关节镜下肩峰下减压治疗Ⅱ期撞击综合征

Arthroscopic subacromial decompression for stage-II impingement.

作者信息

Lim K K, Chang H C, Tan J L, Chan B K

机构信息

Department of Orthopaedic Surgery, Changi General Hospital, Singapore.

出版信息

J Orthop Surg (Hong Kong). 2007 Aug;15(2):197-200. doi: 10.1177/230949900701500215.

DOI:10.1177/230949900701500215

PMID:17709861

Abstract

PURPOSE

To evaluate outcomes of arthroscopic subacromial decompression for stage-II impingement.

METHODS

Records of 42 consecutive patients with stage-II impingement treated by arthroscopic subacromial decompression from January 2000 to February 2002 were reviewed. Clinical outcomes were measured using the UCLA shoulder rating scale, and radiological outcomes using anteroposterior and supraspinatus outlet shoulder radiographs.

RESULTS

The mean follow-up period was 14.6 (range, 12-30) months. Using the UCLA scale, 14 (33%) patients had an excellent result, 21 (50%) had a good result, 4 (10%) had a fair result, and 3 (7%) had a poor result. Mean component scores for the UCLA scale were: 8.0 for pain, 8.8 for function, 4.5 for forward flexion, and 4.5 for strength. The mean extent of resection was 2.9 mm in the anteroposterior and 2.0 mm in the supraspinatus outlet radiographs. There was no correlation between the extent of acromial resection and the UCLA shoulder rating scores.

CONCLUSION

Short-term results of arthroscopic subacromial decompression for stage-II impingement are favourable.

摘要

目的

评估关节镜下肩峰下减压治疗Ⅱ期撞击综合征的疗效。

方法

回顾性分析2000年1月至2002年2月间连续42例接受关节镜下肩峰下减压治疗的Ⅱ期撞击综合征患者的病历。采用UCLA肩关节评分量表评估临床疗效，通过肩关节前后位及冈上肌出口位X线片评估影像学疗效。

结果

平均随访时间为14.6（范围12 - 30）个月。根据UCLA量表，14例（33%）患者疗效为优，21例（50%）为良，4例（10%）为可，3例（7%）为差。UCLA量表各分项平均得分分别为：疼痛8.0分，功能8.8分，前屈4.5分，力量4.5分。前后位X线片上平均切除范围为2.9 mm，冈上肌出口位X线片上为2.0 mm。肩峰切除范围与UCLA肩关节评分之间无相关性。