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肩关节镜:体位、麻醉和入路解剖学的基本原则。

Shoulder arthroscopy: basic principles of positioning, anesthesia, and portal anatomy.

机构信息

Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

J Am Acad Orthop Surg. 2013 Jun;21(6):332-42. doi: 10.5435/JAAOS-21-06-332.

DOI:10.5435/JAAOS-21-06-332
PMID:23728958
Abstract

Advances in modern arthroscopy have contributed significantly to greater flexibility and efficacy in addressing shoulder pathology. Advantages of arthroscopy include less invasive approaches, improved visualization, decreased risk of many postoperative complications, and faster recovery. As a result, arthroscopy is often preferred by both orthopaedic surgeons and patients. Common shoulder conditions that can be managed arthroscopically include rotator cuff tears, shoulder instability, and labral pathology. A thorough understanding of anatomic principles in conjunction with proper patient positioning and portal selection and placement are essential for successful arthroscopic shoulder surgery.

摘要

现代关节镜技术的进步极大地提高了处理肩部疾病的灵活性和效果。关节镜技术的优势包括微创、改善可视化、降低许多术后并发症的风险以及更快的恢复。因此,关节镜技术通常受到骨科医生和患者的青睐。可以通过关节镜治疗的常见肩部疾病包括肩袖撕裂、肩部不稳定和盂唇病变。要成功进行关节镜肩部手术,必须充分了解解剖学原理,正确选择和放置患者体位以及入路点。

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