踝关节前外侧软组织撞击综合征的关节镜诊疗分析  

Arthroscopic treatment of anterolateral ankle soft tissue impingement syndrome

作　　者：孙官军[1] 银毅 王志强[1] 叶永杰[1] 彭旭[1] 

机构地区：[1]遂宁市中心医院关节外科,四川遂宁629000

出　　处：《现代仪器与医疗》2015年第5期24-25,28,共3页Modern Instruments & Medical Treatment

摘　　要：目的：探讨关节镜对踝关节前外侧软组织撞击综合征的诊断价值及临床疗效。方法：2013年7月至2014年8月,我科行关节镜手术治疗踝关节前外侧软组织撞击综合征患者14例，所有患者均行踝关节镜切除撞击的软组织，并送病理检查。全部患者均术后门诊定期随访，采用 AOFAS 系统进行疗效评估。结果：术后平均随访7个月（6-13月）。9例患者踝关节前外侧疼痛完全缓解，4例患者残留活动后轻度疼痛，1例患者活动后仍疼痛明显。所有患者关节活动度都有不同程度改善。AOFAS 评分从术前平均49分（41-69分）提高到术后平均86.7分（71-94分）。术前术后有显著性差异（P〈0.05）。结论：关节镜是踝关节前外侧软组织撞击综合征的有效确诊方法，同时行相关治疗后疗效满意，创伤小，恢复快。Objective： To study the diagnostic value and therapeutic effect of arthroscopic treatment for anterolateral ankle soft tissue impingement syndrome. Material： From July 2013 to August 2014,14 patients with anterolateral ankle soft tissue impingement syndrome were treated in my department. All the patients treated via arthroscopy surgery, removal of the soft tissue that in the ankle and send pathological examination. The efficacy was evaluated by American Orthopedic Foot and Ankle Society ankle and hindfoot score system. Method All patients were followed up 7 months（from 6 to 13 months）.The pain of 9 patients were completely relieved of the anterior of the ankle joint,4 remained mild pain after activity and 1 patient had severe pain. The joint activity of all patients had differently improved. According to AOFAS ankle and hindfoot score system, the score was improved from 49（41-69） pre-operation to 86.7（71-94） after-operation. Showing significant differences when compared with preoperative ones（P〈0.05）. Result： Compared with open techniques, arthroscopic treatment with anterolateral ankle soft tissue impingement syndrome is more advanced in quick recovery , minimally invasive and have diagnostic value.

关 键 词：踝关节 关节镜 软组织撞击综合征 

分 类 号：R44[医药卫生—诊断学]