Foot (Edinburgh, Scotland) · 2009
Arthroscopic release of flexor hallucis longus tendon using modified posteromedial and posterolateral portals in the supine position.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Theodoropoulos John S, Wolin Preston M, Taylor Drew W
Аннотация
BACKGROUND: The flexor hallucis longus (FHL) is a known site of pathological conditions. FHL stenosing tenosynovitis presents as posterior medial ankle pain or great toe discomfort and is often associated with a catching sensation of the great toe. There are a wide variety of open procedures for the treatment of FHL stenosing tenosynovitis.
OBJECTIVE: Arthroscopic treatment may circumvent some of the complications associated with open surgical treatment of the hindfoot.
METHODS: Arthroscopic surgery was completed in the supine position using modified posteromedial and posterolateral portals. A 70 degrees arthroscope allowed for circumferential evaluation of the ankle through the posterolateral portal including the subtalar areas and the entire FHL tendon for release using basket forceps and a 3.5mm shaver.
RESULTS: This method allows for decompression of the FHL from the entrance of the fibro-osseous tunnel to the knot of Henry. Active and passive range of motion of both the ankle and toes was encouraged postoperatively. The patient returned to sporting activity 6 weeks after surgery.
CONCLUSIONS: Endoscopic treatment of the FHL stenosing tenosynovitis is presented as an alternative to an open surgical procedure; it may reduce wound complications and may allow for an earlier return to sport.
OBJECTIVE: Arthroscopic treatment may circumvent some of the complications associated with open surgical treatment of the hindfoot.
METHODS: Arthroscopic surgery was completed in the supine position using modified posteromedial and posterolateral portals. A 70 degrees arthroscope allowed for circumferential evaluation of the ankle through the posterolateral portal including the subtalar areas and the entire FHL tendon for release using basket forceps and a 3.5mm shaver.
RESULTS: This method allows for decompression of the FHL from the entrance of the fibro-osseous tunnel to the knot of Henry. Active and passive range of motion of both the ankle and toes was encouraged postoperatively. The patient returned to sporting activity 6 weeks after surgery.
CONCLUSIONS: Endoscopic treatment of the FHL stenosing tenosynovitis is presented as an alternative to an open surgical procedure; it may reduce wound complications and may allow for an earlier return to sport.