肩袖撕裂的一种新撕裂模式及其治疗：背越式撕裂。
A new tear pattern of the rotator cuff and its treatment: Fosbury flop tears.
作者信息
Lädermann Alexandre, Denard Patrick J, Kolo Frank C
机构信息
Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Meyrin, Switzerland ; Faculty of Medicine, University of Geneva, Switzerland.
Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, USA.
出版信息
Int J Shoulder Surg. 2015 Jan-Mar;9(1):9-12. doi: 10.4103/0973-6042.150217.
PURPOSE
The purpose of this report is to describe a new full-thickness tear pattern of the posterosuperior rotator cuff with reversal healing. We describe the specific radiologic signs associated with this tear pattern and the arthroscopic rotator cuff repair technique.
MATERIALS AND METHODS
A prospective radiologic and clinical study collected all patients with a magnetic resonance imaging arthrogram that underwent an arthroscopic rotator cuff repair over a 1 year period.
RESULTS
Among 97 patients, five demonstrated a tear of the posterosuperior rotator cuff with reversal healing. Characteristic radiographic findings included a thicker tendon than normal, the presence of a stump and accumulation of liquid in the superior-medial part of the subacromial bursa, and adhesions between the supraspinatus tendon and the wall of the subacromial bursa.
CONCLUSION
Avulsion of the posterosuperior rotator cuff with reversal healing on its bursal-side is a less common condition. This type of lesion and distinct radiographic signs that can be recognized to facilitate anatomic repair of the rotator cuff.
LEVEL OF EVIDENCE
Level IV.
目的
本报告旨在描述一种伴有愈合逆转的肩袖后上部分全层撕裂新模式。我们描述了与这种撕裂模式相关的特定放射学征象以及关节镜下肩袖修复技术。
材料与方法
一项前瞻性放射学和临床研究收集了在1年期间内所有接受关节镜下肩袖修复且进行了磁共振关节造影的患者。
结果
在97例患者中，5例表现为肩袖后上部分撕裂并伴有愈合逆转。特征性影像学表现包括肌腱比正常厚、存在残端以及肩峰下滑囊上内侧部分有液体聚集，还有冈上肌腱与肩峰下滑囊壁之间的粘连。
结论
肩袖后上部分在滑囊侧发生撕裂并伴有愈合逆转是一种较罕见的情况。这种类型的病变以及可识别的独特放射学征象有助于肩袖的解剖修复。
证据水平
四级。
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