Wolf Brian R, Bries Andrew D, Nepola James V
Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Iowa Orthop J. 2007;27:65-70.
The purpose of this study was to evaluate the mid- to long- term objective, subjective and radiographic results of patients who underwent anterior-superior transfer of remaining infraspinatus tendon and teres minor tendon for irreparable superior rotator cuff tears. Thirteen patients were identified who underwent infraspinatus tendon transfer to a more superior position on the humeral head between January 1, 1990 and December 31, 2001. Nine shoulders in eight patients were available for clinical examination, radiographs and questionnaire follow-up at an average of 83.5 +/- 31.4 months. Radiographic examination revealed 1 fibrous union and 6 united tuberosity osteotomies. Samilson-Prieto grading of radiographs revealed 4 shoulders with mild, and 4 shoulders with moderate, OA. Seven of the patients were satisfied with their shoulder. There were two poor outcomes. Local antero-superior teres minor and residual infraspinatus transfer provides a viable option for irreparable rotator cuff defects. Mid- to long-term satisfactory outcome was achieved in 7 out of 9 shoulders.
本研究的目的是评估因不可修复的冈上肌肌腱撕裂而接受剩余冈下肌肌腱和小圆肌肌腱前上转移术的患者的中长期客观、主观及影像学结果。我们确定了13例在1990年1月1日至2001年12月31日期间接受冈下肌肌腱向肱骨头更高位置转移术的患者。8例患者的9个肩部可进行平均83.5 +/- 31.4个月的临床检查、X线片检查及问卷调查随访。X线片检查显示1例纤维愈合和6例结节截骨愈合。X线片的Samilson-Prieto分级显示4个肩部为轻度骨关节炎，4个肩部为中度骨关节炎。7例患者对其肩部情况满意。有2例效果不佳。局部前上小圆肌和剩余冈下肌转移为不可修复的肩袖缺损提供了一种可行的选择。9个肩部中有7个在中长期取得了满意的结果。
