Lo Ian K Y, Burkhart Stephen S
The San Antonio Orthopaedic Group, San Antonio, Texas, USA.
Arthroscopy. 2004 Apr;20(4):435-41. doi: 10.1016/j.arthro.2004.01.016.
Massive, contracted, immobile rotator cuff tears involving the subscapularis, supraspinatus, and infraspinatus tendons present difficult surgical challenges to the arthroscopic surgeon. We describe the interval slide in continuity, a release and resection of a portion of the coracohumeral ligament and rotator interval. This technique improves the mobility of the subscapularis and supraspinatus tendons but also maintains an important lateral bridge of tissue spanning the interval between the subscapularis anteriorly and the supraspinatus tendon superiorly. After repair of the subscapularis tendon, this lateral rotator interval tissue can greatly facilitate repair of the posterosuperior rotator cuff.
巨大、挛缩、固定不动的肩袖撕裂累及肩胛下肌、冈上肌和冈下肌肌腱，给关节镜外科医生带来了艰巨的手术挑战。我们描述了连续间隔滑动，即部分喙肱韧带和旋转间隙的松解与切除。该技术可改善肩胛下肌和冈上肌肌腱的活动度，但同时也保留了跨越肩胛下肌前方和冈上肌肌腱上方间隙的重要外侧组织桥。修复肩胛下肌肌腱后，该外侧旋转间隙组织可极大地促进肩袖后上部的修复。
