Ossoskopie
Endoscopic
resection and allografting for benign osteolytic lesions of the calcaneus. Typical radiographic appearance of calcaneal lipoma of bone: plain radiography (left), sagittal CT-scan (center) and T1-weighted sagittal MRI (right) show an osteolytic lesion with central calcifications surrounded by fat-intense soft-tissue
Endoscopic
resection and allografting for benign osteolytic lesions of the calcaneus. Pathological fracture due to a simple calcaneal bone cyst in a 16-year old male patient. The fracture occurred after jumping down three steps (approx. 40 cm)
Endoscopic
resection and allografting for benign osteolytic lesions of the calcaneus. After the introduction of the scope into the bone cavity, vision is often impaired by fat tissue in the case of intra-osseous lipoma. After irrigation and endoscopic removal of the fat tissue with an arthroscopic shaver (left), residual calcifications can be identified and removed with an arthroscopic grasper or shaver (middle and right)
Endoscopic
resection and allografting for benign osteolytic lesions of the calcaneus. Minimally invasive bone grafting made easy through an ear speculum (top). Impaction of the cancellous bone chips with a curved bone tamp (bottom)
Die Ossoskopie ist entsprechend der Arthroskopie für Gelenke ein minimal-invasives Verfahren, um intraossäre Hohlräume zu inspizieren und gegebenenfalls zu kürretieren und aufzufüllen. Sie kommt in erster Linie für sicher gutartige, aber aufgrund ihrer Größe potentiell instabile Läsionen wie zum Beispiel juvenile Knochenzysten in belasteten Knochen wie dem Kalkaneus in Frage.
Siehe auch:
Assoziationen und Differentialdiagnosen zu Ossoskopie:
