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Endoscopic Resection of the Tibialis Anterior Tendon Bursa

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1 Endoscopic Resection of the Tibialis Anterior Tendon Bursa
Tun Hing Lui, M.B.B.S.(H.K.), F.R.C.S.(Edin.), F.H.K.A.M., F.H.K.C.O.S.  Arthroscopy Techniques  Volume 5, Issue 5, Pages e1029-e1032 (October 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Endoscopic resection of the tibialis anterior tendon (TAT) bursa of the right foot. Preoperative magnetic resonance imaging shows the distended bursa (arrowhead) between the TAT and the medial cuneiform bone (MC). (A) Coronal view; (B) transverse view. (AbH, abductor hallucis muscle.) Arthroscopy Techniques 2016 5, e1029-e1032DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Endoscopic resection of the tibialis anterior tendon (TAT) bursa of the right foot. (A) The proximal portal (PP) is located at the lateral side of the TAT and 5 cm above the ankle joint level (An). The distal portal (DP) is located at the lateral side of the tendon and just above the medial cuneiform. (B) Anterior tibial tendoscopy is performed with the proximal portal as the viewing portal and the distal portal as the working portal. Arthroscopy Techniques 2016 5, e1029-e1032DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Endoscopic resection of the tibialis anterior tendon (TAT) bursa of the right foot. Proximal portal is the viewing portal. The working space between the TAT and the medial cuneiform bone (MC) is limited. (AS, arthroscopic shaver.) Arthroscopy Techniques 2016 5, e1029-e1032DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Endoscopic resection of the tibialis anterior tendon (TAT) bursa of the right foot. Proximal portal is the viewing portal. (A) The bursa can be visualized plantar to the TAT as the tendon is lifted dorsally. (B) The abductor hallucis muscle (AbH) is exposed after bursectomy. Arthroscopy Techniques 2016 5, e1029-e1032DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Endoscopic resection of the tibialis anterior tendon (TAT) bursa of the right foot. (A) Distal portal is the viewing portal, and proximal portal is the working portal. (B) Tendoscopic view shows TAT and its tendon sheath (TS). Arthroscopy Techniques 2016 5, e1029-e1032DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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