The Center for Shoulder, Elbow and Sports Medicine, The New York Orthopaedic Hospital, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Clin Orthop Surg. 2010 Dec;2(4):196-202. doi: 10.4055/cios.2010.2.4.196. Epub 2010 Nov 5.
Rotator cuff deficient arthritis of the glenohumeral joint, especially cuff tear arthropathy, has proved a challenging clinical entity for orthopaedic surgeons ever since Charles Neer originally detailed the problem in 1983. Understanding has improved regarding the pathophysiology and pathomechanics underlying cuff tear arthropathy. Surgical reconstruction options can lead to excellent outcomes for patients afflicted with these painful and functionally limited shoulders. Humeral hemiarthroplasty and reverse total shoulder arthroplasty have jumped to the forefront in the treatment of cuff tear arthropathy. As studies continue to look at the results of these procedures in cuff tear arthropathy, existing indications and treatment algorithms will be further refined. In this article the history and pathophysiology of cuff tear arthropathy are reviewed. Additionally, the clinical findings and results of surgical reconstruction are discussed.
肩袖缺失性肩关节关节炎，尤其是肩袖撕裂性关节病，自 1983 年 Charles Neer 最初详细描述该问题以来，一直是骨科医生面临的具有挑战性的临床难题。人们对肩袖撕裂性关节病的病理生理学和病理力学有了更好的理解。对于患有这些疼痛和功能受限的肩部的患者，手术重建选择可以带来极好的结果。肱骨头半关节成形术和反式全肩关节置换术在肩袖撕裂性关节病的治疗中跃居前列。随着研究继续关注这些手术在肩袖撕裂性关节病中的结果，现有的适应证和治疗方案将进一步得到完善。本文回顾了肩袖撕裂性关节病的历史和病理生理学，并讨论了其临床表现和手术重建的结果。
