Gibon Emmanuel, El Hajj Firass, Ouaknine Michael
Department of Orthopaedic and Reconstructive Surgery, Clinical Orthopaedic Research Center, Cochin Teaching Hospital, Paris, France.
Arthrosc Tech. 2013 Dec 19;3(1):e61-4. doi: 10.1016/j.eats.2013.08.012. eCollection 2014 Feb.
An irreparable tear of the subscapularis is a surgical challenge. Open approaches have been widely described to restore the anatomy and the function of the shoulder. Pectoralis major transfer is the most common technique used in this difficult clinical situation. Although this procedure has only been performed through an open approach, we describe a new arthroscopic technique for pectoralis major transfer. The critical part in this technique, in general, is the musculocutaneous nerve dissection, which is also possible through the arthroscopic approach. Together with an alternative method of harvesting using chips of bone and a minimal skin incision, this promising, less invasive technique presents all the advantages of the arthroscopic approach and provides a strong fixation to the lesser tuberosity.
肩胛下肌的不可修复撕裂是一项外科挑战。开放式手术方法已被广泛描述用于恢复肩部的解剖结构和功能。胸大肌转移是在这种困难临床情况下最常用的技术。尽管该手术仅通过开放手术进行，但我们描述了一种用于胸大肌转移的新关节镜技术。一般来说，该技术的关键部分是肌皮神经解剖，这也可以通过关节镜手术完成。连同使用骨块的替代取材方法和最小的皮肤切口，这种有前景的、侵入性较小的技术具有关节镜手术的所有优点，并为小结节提供了牢固的固定。
