Cauvin E R, Munroe G A, Boyd J S
Department of Veterinary Clinical Studies, Royal (Dick) School of Veterinary Studies, University of Edinburgh, Roslin, Midlothian.
Equine Vet J. 1997 Nov;29(6):459-66. doi: 10.1111/j.2042-3306.1997.tb03159.x.
This study was undertaken to design a safe technique to examine the carpal flexor tendon sheath (carpal sheath) of horses endoscopically, using an arthroscope. The limbs from 15 horses were used to study the normal anatomy of the carpal sheath and related structures, establish a safe approach and endoscopic technique, and determine the normal endoscopic appearance of the sheath. Major arteries, veins and nerves, present within and around the sheath, left few 'safe' areas to insert the endoscope. Several portals were assessed and a distal lateral approach was found to be safest and to allow adequate visualisation of most of the sheath. The surgical technique and normal endoscopic findings are described in detail and discussed.
本研究旨在设计一种安全的技术,使用关节镜对马的腕屈肌腱鞘(腕鞘)进行内镜检查。使用15匹马的肢体来研究腕鞘及相关结构的正常解剖结构,建立安全入路和内镜技术,并确定鞘的正常内镜表现。鞘内及周围存在的主要动脉、静脉和神经使得插入内镜的“安全”区域很少。对几个入路进行了评估,发现外侧远端入路是最安全的,并且能够充分观察到大部分鞘。详细描述并讨论了手术技术和正常内镜检查结果。