Oloff L, Schulhofer S D, Fanton G, Dillingham M
Department of Functional Restoration, Podiatric Surgery Section, Stanford University School of Medicine, California, USA.
J Foot Ankle Surg. 1996 Mar-Apr;35(2):101-8; discussion 186-7. doi: 10.1016/s1067-2516(96)80025-1.
The authors describe the anatomy, portal placement, technique, indications, and preliminary results of seven cases of calcaneocuboid or talonavicular joint pathology that underwent elective investigational diagnostic or therapeutic arthroscopy with a follow up of 3-14 months. All patients had failed available conservative therapy. Results of treatment were five excellent and two good cases. Two patients required arthrotomy. There were no complications associated with portal placement, arthroscopic technique, or instrumentation. Arthroscopy of the calcaneocuboid and talonavicular joints has proven to be a relatively safe and valuable diagnostic and therapeutic tool. It is hoped that advances in small joint arthroscopy application will encourage further technological evolution in arthroscopic instrumentation and establish a foundation for further arthroscopic exploration of the small joints of the foot.
作者描述了7例跟骰关节或距舟关节病变患者的解剖结构、入路位置、技术、适应症及初步结果。这些患者均接受了选择性研究性诊断或治疗性关节镜检查，随访时间为3至14个月。所有患者的现有保守治疗均告失败。治疗结果为5例优和2例良。2例患者需要切开手术。未发生与入路位置、关节镜技术或器械相关的并发症。跟骰关节和距舟关节的关节镜检查已被证明是一种相对安全且有价值的诊断和治疗工具。希望小关节关节镜应用的进展将鼓励关节镜器械的进一步技术发展，并为足部小关节的进一步关节镜探索奠定基础。
