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肱三头肌腱引导下关节镜清理术治疗退行性肘关节骨关节炎所致后方撞击:技术说明

Triceps Tendon-Guided Arthroscopic Olecranon Debridement for Posterior Impingement Caused by Degenerative Elbow Osteoarthritis: A Technical Note.

作者信息

Waldron Patrick, Williams Nicholas R, Guzman Alvarho J, Vallellanes Ethan, Cantave Kyle, Chow Elisa, Chen Devon, Malige Ajith, Chen James L

机构信息

Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

出版信息

Arthrosc Tech. 2025 Jan 21;14(4):103332. doi: 10.1016/j.eats.2024.103332. eCollection 2025 Apr.

Abstract

Arthroscopic elbow debridement is a viable surgical option for posterior impingement secondary to degenerative elbow osteoarthritis. However, it can be a technically demanding procedure due to the small working space inherent within the elbow joint, limited visualization, and an overall poor understanding of the appropriate amount of bone to debride. This Technical Note describes an arthroscopic posterior compartment elbow debridement using the triceps tendon as a guide for bone resection. In doing so, we present a reproducible technique that can restore adequate joint space, mobility, and function to the patient with degenerative elbow osteoarthritis.

摘要

关节镜下肘关节清创术是治疗退行性肘关节骨关节炎继发后撞击症的一种可行的手术选择。然而,由于肘关节内固有的工作空间小、可视化受限以及对合适的骨清创量普遍认识不足,该手术在技术上可能具有挑战性。本技术说明描述了一种以肱三头肌腱为骨切除导向的关节镜下肘关节后间室清创术。通过这样做,我们提出了一种可重复的技术,该技术可以为患有退行性肘关节骨关节炎的患者恢复足够的关节间隙、活动度和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294f/12126029/157f758bd8b8/gr1.jpg

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