Poon Jerome Chi Wang, Cheung Ka Kin, Lui Tun Hing
Department of Orthopaedics and Traumatology, Yan Chai Hospital, Tsuen Wan, Hong Kong.
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong.
Arthrosc Tech. 2025 Feb 1;14(6):103449. doi: 10.1016/j.eats.2025.103449. eCollection 2025 Jun.
Fibrous adhesions of the gastrocsoleus muscles can occur after trauma. The necrotic part of the muscle can become fibrotic and adhere to the surrounding structures. In case of tibial or fibular fracture, the muscles and their enveloping fascia can adhere to the bones by scar tissue. Immobilization of the fibrotic portion during the post-traumatic period can further reduce muscle and tendon mobility. Adhesions can occur between the gastrocnemius muscle and deep fascia of the leg, between the gastrocnemius and soleus muscles, and between the soleus and deep posterior compartment of the leg. The purpose of this technical note is to describe the details of endoscopic layered adhesiolysis of the gastrocsoleus muscles. This minimally invasive approach allows adequate release of every plane of the gastrocsoleus muscles and immediate vigorous mobilization of the foot and ankle.
创伤后，腓肠肌和比目鱼肌可能会出现纤维性粘连。肌肉的坏死部分会发生纤维化，并与周围结构粘连。在胫骨或腓骨骨折的情况下，肌肉及其包裹的筋膜会通过瘢痕组织与骨骼粘连。创伤后固定纤维化部分会进一步降低肌肉和肌腱的活动度。粘连可发生在腓肠肌与小腿深筋膜之间、腓肠肌与比目鱼肌之间以及比目鱼肌与小腿后深室之间。本技术说明的目的是描述腓肠肌和比目鱼肌内镜分层粘连松解术的细节。这种微创方法能够充分松解腓肠肌和比目鱼肌的各个层面，并立即有力地活动足和踝关节。
