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踝关节镜检查基础 第2部分：踝关节前方关节镜检查的表面解剖、入路定位及诊断评估

Basics of Ankle Arthroscopy Part 2: Surface Anatomy, Portal Placement, and Diagnostic Evaluation for Anterior Ankle Arthroscopy.

作者信息

Butler James J, Mener Amanda, Kingery Matthew, Robert Guillaume, Krebsbach Sebastian, Rosenbaum Andrew J, Kennedy John G

机构信息

Foot and Ankle Division, Department of Orthopaedic Surgery, New York University Langone Health, New York, New York, U.S.A.

Albany Medical Center, Albany, New York, U.S.A.

出版信息

Arthrosc Tech. 2024 Nov 5;14(4):103321. doi: 10.1016/j.eats.2024.103321. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103321
PMID:40453002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12125998/
Abstract

Ankle arthroscopy is an important diagnostic and therapeutic tool in the treatment of pathologies of the ankle joint. In a series of 7 articles, the basics of ankle arthroscopy are reviewed. In this article (Part II), anterior ankle surface anatomy, portal placement, and diagnostic arthroscopy are reviewed. We also review benefits and drawbacks associated with a 1.9-mm 0° arthroscope in comparison to a standard 2.7-mm or 4.0-mm 30° arthroscope.

摘要

踝关节镜检查是治疗踝关节病变的一项重要诊断和治疗工具。在一系列7篇文章中，对踝关节镜检查的基础知识进行了综述。在本文（第二部分）中，对踝关节前表面解剖结构、入路位置及诊断性关节镜检查进行了综述。我们还比较了1.9毫米0°关节镜与标准2.7毫米或4.0毫米30°关节镜的优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/0a0cf5acc6e2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/7989ada60759/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/f97f12344c62/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/9e75006a4ee8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/76b312404e35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/6c999c5a0969/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/0a0cf5acc6e2/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/7989ada60759/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/f97f12344c62/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/9e75006a4ee8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/76b312404e35/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/6c999c5a0969/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9164/12125998/0a0cf5acc6e2/gr6.jpg

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本文引用的文献

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Foot Ankle Clin. 2023 Jun;28(2):345-354. doi: 10.1016/j.fcl.2023.01.005. Epub 2023 Mar 8.
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Complications following ankle arthroscopy.踝关节镜检查后的并发症。
Bone Joint J. 2023 Mar 1;105-B(3):239-246. doi: 10.1302/0301-620X.105B3.BJJ-2022-0796.R1.
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In-Office Needle Arthroscopy for Anterior Ankle Impingement.用于前踝撞击症的门诊关节镜检查术
Arthrosc Tech. 2022 Feb 25;11(3):e327-e331. doi: 10.1016/j.eats.2021.10.025. eCollection 2022 Mar.
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Ankle Arthroscopy as an Adjunct to the Management of Ankle Fractures.踝关节镜检查作为踝关节骨折治疗的辅助手段
Foot Ankle Orthop. 2021 Apr 27;6(2):24730114211002165. doi: 10.1177/24730114211002165. eCollection 2021 Apr.
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In-Office Needle Arthroscopy for the Treatment of Anterior Ankle Impingement Yields High Patient Satisfaction With High Rates of Return to Work and Sport.门诊关节内镜治疗前踝撞击症患者满意度高，且重返工作和运动的比例高。
Arthroscopy. 2022 Apr;38(4):1302-1311. doi: 10.1016/j.arthro.2021.09.016. Epub 2021 Sep 25.
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The anterior tibiofibular ligament has a constant distal fascicle that contacts the anterolateral part of the talus.前胫腓韧带具有恒定的远端束，与距骨的前外侧部分接触。
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Fourth toe flexion sign: a new clinical sign for identification of the superficial peroneal nerve.第四趾屈曲征：一种用于识别腓浅神经的新临床体征。
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