance during recovery and portal wound sensation with scar formation. An accessory posterolateral portal can be used as a substitute with adequate viewing and working space in all areas of the posterior compartment. This report describes in detail on how to manage pathologies in the posterior compartment without using direct posterior portal and instead using accessory posterolateral, posterolateral, and direct lateral portals.

摘要

肘关节后内侧间室的关节镜手术已被用于治疗多种病变。直接后内侧入路常用于该间室。然而，此入路需要穿透负责伸肌机制的肱三头肌腱。这可能导致恢复过程中功能不佳以及入路伤口处形成瘢痕并伴有感觉异常。辅助后外侧入路可作为替代，在间室的所有区域都有足够的视野和操作空间。本报告详细描述了如何在不使用直接后内侧入路的情况下，而是使用辅助后外侧、后外侧和直接外侧入路来处理后内侧间室的病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/de6e9045579c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/5a5ce89ec4a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/295020e121c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/401d9d867cec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/a444d3f355b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/f4ad29df5a96/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/1b8deddb2ee6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/6440af5d49b6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/9a17f489c1ae/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/de6e9045579c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/5a5ce89ec4a8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/295020e121c8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/401d9d867cec/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/a444d3f355b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/f4ad29df5a96/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/1b8deddb2ee6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/6440af5d49b6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/9a17f489c1ae/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bfe/10772972/de6e9045579c/gr9.jpg

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本文引用的文献

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