Miguel Servet University Hospital, Zaragoza, Spain.
Int Orthop. 2010 Dec;34(8):1207-11. doi: 10.1007/s00264-009-0900-4. Epub 2009 Oct 28.
The purpose of this article was to report an arthroscopic treatment method for greater tuberosity malunion. Eight patients with malunion of the greater tuberosity were treated by arthroscopic acromioplasty, detachment of rotator cuff, tuberoplasty of the greater tuberosity and repair of the rotator cuff. On the basis of the UCLA rating scale, the overall score increased from 11.1 (range 9-14) to 30.2 (range 25-35) postoperatively, with one excellent result, six good results, and one poor result. All patients had less pain than preoperatively. Full activity level was achieved in two patients, five patients had only slight functional restriction, and one patient had mild limitation in activities of daily living. Seven patients returned to their previous occupations without restrictions. One patient did not return to work because of residual upper extremity weakness. We conclude that arthroscopic tuberoplasty is a good method for the treatment of greater tuberosity malunion.
本文旨在报告一种治疗大结节骨不连的关节镜治疗方法。对 8 例大结节骨不连患者行关节镜下肩峰成形术、肩袖游离、大结节成形术及肩袖修复术。根据 UCLA 评分标准，术后总体评分为 30.2 分（25-35 分），优 1 例，良 6 例，可 1 例。所有患者术后疼痛均较术前减轻。2 例患者完全恢复活动水平，5 例患者仅存在轻微的功能受限，1 例患者日常生活活动轻度受限。7 例患者恢复原工作，无受限。1 例患者因上肢无力未恢复工作。我们认为，关节镜下大结节成形术是治疗大结节骨不连的一种较好方法。
