Katthagen J C, Jensen G, Müller T, Voigt C, Lill H
Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30169, Hannover, Deutschland.
Unfallchirurg. 2012 Sep;115(9):817-27; quiz 828-9. doi: 10.1007/s00113-012-2233-9.
The subscapularis tendon is involved in up to 43% of arthroscopically treated rotator cuff lesions. Due to the close anatomic relationship, participation of the long head of the biceps and supraspinatus tendon is common. Subscapularis tendon lesions are often not primary diagnosed correctly. Using specific clinical tests and modern sectional imaging, the percentage of correct diagnoses can be increased. Convincing clinical results, advantages of minimally invasive surgery, and superior visualization compared to the open approach argue for arthroscopic treatment of subscapularis lesions. Awareness of the footprint allows anatomic reconstruction. In case of planned open treatment, arthroscopy should precede as particularly articular-sided lesions might be missed otherwise.
肩胛下肌腱参与了高达43%的经关节镜治疗的肩袖损伤。由于解剖关系密切，肱二头肌长头和冈上肌腱常受累。肩胛下肌腱损伤往往最初诊断不正确。使用特定的临床检查和现代断层成像，可以提高正确诊断的比例。令人信服的临床结果、微创手术的优势以及与开放手术相比更好的可视化效果支持对肩胛下肌腱损伤进行关节镜治疗。了解肌腱附着点有助于进行解剖重建。如果计划进行开放手术，应先进行关节镜检查，否则可能会漏诊特别是关节侧的损伤。
