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关节镜下距三角骨切除术:后踝关节镜的当前技术

Arthroscopic Os Trigonum Excision: Current Technique by Posterior Ankle Arthroscopy.

作者信息

Meleppuram Jimmy Joseph, Nair Ayyappan V, Ahamed Hamdi Nizar, N Nizaj, Raju Aebel, Thankappan Ajayakumar, Khan Prince Shanavas

机构信息

Centre of Excellence in Orthopaedics, Apollo Adlux Hospital, Kochi, India.

Department of Orthopaedics, Manipal Whitefield Hospital, Bengaluru, India.

出版信息

Arthrosc Tech. 2025 Mar 15;14(6):103521. doi: 10.1016/j.eats.2025.103521. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103521
PMID:40656711
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255427/
Abstract

Both open and arthroscopic techniques have been successful in treating posterior ankle impingement syndrome and related hindfoot issues. However, arthroscopy stands out for its superior benefits, including reduced morbidity, minimal scarring, less trauma to surrounding tissues, and quicker recovery, allowing patients to return to their daily lives and sporting activities swiftly. In this article, we share our positive experience with posterior ankle arthroscopy for os trigonum excision, highlighting its impact on enhancing patient outcomes and restoring full ankle function.

摘要

开放手术和关节镜技术在治疗后踝撞击综合征及相关后足问题方面均取得了成功。然而,关节镜手术因其卓越的优势脱颖而出,包括发病率降低、疤痕极小、对周围组织的创伤较小以及恢复更快,使患者能够迅速回归日常生活和体育活动。在本文中,我们分享了后踝关节镜下切除三角骨的积极经验,强调了其对改善患者预后和恢复踝关节全部功能的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/02b14eb5775d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/71e2a112fa92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/ee97d6e37fe5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/7beb38a9c07c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/d64edb735ac6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/8832e7318659/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/02b14eb5775d/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/71e2a112fa92/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/ee97d6e37fe5/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/7beb38a9c07c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/d64edb735ac6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/8832e7318659/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47ae/12255427/02b14eb5775d/gr6.jpg

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本文引用的文献

1
Basics of Ankle Arthroscopy Part 4: Surface Anatomy, Portal Placement, and Diagnostic Evaluation for Posterior Ankle Arthroscopy.踝关节镜检查基础 第4部分:踝关节后方关节镜检查的表面解剖、入路定位及诊断评估
Arthrosc Tech. 2024 Nov 9;14(4):103323. doi: 10.1016/j.eats.2024.103323. eCollection 2025 Apr.
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Arthroscopic Management of Posterior Ankle Impingement Syndrome - A Case Series.踝关节后撞击综合征的关节镜治疗——病例系列
J Orthop Case Rep. 2024 Nov;14(11):214-219. doi: 10.13107/jocr.2024.v14.i11.4972.
3
Posterior Ankle Impingement Syndrome.
跟腱后撞击综合征。
Clin Podiatr Med Surg. 2023 Jan;40(1):209-222. doi: 10.1016/j.cpm.2022.07.014. Epub 2022 Sep 28.
4
Os Trigonum Syndrome.三角骨综合征。
Clin Podiatr Med Surg. 2021 Apr;38(2):279-290. doi: 10.1016/j.cpm.2020.12.011. Epub 2021 Feb 13.
5
Posterior Ankle and Hindfoot Arthroscopy.后踝关节和后足关节镜检查
JBJS Essent Surg Tech. 2012 Jul 11;2(3):e15. doi: 10.2106/JBJS.ST.L.00003. eCollection 2012 Jul.
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Ankle impingement.踝关节撞击症
J Orthop Surg Res. 2016 Sep 9;11(1):97. doi: 10.1186/s13018-016-0430-x.
7
Posterior ankle and subtalar arthroscopy: indications, technique, and results.踝关节后及跗骨窦关节镜检查:适应证、技术和结果。
Curr Rev Musculoskelet Med. 2012 Jun;5(2):164-70. doi: 10.1007/s12178-012-9118-y.
8
Soft-tissue and osseous impingement syndromes of the ankle: role of imaging in diagnosis and management.踝关节软组织和骨撞击综合征:影像学在诊断和治疗中的作用
Radiographics. 2002 Nov-Dec;22(6):1457-69; discussion 1470-1. doi: 10.1148/rg.226025034.