Strauss Eric J, Fealy Stephen, Khazzam Michael, Dines Joshua S, Craig Edward V
Sports Medicine/Shoulder Service, The Hospital for Special Surgery, New York, New York 10021, USA.
Arthroscopy. 2005 May;21(5):636. doi: 10.1016/j.arthro.2005.02.011.
Patients who present with global capsular laxity and glenohumeral instability frequently can be treated successfully with shoulder girdle musculature strengthening exercises and activity modification. When such injury is caused by a paralytic shoulder, a rehabilitation program may not be a viable treatment option. Presented in this article are 3 patients with global capsular laxity and glenohumeral instability as a result of shoulder paralysis. We also describe an arthroscopic technique of thermal capsulorrhaphy. In our experience, arthroscopic thermal capsulorrhaphy used to treat global capsular laxity and glenohumeral instability resulting from a paralytic shoulder has decreased symptoms of shoulder instability and has significantly reduced shoulder pain.
表现为全关节囊松弛和盂肱关节不稳定的患者，通常可通过加强肩胛带肌肉锻炼和调整活动方式成功治疗。当这种损伤由麻痹性肩部引起时，康复计划可能不是可行的治疗选择。本文介绍了3例因肩部麻痹导致全关节囊松弛和盂肱关节不稳定的患者。我们还描述了一种关节镜下热囊缝合技术。根据我们的经验，关节镜下热囊缝合术用于治疗麻痹性肩部引起的全关节囊松弛和盂肱关节不稳定，可减轻肩部不稳定症状，并显著减轻肩部疼痛。
