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局部麻醉下关节镜下桡侧腕短伸肌肌腱切断术治疗顽固性外侧上髁炎

Arthroscopic Extensor Carpi Radialis Brevis Tenotomy Under Local Anesthesia for Refractory Lateral Epicondylitis.

作者信息

Xin Hanlong, Ying Li, Zhang Qingguo, Han Dawei, Ge Shuqiong, Zhou Xiaobo

机构信息

Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.

Department of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China.

出版信息

Arthrosc Tech. 2024 Aug 10;13(12):103144. doi: 10.1016/j.eats.2024.103144. eCollection 2024 Dec.

DOI:10.1016/j.eats.2024.103144
PMID:39780887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11704915/
Abstract

Refractory lateral epicondylitis poses significant challenges for patients and doctors. Whereas traditional surgical treatments involve open resection and extensor carpi radialis brevis (ECRB) muscle debridement, arthroscopic surgery advancements offer a more refined approach. Numerous surgical methods are used to treat lateral epicondylitis. Nevertheless, some patients experience discomfort after arthroscopic surgery. This article outlines our approach for arthroscopic ECRB muscle tenotomy under local anesthesia. Arthroscopic ECRB muscle tenotomy under local anesthesia is an important treatment option with minimal morbidity while improving safety, accuracy, economy, and simplicity and yielding good to excellent results in most patients.

摘要

难治性外侧上髁炎给患者和医生带来了重大挑战。传统的手术治疗包括开放性切除和桡侧腕短伸肌(ECRB)清创,而关节镜手术的进展提供了一种更精细的方法。有许多手术方法用于治疗外侧上髁炎。然而,一些患者在关节镜手术后会感到不适。本文概述了我们在局部麻醉下进行关节镜下ECRB肌腱切断术的方法。局部麻醉下的关节镜下ECRB肌腱切断术是一种重要的治疗选择,发病率极低,同时提高了安全性、准确性、经济性和简易性,并且在大多数患者中能产生良好至优异的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/778225d309f1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/e7df33e0a393/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/4005f42a9d98/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/c0ccbc073686/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/04f0a60c50ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/32e453af2231/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/9ea5848b11f9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/49c8db2af707/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/778225d309f1/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/e7df33e0a393/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/4005f42a9d98/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/c0ccbc073686/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/04f0a60c50ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/32e453af2231/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/9ea5848b11f9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/49c8db2af707/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6647/11704915/778225d309f1/gr8.jpg

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本文引用的文献

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Modified arthroscopic tenotomy of the extensor carpi radialis brevis for refractory lateral epicondylitis: a cohort study.改良关节镜下桡侧腕短伸肌肌腱切断术治疗顽固性肘外侧肌腱炎:一项队列研究。
J Shoulder Elbow Surg. 2024 Mar;33(3):536-543. doi: 10.1016/j.jse.2023.09.036. Epub 2023 Nov 7.
2
Editorial Commentary: For Surgical Treatment of Elbow Lateral Epicondylitis, Arthroscopic Treatment Is Recommended for Surgeons With Elbow Arthroscopy Training.编者按:对于肘部外侧上髁炎的手术治疗,建议接受过肘关节镜培训的外科医生采用关节镜治疗。
Arthroscopy. 2023 Feb;39(2):253-255. doi: 10.1016/j.arthro.2022.10.004.
3
Editorial Commentary: Arthroscopic Debridement of Tennis Elbow Nonresponsive to Nonoperative Measures Is a Good Option and Clinical Outcomes Are Associated With Radiographic Outcomes.
社论评论:对于非手术治疗反应不佳的网球肘进行关节镜下清创术是一个不错的选择,临床结果与影像学结果相关。
Arthroscopy. 2022 Dec;38(12):3130-3132. doi: 10.1016/j.arthro.2022.09.005.
4
Arthroscopic Debridement for Refractory Lateral Epicondylitis Results for Substantial Improvement in Tendinosis Scores and Good Clinical Outcomes: Qualitative and Quantitative Magnetic Resonance Imaging Analysis.关节镜下清创术治疗难治性外侧上髁炎:肌腱病评分显著改善及良好临床结果:定性和定量磁共振成像分析
Arthroscopy. 2022 Dec;38(12):3120-3129. doi: 10.1016/j.arthro.2022.07.019. Epub 2022 Aug 10.
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Platelet-Rich Plasma Injections Versus Surgery for Treating Lateral Epicondylitis, Placebo Versus Placebo?富血小板血浆注射与手术治疗肱骨外上髁炎:安慰剂与安慰剂的对比?
Arthroscopy. 2022 Jun;38(6):1763. doi: 10.1016/j.arthro.2022.03.011.
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Arthroscopy. 2022 Jun;38(6):2018-2034.e12. doi: 10.1016/j.arthro.2022.01.025. Epub 2022 Jan 31.
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Hand (N Y). 2018 May;13(3):264-274. doi: 10.1177/1558944717701244. Epub 2017 Mar 24.