Sugaya Hiroyuki, Kon Yoshiaki, Tsuchiya Akihiro
Funabashi Orthopaedic Sports Medicine Center, Funabashi, Chiba, Japan.
Arthroscopy. 2005 May;21(5):635. doi: 10.1016/j.arthro.2005.02.006.
Anterior glenoid fractures associated with glenohumeral instability are normally treated with open fixation of the fragment. However, recent technical development enables this procedure to be performed under arthroscopic control using screws or even suture anchors if the fragment is small enough. We developed a unique method of stabilizing a larger fragment with suture anchors and the use of a clear imaging method of three-dimensional computed tomography (3D-CT) with the humeral head eliminated, preoperatively and postoperatively. In the present article, we report a detailed method of arthroscopic stabilization for a consecutive series of 8 patients, with an average of 27% bone loss (fragment size) against the lower part of the circular glenoid portion, using suture anchors.
与盂肱关节不稳相关的前盂骨折通常采用切开复位固定骨折块进行治疗。然而，随着技术的不断发展，如果骨折块足够小，现在可以在关节镜控制下使用螺钉甚至缝合锚钉来完成该手术。我们研发了一种独特的方法，即使用缝合锚钉固定较大骨折块，并在术前和术后采用一种去除肱骨头的三维计算机断层扫描（3D-CT）清晰成像方法。在本文中，我们报告了一种针对连续8例患者的详细关节镜稳定技术，这些患者相对于盂关节圆形部分下部平均有27%的骨质缺损（骨折块大小），采用缝合锚钉进行治疗。
