Buckingham R A, Winson I G, Kelly A J
Avon Orthopaedic Centre, Southmead Hospital, Bristol, England.
J Bone Joint Surg Br. 1997 Jul;79(4):650-2. doi: 10.1302/0301-620x.79b4.7428.
We describe a medial midline portal between the tendons of extensor hallucis longus and tibialis anterior for arthroscopy of the ankle. We dissected 20 cadaver specimens to compare the risk of neurovascular injury using this approach with that of using standard arthroscopic portals. Compared with the anterocentral portal, the medial midline was a mean of 11.2 mm further from the nearest branch of the superficial peroneal nerve and 10.3 mm further from the dorsalis pedis artery. This portal allows good access to the joint surface and intra-articular structures and has a lower risk of injury to the dorsalis pedis artery, deep peroneal nerve or the medial branch of the superficial peroneal nerve.
我们描述了一种用于踝关节镜检查的位于拇长伸肌腱和胫骨前肌腱之间的内侧中线入路。我们解剖了20个尸体标本，以比较使用这种入路与使用标准关节镜入路时神经血管损伤的风险。与前中央入路相比，内侧中线距腓浅神经最近分支平均远11.2毫米，距足背动脉远10.3毫米。该入路可良好地进入关节表面和关节内结构，且损伤足背动脉、腓深神经或腓浅神经内侧支的风险较低。
