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喙肩韧带切除及肩峰成形术对肱骨头 superior 和前 superior 方向稳定性的影响。 (备注:这里的“superior”和“anterosuperior”在医学语境中可能有更准确的专业术语表述,但仅根据原文直接翻译如此,可根据具体医学知识进一步完善)

The effect of coracoacromial ligament excision and acromioplasty on superior and anterosuperior glenohumeral stability.

作者信息

Su Wei-Ren, Budoff Jeffrey E, Luo Zong-Ping

机构信息

National Cheng Kung University Hospital, Tainan, Taiwan.

出版信息

Arthroscopy. 2009 Jan;25(1):13-8. doi: 10.1016/j.arthro.2008.10.004.

Abstract

PURPOSE

To determine the effect of coracoacromial ligament (CAL) resection and subacromial decompression (SAD)/acromioplasty on humeral head translation under anterosuperior and superior loading in a cadaveric model with an intact rotator cuff.

METHODS

Six cadaveric shoulders were tested in the intact state, following CAL resection and following SAD.

RESULTS

Excision of the CAL led to a significant increase in anterosuperior humeral translation of 2.1 mm (17%). SAD led to a significant increase in superior humeral translation of 2.5 mm (28%).

CONCLUSIONS

The results of this cadaveric study showed that resection of the CAL led to a 2.1-mm increase in anterosuperior translation and that SAD led to a 2.5-mm increase in superior translation.

CLINICAL RELEVANCE

CAL resection and SAD are common surgical procedures, which may lead to increases in anterosuperior and superior glenohumeral instability.

摘要

目的

在肩袖完整的尸体模型中,确定喙肩韧带(CAL)切除及肩峰下减压(SAD)/肩峰成形术对在前后上和上方向负荷下肱骨头平移的影响。

方法

对六个尸体肩关节在完整状态下、CAL切除后及SAD后进行测试。

结果

CAL切除导致肱骨头前后上平移显著增加2.1毫米(17%)。SAD导致肱骨头向上平移显著增加2.5毫米(28%)。

结论

该尸体研究结果表明,CAL切除导致前后上平移增加2.1毫米,SAD导致向上平移增加2.5毫米。

临床意义

CAL切除和SAD是常见的外科手术,可能导致盂肱关节前后上和上方不稳定增加。

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