Southwood L L, Stashak T S, Fehr J E, Ray C
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523, USA.
J Am Vet Med Assoc. 1997 Apr 15;210(8):1166-8.
A lateral approach to the carpal sheath was used for endoscopic removal of osteochondromas from the distal aspect of the radius in 3 horses. Previously osteochondromas have been removed through an incision into the carpal sheath; however, endoscopy is less invasive, requires less surgery and convalescence time, provides better cosmetic results, is associated with a lower risk of infection, and allows better examination of structures within the sheath. A medial approach for endoscopic removal has been described previously; however, the lateral approach was advantageous, because it avoided the median vein, artery, and nerve and because the sheath was more easily distended from the lateral approach. Therefore, this approach may be an alternative for removal of osteochondromas from the distal aspect of the radius in horses.
采用腕管外侧入路对3匹马的桡骨远端骨软骨瘤进行关节镜下切除。此前骨软骨瘤是通过切开腕管进行切除的；然而，关节镜手术创伤较小，所需的手术和恢复时间更短，美容效果更好，感染风险更低，并且能更好地检查腕管内的结构。此前已描述过采用内侧入路进行关节镜下切除；然而，外侧入路具有优势，因为它避开了正中静脉、动脉和神经，并且从外侧入路更容易扩张腕管。因此，这种方法可能是切除马桡骨远端骨软骨瘤的一种替代方法。
