Su Wei-Ren, Budoff Jeffrey E, Luo Zong-Ping
National Cheng Kung University Hospital, Tainan, Taiwan.
Arthroscopy. 2009 Jan;25(1):13-8. doi: 10.1016/j.arthro.2008.10.004.
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.
Six cadaveric shoulders were tested in the intact state, following CAL resection and following SAD.
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%).
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.
CAL resection and SAD are common surgical procedures, which may lead to increases in anterosuperior and superior glenohumeral instability.
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。
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。
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%)。
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。
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。