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采用微创腋路关节镜固定术，使用纽扣钢板进行背阔肌转移，治疗巨大且无法修复的肩袖后上部分撕裂。

Arthroscopic fixation with a minimally invasive axillary approach for latissimus dorsi transfer using an endobutton in massive and irreparable postero-superior cuff tears.

作者信息

Goldstein Yariv, Grimberg Jean, Valenti Philippe, Chechik Ofir, Drexler Michael, Kany Jean

机构信息

Department of Orthopedic Surgery, The Shoulder Unit, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel ; Department of Upper Extremity, Clinique De l'Union, Toulouse, France.

出版信息

Int J Shoulder Surg. 2013 Apr;7(2):79-82. doi: 10.4103/0973-6042.114223.

DOI:10.4103/0973-6042.114223
PMID:23960367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3743035/
Abstract

Arthroscopically assisted latissimus dorsi transfer is a viable option for treatment of patients in their 50s to 70s, without arthritis of the glenohumeral joint, who suffer from massive rotator cuff tears that are not amendable to primary repair due to fatty changes in the muscle tissue, or that have failed previous repair attempts. This procedure offers immediate and dramatic pain relief and is not as technically demanding as one might think. Understanding and respecting the principles of tendon transfer is a key to the success of this procedure.

摘要

关节镜辅助下背阔肌转移术是治疗50至70岁、无盂肱关节关节炎、因肌肉组织脂肪变性而无法进行初次修复或先前修复尝试失败的大面积肩袖撕裂患者的可行选择。该手术能立即显著缓解疼痛，且技术要求并不像人们想象的那么高。理解并遵循肌腱转移的原则是该手术成功的关键。

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本文引用的文献

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Latissimus dorsi tendon transfer for irreparable rotator cuff tears: a modified technique to improve tendon transfer integrity.背阔肌肌腱转移治疗不可修复的肩袖撕裂：一种改进技术以提高肌腱转移的完整性。
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Modified minimally invasive latissimus dorsi transfer in the treatment of massive rotator cuff tears: a two-year follow-up of 26 consecutive patients.改良微创背阔肌转移术治疗巨大肩袖撕裂：26 例连续患者的两年随访。
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Surgical anatomy of latissimus dorsi muscle in transfers about the shoulder.
巨大不可修复性冈上肌后上部分撕裂的手术治疗：关节镜辅助下下斜方肌转移术
Curr Rev Musculoskelet Med. 2020 Oct;13(5):592-604. doi: 10.1007/s12178-020-09657-5.
4
Novel Arthroscopic Tendon Transfers for Posterosuperior Rotator Cuff Tears: Latissimus Dorsi and Lower Trapezius Transfers.用于治疗后上盂唇撕裂的新型关节镜下肌腱转移术：背阔肌和下斜方肌转移术
JBJS Essent Surg Tech. 2018 Apr 25;8(2):e12. doi: 10.2106/JBJS.ST.17.00062. eCollection 2018 Jun 27.
5
Comparison of arthroscopically assisted transfer of the latissimus dorsi with or without partial cuff repair for irreparable postero-superior rotator cuff tear.关节镜辅助下带或不带部分肩袖修复的背阔肌转位治疗不可修复的后上方肩袖撕裂的比较。
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6
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Clinic and electromyographic results of latissimus dorsi transfer for irreparable posterosuperior rotator cuff tears.背阔肌转移治疗不可修复的肩袖后上部撕裂的临床及肌电图结果
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背阔肌在肩部转移术中的手术解剖学
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Orthop Traumatol Surg Res. 2009 Apr;95(2):108-13. doi: 10.1016/j.otsr.2008.10.002. Epub 2009 Apr 5.
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Latissimus dorsi tendon transfer for irreparable posterosuperior rotator cuff tears. Surgical technique.背阔肌肌腱转移治疗不可修复的肩袖后上部分撕裂。手术技术。
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