Bauer G J, Kniesel B
Sportklinik, Taubenheimstrasse 8, 70372 Stuttgart.
Unfallchirurg. 2006 Aug;109(8):619-27. doi: 10.1007/s00113-006-1134-1.
Over the last years treatment of rotator cuff tears is evolving gradually from open to complete arthroscopic repair. There had been fast developments in arthroscopic techniques and instruments and there is a better understanding of biomechanical backgrounds. For a good clinical outcome it is not necessary to obtain a watertight closure in all cases but to balance the force couples in the coronal and transverse plane. There is recent discussion regarding the optimum techniques and stitches for cuff reconstruction and resulting developments in this field. To determine the individual reconstruction technique it is crucial to recognize the different tear categories. Based on these findings we are now able to treat nearly every cuff tear arthroscopically, even a retracted massive lesion.
在过去几年中，肩袖撕裂的治疗方法正逐渐从开放修复向完全关节镜修复发展。关节镜技术和器械取得了快速发展，人们对生物力学背景也有了更好的理解。为了获得良好的临床效果，并非在所有情况下都需要实现水密缝合，而是要在冠状面和横断面上平衡力偶。最近，关于肩袖重建的最佳技术和缝线以及该领域的相关进展存在讨论。为了确定个体重建技术，识别不同的撕裂类型至关重要。基于这些发现，我们现在几乎能够通过关节镜治疗每一例肩袖撕裂，甚至是回缩性巨大损伤。
