孤立性关节镜下肩袖间隙闭合术治疗肩关节不稳
Isolated arthroscopic rotator interval closure for shoulder instability.
作者信息
Krych Aaron J, Shindle Michael K, Baran Sean, Warren Russell F
机构信息
Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
Summit Medical Group, Morristown, New Jersey, U.S.A.
出版信息
Arthrosc Tech. 2013 Dec 14;3(1):e35-8. doi: 10.1016/j.eats.2013.08.010. eCollection 2014 Feb.
Abstract
We present our technique for isolated arthroscopic rotator interval closure in the treatment of mild symptomatic glenohumeral instability in the absence of a labral tear. A careful history, physical examination, and imaging help to identify a select subset of atraumatic instability patients who may benefit from this procedure, and diagnostic arthroscopy can provide further evidence. By use of a posterior viewing portal with anterior and anterolateral working portals, the anterior capsuloligamentous complex is mobilized, and the rotator interval is closed with carefully placed sutures to advance the capsule superiorly and provide tension through decreased capsular volume.
摘要
我们展示了在不存在盂唇撕裂的情况下，用于孤立性关节镜下旋转间隙闭合术治疗轻度症状性盂肱关节不稳的技术。详细的病史、体格检查和影像学检查有助于识别可能从该手术中获益的特定非创伤性不稳患者亚组，而诊断性关节镜检查可提供进一步的证据。通过使用后观察入口以及前和前外侧工作入口，可移动前方的关节囊韧带复合体，并用精心放置的缝线闭合旋转间隙，以使关节囊向上推进，并通过减小关节囊容积来提供张力。
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