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运动员复发性前肩脱位的布里斯托手术综述。

A review of the Bristow operation for recurrent anterior shoulder dislocation in athletes.

作者信息

Halley D K, Olix M L

出版信息

Clin Orthop Relat Res. 1975 Jan-Feb(106):175-9. doi: 10.1097/00003086-197501000-00026.

DOI:10.1097/00003086-197501000-00026
PMID:1126072
Abstract

Twenty-four recurrent dislocating shoulders, in patients ranging from 15 to 26 years, were evaluated after surgical treatment using the Bristow procedure. The operative procedure is discussed in detail recommending the use of an A-O malleolar compression screw, because of ease in insertion, to fix the caroacoid process to the anterior scapular neck. The Bristow procedure as described is an effective operation for achieving shoulder stability while maintaining nearly a complete range of motion in most cases. There was one case of recurrent dislocation after surgery which is described in detail. Six of 24 shoulders demonstrated some loss of external rotation, with the maximum being only 10 degrees. Five of 9 patients had some difficulty in throwing when the dominant extremity was treated. This did not appear to be related to any possible decrease in external rotation.

摘要

对24例年龄在15至26岁之间复发性肩关节脱位的患者,采用布里斯托(Bristow)手术进行治疗后进行了评估。详细讨论了手术步骤,推荐使用AO踝部加压螺钉,因其易于植入,用于将喙突固定至肩胛颈前部。所述的布里斯托手术是一种有效的手术,在大多数情况下,能在保持几乎完整活动范围的同时实现肩关节稳定。详细描述了1例术后复发性脱位的病例。24个肩关节中有6个表现出一定程度的外旋丧失,最大仅为10度。9例患者中有5例在治疗优势肢体时投掷出现困难。这似乎与外旋可能出现的任何降低无关。

相似文献

1
A review of the Bristow operation for recurrent anterior shoulder dislocation in athletes.运动员复发性前肩脱位的布里斯托手术综述。
Clin Orthop Relat Res. 1975 Jan-Feb(106):175-9. doi: 10.1097/00003086-197501000-00026.
2
[Bristow surgical treatment of shoulder dislocation].
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引用本文的文献

1
Return to Sport After Coracoid Bone Block Transfer for Shoulder Instability: A Systematic Review.喙突骨块转移治疗肩关节不稳后的运动恢复:一项系统评价
HSS J. 2020 Oct;16(3):296-306. doi: 10.1007/s11420-019-09720-z. Epub 2019 Oct 18.
2
Long-term results and arthropathy following the modified Bristow-Latarjet procedure.改良布里斯托-拉塔热手术的长期结果及关节病
Int Orthop. 2005 Oct;29(5):265-7. doi: 10.1007/s00264-005-0634-x. Epub 2005 Jun 14.
3
A biodegradable expansion plug for fixation of the coracoid bone block in the Bristow-Latarjet operation.
一种用于在布里斯托-拉塔热手术中固定喙突骨块的可生物降解扩张塞。
Int Orthop. 1994 Apr;18(2):66-71. doi: 10.1007/BF02484413.