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肩袖间隙:解剖学、病理学及治疗策略

The rotator interval: anatomy, pathology, and strategies for treatment.

作者信息

Hunt Stephen A, Kwon Young W, Zuckerman Joseph D

机构信息

Department of Orthopaedic Surgery, NYU-Hospital for Joint Diseases, New York, NY 10003, USA.

出版信息

J Am Acad Orthop Surg. 2007 Apr;15(4):218-27. doi: 10.5435/00124635-200704000-00005.

DOI:10.5435/00124635-200704000-00005
PMID:17426293
Abstract

Over the past two decades, it has become accepted that the rotator interval is a distinct anatomic entity that plays an important role in affecting the proper function of the glenohumeral joint. The rotator interval is an anatomic region in the anterosuperior aspect of the glenohumeral joint that represents a complex interaction of the fibers of the coracohumeral ligament, the superior glenohumeral ligament, the glenohumeral joint capsule, and the supraspinatus and subscapularis tendons. As basic science and clinical studies continue to elucidate the precise role of the rotator interval, understanding of and therapeutic interventions for rotator interval pathology also continue to evolve. Lesions of the rotator interval may result in glenohumeral joint contractures, shoulder instability, or in lesions to the long head of the biceps tendon. Long-term clinical trials may clarify the results of current surgical interventions and further enhance understanding of the rotator interval.

摘要

在过去二十年里,肩袖间隙被公认为是一个独特的解剖结构,对影响盂肱关节的正常功能起着重要作用。肩袖间隙是盂肱关节前上方的一个解剖区域,它代表了喙肱韧带、盂肱上韧带、盂肱关节囊以及冈上肌和肩胛下肌腱纤维之间的复杂相互作用。随着基础科学和临床研究不断阐明肩袖间隙的确切作用,对肩袖间隙病变的认识和治疗干预也在不断发展。肩袖间隙的损伤可能导致盂肱关节挛缩、肩关节不稳定或肱二头肌长头腱损伤。长期临床试验可能会明确当前手术干预的结果,并进一步加深对肩袖间隙的理解。

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