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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.

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/e7df33e0a393/gr1.jpg

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