Scheibel Markus, Habermeyer Peter
Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
J Shoulder Elbow Surg. 2008 Jul-Aug;17(4):671-83. doi: 10.1016/j.jse.2007.11.005. Epub 2008 Mar 7.
Subscapularis dysfunction following open surgical exposure of the glenohumeral joint has recently received attention. Clinical studies, in particular those that have investigated the results after open shoulder stabilization or shoulder replacement surgery, indicate that anterior approaches using different subscapularis tendon take-down or incision techniques may impair subscapularis recovery and can negatively influence the final clinical outcome. This review article will focus on the potential pathogenesis, diagnosis, and clinical impact of this more and more recognized condition and summarizes the currently available literature.
肩肱关节开放手术暴露后肩胛下肌功能障碍近来受到了关注。临床研究，尤其是那些调查开放性肩关节稳定术或肩关节置换术后结果的研究表明，采用不同肩胛下肌腱切断或切开技术的前路手术可能会损害肩胛下肌的恢复，并可能对最终临床结果产生负面影响。这篇综述文章将聚焦于这种越来越被认识到的病症的潜在发病机制、诊断及临床影响，并总结当前可得的文献。
