Ifesanya Adeleke, Scheibel Markus
Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Knee Surg Sports Traumatol Arthrosc. 2008 Jul;16(7):703-6. doi: 10.1007/s00167-008-0524-z. Epub 2008 Mar 26.
Arthroscopic refixation of the glenoid labrum has become a standard treatment of type II SLAP lesions although postoperative results are not uniformly good due to factors which are yet unclear. We present the case of an active overhead athlete with an intraarticular posterosuperior impingement syndrome arising from a suture granuloma formation complicating the postoperative course after arthroscopic SLAP repair. The symptoms resolved completely following revision arthroscopy during which the granuloma and the permanent sutures were removed. Implant related complications should be considered when patients present with recurrent pain after arthroscopic SLAP repair using suture anchors, in particular during overhead activity.
关节镜下盂唇修复术已成为II型SLAP损伤的标准治疗方法,尽管由于尚不清楚的因素,术后效果并不一致良好。我们报告一例活跃的过头运动运动员病例,其因关节镜下SLAP修复术后出现缝线肉芽肿形成,导致关节内后上撞击综合征。翻修关节镜检查时切除了肉芽肿和永久缝线,症状完全缓解。当患者在使用缝线锚钉进行关节镜下SLAP修复术后出现复发性疼痛时,尤其是在过头活动期间,应考虑植入物相关并发症。