Struzik Sławomir, Glinkowski Wojciech, Górecki Andrzej
Katedra i Klinika Ortopedii i Traumatologii Narzadu Ruchu, Akademia Medyczna, Warszawa.
Ortop Traumatol Rehabil. 2003 Aug 30;5(4):489-94.
Shoulder arthroscopy has become a popular diagnostic and therapeutic procedure during the past two decades. In many centers shoulder arthroscopy has become a standard procedure. Complications associated with shoulder arthroscopy are relatively rare. Most of the complications can be minimized through proper surgical technique, good instrumentation, clinical experience and familiarity with anatomy. We evaluated cases from own clinical experience and reviewed the literature on complication of arthroscopic shoulder surgery and their management. Complications can be divided into general, generic to all shoulder procedures, and the type of procedure performed. Complications specific to shoulder arthroscopic procedures may affect articular capsule, brachial plexus nerves and wound healing. Serious and rare complications, like upper limb DVT, pneumothorax or rotator cuff jatrogenic injury require immediate recognition and treatment. Proper patient selection, attention to operative procedure (patient positioning, proper traction, anatomic portal placement), and careful post-operative care can minimize the morbidity associated with complications if they occur.
在过去二十年中，肩关节镜检查已成为一种常用的诊断和治疗方法。在许多中心，肩关节镜检查已成为标准手术。与肩关节镜检查相关的并发症相对较少。通过适当的手术技术、良好的器械、临床经验以及对解剖结构的熟悉，大多数并发症都可以降至最低。我们根据自身临床经验评估了相关病例，并回顾了有关肩关节镜手术并发症及其处理的文献。并发症可分为一般性并发症（适用于所有肩部手术）以及所施行手术类型特有的并发症。肩关节镜手术特有的并发症可能会影响关节囊、臂丛神经和伤口愈合。严重且罕见的并发症，如上肢深静脉血栓形成、气胸或肩袖医源性损伤，需要立即识别并治疗。如果出现并发症，合适的患者选择、对手术操作的关注（患者体位、适当牵引、解剖学入路放置）以及仔细的术后护理可以将与之相关的发病率降至最低。
