肩关节置换术中关节镜检查的安全性与有效性。
Safety and efficacy of arthroscopy in the setting of shoulder arthroplasty.
作者信息
Heaven Sebastian, de Sa Darren, Duong Andrew, Simunovic Nicole, Ayeni Olufemi R
机构信息
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, 1200 Main Street West, 4E15, Hamilton, ON, L8N 3Z5, Canada.
Centre for Evidence-Based Orthopaedics, Department of Clinical Epidemiology and Biostatistics, McMaster University, 293 Wellington Street North, Suite 110, Hamilton, ON, L8L 8E7, Canada.
出版信息
Curr Rev Musculoskelet Med. 2016 Mar;9(1):54-8. doi: 10.1007/s12178-016-9318-y.
Shoulder arthroplasty has become a reliable and reproducible method of treating a range of shoulder pathologies including fractures, osteoarthritis, and rotator cuff arthropathy. Although most patients experience favorable outcomes from shoulder arthroplasty, some patients suffer from persistent symptoms post-arthroplasty and it is these patients who present a unique diagnostic and therapeutic challenge. The role of arthroscopy in assessing and treating patients with symptomatic prosthetic joints elsewhere in the body has been established in recent literature. However, the range of pathology that can affect a prosthetic shoulder is distinct from the knee or the hip and requires careful and considered assessment if an accurate diagnosis is to be made. When used alongside other investigations in a comprehensive assessment protocol, arthroscopy can play an important role in the diagnosis and treatment of the problematic shoulder arthroplasty.
肩关节置换术已成为治疗一系列肩部疾病（包括骨折、骨关节炎和肩袖关节病）的可靠且可重复的方法。尽管大多数患者在肩关节置换术后取得了良好的效果，但一些患者在术后仍有持续症状，正是这些患者带来了独特的诊断和治疗挑战。关节镜检查在评估和治疗身体其他部位有症状的人工关节患者中的作用已在最近的文献中得到确立。然而，影响人工肩关节的病理范围与膝关节或髋关节不同，如果要做出准确诊断，需要仔细且慎重的评估。当在全面评估方案中与其他检查一起使用时，关节镜检查在有问题的肩关节置换术的诊断和治疗中可以发挥重要作用。
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