在后脚关节镜检查期间识别后部辅助肌肉:一个案例报告
Alexandre Castro1, Raquel Cunha1, João Teixeira2,1
1Orthopedics and Traumatology, Unidade Local de Saúde de Entre Douro e Vouga, Santa Maria da Feira, PRT.
Cureus
|February 20, 2026
概括
在关节后关节镜检查过程中,识别罕见的内肌 (PCI) 肌肉至关重要. 这种辅助肌肉可能会被误认为长 (FHL) 肌,可能导致手术并发症.
科学领域:
- 人体解剖学 解剖学 解剖学
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
背景情况:
- 长 (FHL) 肌对于关节后关节透视和阿基里斯肌重建至关重要.
- 内肌 (PCI) 是一种罕见的辅助肌肉,由于它靠近FHL,经常被忽视.
- 错误识别PCI可能导致手术错误,包括无效的移植或神经血管损伤.
研究的目的:
- 为了强调在后脚手术期间识别内 (PCI) 的重要性.
- 描述PCI在MRI和外科手术中的诊断特征.
- 强调手术前成像和严格的手术内识别在预防手术并发症方面的作用.
主要方法:
- 一名72岁的妇女因慢性阿基里斯肌破裂而接受内镜FHL移植的案例报告.
- 在手术前进行MRI分析,以确定异常肌肉.
- 在手术期间剖析和肌识别,包括动态评估形运动.
- 追溯MRI审查以表征辅助肌肉的特征.
主要成果:
- 一个辅助肌肉,后来被确定为PCI,在手术前的MRI上被注意到,但最初没有被识别.
- 在手术内发现的发现显示了一条没有外流的肌,与真正的FHL不同.
- 正确识别PCI允许安全收获FHL.
- 追溯MRI分析确定了PCI的关键特征:单独的肌肉腹部,后侧到FHL,和脚插入.
结论:
- 准确识别PCI等辅助肌肉在关节后关节透视和FHL肌移植中至关重要.
- 手术前的MRI解释和精细的手术内识别技术对于手术成功和患者安全至关重要.
- 对PCI变异的认识可以防止错误识别,改善手术规划,避免重建失败.
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