Kong Cheryl Cheuk Wing, Cheung Ka Kin, Lui Tun Hing
Department of Orthopaedics and Traumatology, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong.
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
Arthrosc Tech. 2024 Nov 26;14(5):103339. doi: 10.1016/j.eats.2024.103339. eCollection 2025 May.
Lipomatas can develop anywhere in the body and are rarely found within tendon sheaths. Lipomas of the tendon sheath may present with pain, mechanical symptoms, neurologic symptoms, and tendon rupture. Classically, lipomas are resected via open approach, which may result in a lengthy disfiguring surgical scar. Endoscopic en-bloc tumor resection is a minimally invasive approach and can provide a whole-block specimen for histologic examination and reduce the risk of seeding of residual tumor. The purpose of this Technical Note is to describe the details of endoscopic en-bloc resection of lipoma of the distal biceps tendon.
脂肪瘤可在身体任何部位生长,很少见于腱鞘内。腱鞘脂肪瘤可能表现为疼痛、机械性症状、神经症状和肌腱断裂。传统上,脂肪瘤通过开放手术切除,这可能会导致一条长长的毁容性手术疤痕。内镜下整块肿瘤切除术是一种微创方法,可提供整块标本用于组织学检查,并降低残留肿瘤种植的风险。本技术说明的目的是描述远端肱二头肌腱脂肪瘤的内镜下整块切除的细节。