Kilinc Alexandre S, Ebrahimzadeh Mohammad H, Lafosse Laurent
Alps Surgery Institute, Clinique Générale D'Annecy, Annecy, France.
Arthroscopy. 2009 Aug;25(8):921-4. doi: 10.1016/j.arthro.2009.02.017.
Lateral reattachment of the rotator cuff and the more recent introduction of the double-row rotator cuff repair technique require adequate visualization to define the rotator cuff footprint and the greater tuberosity. In many cases extensive debridement in this area is required to remove the overlying subdeltoid bursa, which can impair visualization laterally on the proximal humerus. Inadequate visualization laterally may lead to improper placement of the lateral row of fixation, compromising the reduction and fixation of the repaired rotator cuff tendon. We describe a surgical technique used to improve lateral visualization of the proximal humerus for placement of lateral anchors during arthroscopic rotator cuff repair using a Foley catheter. The end of a 14F-diameter Foley catheter is cut just proximal to the balloon end. One to three catheters are introduced in the subacromial space through small anterolateral or posterolateral portals and inflated with 15 mL of air. Adequate distension of the subacromial space allows better visualization, triangulation of the arthroscopic instruments, and anatomic repair of the rotator cuff tendon.
肩袖的外侧重新附着以及最近双排肩袖修复技术的引入需要足够的视野来确定肩袖附着点和大结节。在许多情况下，需要在该区域进行广泛清创以去除覆盖的肩峰下囊，这可能会损害肱骨近端外侧的视野。外侧视野不足可能导致外侧排固定位置不当，影响修复的肩袖肌腱的复位和固定。我们描述了一种手术技术，在关节镜下肩袖修复术中使用Foley导管来改善肱骨近端外侧的视野，以便放置外侧锚钉。将直径14F的Foley导管的末端在球囊端近端处切断。通过小的前外侧或后外侧切口将一至三根导管引入肩峰下间隙，并用15 mL空气充气。肩峰下间隙的充分扩张可实现更好的视野、关节镜器械的三角定位以及肩袖肌腱的解剖修复。
