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桡侧腕短伸肌近端撕裂的手术修复技术

Surgical Repair Technique for Proximal Extensor Carpi Radialis Brevis Tears.

作者信息

Paik Ronald S, Kim Brian S, Kang Juhee

机构信息

Nirschl Orthopaedic Center, Arlington, Virginia, U.S.A.

Georgetown University School of Medicine, Washington, DC, U.S.A.

出版信息

Arthrosc Tech. 2024 Jan 30;13(4):102905. doi: 10.1016/j.eats.2023.102905. eCollection 2024 Apr.

DOI:10.1016/j.eats.2023.102905
PMID:38690353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11056649/
Abstract

The extensor carpi radialis brevis (ECRB) is well known to be implicated in lateral epicondylitis as a result of inflammation and degeneration. However, tears of the ECRB should be considered a separate pathology and are poorly reported in the literature. Surgical techniques for this pathology also have been poorly described. In this Technical Note, we present a surgical technique with an open approach and the use of a suture anchor for repair of isolated ruptures of the ECRB. This allows for better approximation and proper maintenance of the tendon as it completes the healing process. Surgical intervention restores anatomy and allows patients to return to full function and activities.

摘要

桡侧腕短伸肌（ECRB）因炎症和退变而与外侧上髁炎有关，这一点众所周知。然而，ECRB的撕裂应被视为一种单独的病理情况，而在文献中对此报道较少。针对这种病理情况的手术技术也鲜有描述。在本技术说明中，我们介绍一种采用开放入路并使用缝合锚钉修复ECRB孤立性断裂的手术技术。这使得肌腱在愈合过程中能更好地对合和妥善固定。手术干预可恢复解剖结构，使患者能够恢复全部功能并重返日常活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/406ebb8e5874/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/d5be76694047/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/d6227d7e1851/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/a775a7a4cccb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/3f62be4d82b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/6649bf1c9b80/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/ce4bdd19a7e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/3a76d659d775/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/406ebb8e5874/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/d5be76694047/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/d6227d7e1851/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/a775a7a4cccb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/3f62be4d82b8/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/6649bf1c9b80/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/ce4bdd19a7e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/3a76d659d775/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/053a/11056649/406ebb8e5874/gr8.jpg

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本文引用的文献

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Orthopedics. 2023 Jul-Aug;46(4):e210-e218. doi: 10.3928/01477447-20230329-05. Epub 2023 Apr 3.
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Lateral Epicondylitis: Critical Analysis Review of Current Nonoperative Treatments.外侧上髁炎：当前非手术治疗的批判性分析综述。
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