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[关节镜下肩峰下减压治疗撞击综合征]

[Arthroscopic subacromial decompression in the treatment of impingement syndrome].

作者信息

Güven Osman, Bezer Murat

机构信息

Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Marmara University, Altunizade, Istanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2003;37 Suppl 1:69-76.

Abstract

During the past decade, arthroscopy has become an accepted tool for the evaluation and management of shoulder disorders. The glenohumeral joint, subacromial space, acromioclavicular joint, and even the scapulothoracic articulation can be assessed through arthroscopy. Proper portal placement allows a safe access without risk for neurovascular, tendon, or articular injuries. Anterior acromioplasty is probably the most common arthroscopic procedure performed in the shoulder, with reported results similar to open techniques. This article focuses on the arthroscopic treatment of impingement syndrome in the light of published data, together with its technical aspects.

摘要

在过去十年中,关节镜检查已成为评估和处理肩部疾病的一种公认工具。通过关节镜检查可以评估盂肱关节、肩峰下间隙、肩锁关节,甚至肩胛胸壁关节。合适的入口放置可实现安全进入,而不会有神经血管、肌腱或关节损伤的风险。前肩峰成形术可能是肩部最常见的关节镜手术,报告的结果与开放手术技术相似。本文根据已发表的数据,结合其技术方面,重点介绍关节镜下撞击综合征的治疗。

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