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[上盂唇-肱二头肌附着复合体]

[Superior labrum-biceps anchor complex].

作者信息

Lichtenberg S, Magosch P, Habermeyer P

机构信息

Schulter- und Ellenbogenchirurgie, ATOS-Klinik, Heidelberg.

出版信息

Orthopade. 2003 Jul;32(7):616-26. doi: 10.1007/s00132-003-0491-5.

Abstract

The focus in overhead sport injuries of the shoulder has been directed on lesions of the superior labrum-biceps complex during the last few years. This is due to improved imaging modalities as well as a better understanding of the anatomy and biomechanics. Arthroscopy is capable of diagnosing and treating these lesions. The anatomy, biomechanics, and operative treatment strategies and techniques are described in detail. The superior labrum anterior-posterior (SLAP) lesion is found in young active overhead athletes. Based on their classification and concomitant lesions, the unstable SLAP lesions (types II and IV) have to be repaired in order to restore stability to the superior labrum-biceps complex for stabilizing the glenohumeral joint. According to our own results and after review of the current literature, SLAP repair yields good results in overhead athletes enabling them to return to pain-free participation in their sport.

摘要

在过去几年中,肩部过顶运动损伤的关注点一直集中在上盂唇-肱二头肌复合体的损伤上。这得益于成像方式的改进以及对解剖学和生物力学的更好理解。关节镜能够诊断和治疗这些损伤。本文将详细描述其解剖学、生物力学以及手术治疗策略和技术。上盂唇前后(SLAP)损伤见于年轻活跃的过顶运动运动员。根据其分类和伴随损伤情况,不稳定的SLAP损伤(II型和IV型)必须进行修复,以恢复上盂唇-肱二头肌复合体的稳定性,从而稳定盂肱关节。根据我们自己的结果并在回顾当前文献后发现,SLAP修复术在过顶运动运动员中能产生良好效果,使他们能够无痛地恢复运动。

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