Greiner S, Scheibel M
Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Deutschland.
Orthopade. 2011 Jan;40(1):21-4, 26-30. doi: 10.1007/s00132-010-1676-3.
Bony avulsions of the rotator cuff and isolated greater or lesser tuberosity fractures are rare injuries and a clear consensus regarding classification and therapy does not yet exist. Conservative therapy is limited, especially in injuries with displaced fragments and in these cases surgical treatment is frequently indicated. The ongoing development of arthroscopic techniques has led to quite a number of reports about arthroscopically assisted or total arthroscopic techniques in the treatment of these injuries. The advantages and disadvantages of arthroscopic concepts for the treatment of bony avulsions of the rotator cuff are presented with reference to the current literature.
肩袖的骨性撕脱以及孤立的大结节或小结节骨折是罕见的损伤，目前对于其分类和治疗尚未达成明确的共识。保守治疗有局限性，尤其是对于有移位骨折块的损伤，在这些情况下通常需要进行手术治疗。关节镜技术的不断发展已催生了许多关于关节镜辅助或全关节镜技术治疗这些损伤的报道。本文参考当前文献介绍了关节镜技术治疗肩袖骨性撕脱的优缺点。
