Sonnery-Cottet Bertrand, Edwards T Bradley, Noel Eric, Walch Gilles
Department of Orthopaedic Surgery, Clinique Sainte Anne Lumière, Lyon, France.
Am J Sports Med. 2002 Mar-Apr;30(2):227-32. doi: 10.1177/03635465020300021401.
Twenty-eight tennis players with symptomatic posterosuperior glenoid impingement limiting their participation underwent arthroscopic debridement of the supraspinatus tendon and glenoid lesions associated with this diagnosis after nonoperative treatment had failed. The dominant extremity was affected in all patients; the patients' average age was 26.9 years. Eighteen patients participated at the highest level of competition for their age, and the remaining patients participated at the intermediate level. Patients were evaluated at an average of 45.7 months after surgery by physical examination, an activities questionnaire, a subjective result questionnaire, and a questionnaire regarding their return to activity. Postoperatively, the patients averaged 26.9 of 30 possible points on the activities questionnaire. Twenty-three of the patients were subjectively satisfied with the surgical result. Twenty-two patients had returned to tennis. Despite their return, 20 of the 22 patients reported some persistent pain with participation. To our knowledge, this is the first report detailing the results of operative treatment for posterosuperior glenoid impingement in a population limited to tennis players. Even though the results are encouraging in terms of the high number of patients returning to tennis, the effects of this persistent pain with activity, although diminished in severity, on long-term participation is unknown.
28名患有症状性后上盂唇撞击症且其参与度受限的网球运动员，在非手术治疗失败后，接受了与该诊断相关的冈上肌腱和盂唇损伤的关节镜清理术。所有患者的优势肢体均受影响；患者的平均年龄为26.9岁。18名患者参加了与其年龄相匹配的最高水平比赛，其余患者参加的是中级水平比赛。术后平均45.7个月时，通过体格检查、活动问卷、主观结果问卷以及关于其恢复活动情况的问卷对患者进行评估。术后，患者在活动问卷上平均得分为30分中的26.9分。23名患者对手术结果主观上感到满意。22名患者已恢复打网球。尽管他们已恢复打球，但22名患者中有20名报告在参与活动时仍有一些持续性疼痛。据我们所知，这是第一份详细描述仅限于网球运动员群体中后上盂唇撞击症手术治疗结果的报告。尽管就大量患者恢复打网球而言结果令人鼓舞，但这种活动时持续性疼痛的影响，尽管严重程度有所减轻，对长期参与情况仍不明。
