Kon Yoshiaki, Shiozaki Hiroyuki, Sugaya Hiroyuki
Department of Orthopaedic Surgery, Saiseikai Niigata Daini Hospital, Niigata, Japan.
Arthroscopy. 2005 May;21(5):632. doi: 10.1016/j.arthro.2005.02.004.
We describe 3 cases of an all-arthroscopic technique for repair of a humeral avulsion of the glenohumeral ligament (HAGL) lesion and the postoperative clinical outcomes. From a technical perspective, the most critical part of the surgeries was the anchor insertion at an optimal position on the humerus in order to achieve proper tension of the glenohumeral ligament. The arm-free beach-chair position, which facilitates maximum internal rotation, use of a 70 degrees angled arthroscope, and an anterior-inferior trans-subscapularis tendon portal were considered key factors to accomplish this procedure.
我们描述了3例采用全关节镜技术修复盂肱韧带肱骨撕脱（HAGL）损伤及其术后临床结果。从技术角度来看，手术最关键的部分是在肱骨上的最佳位置插入锚钉，以实现盂肱韧带的适当张力。无臂沙滩椅位有利于最大程度的内旋，使用70度角的关节镜以及经肩胛下肌腱前下方入路被认为是完成该手术的关键因素。
