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肩胛下肌腱间质撕裂:关节镜检查结果及修复技术

Interstitial Tear of the Subscapularis Tendon, Arthroscopic Findings and Technique of Repair.

作者信息

Saremi Hossein

机构信息

Hamadan University of Medical Sciences, Hamadan, Iran.

出版信息

Arch Bone Jt Surg. 2016 Apr;4(2):177-80.

PMID:27200399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4852047/
Abstract

Tears of the subscapularis tendon have been significantly recognized as a source of shoulder pain and dysfunction in the past decade, thanks to arthroscopic evaluation of the shoulder and biomechanical and anatomical studies of the tendon. Current classification of subscapularis tendon tear is based on insertion site of the tendon. Recently, a classification for non-insertional types of subscapularis tendon tear has been published. Interstitial tear of subscapularis tendon has not been described in classifications available in the literature. This report describes significant interstitial tear of the subscapularis tendon. This tear looks normal in superior, bursal and articular sides. Then its specific arthroscopic findings as "Air bag sign" and repair technique of the pathology is explained.

摘要

在过去十年中,由于肩关节镜评估以及该肌腱的生物力学和解剖学研究,肩胛下肌腱撕裂已被明确认定为肩部疼痛和功能障碍的一个原因。目前肩胛下肌腱撕裂的分类是基于肌腱的附着部位。最近,一种针对非附着型肩胛下肌腱撕裂的分类方法已发表。肩胛下肌腱的间质撕裂在现有文献分类中尚未被描述。本报告描述了肩胛下肌腱明显的间质撕裂。这种撕裂在上方、滑囊侧和关节侧看起来正常。随后解释了其作为“气囊征”的具体关节镜检查结果以及该病变的修复技术。

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本文引用的文献

1
Subscapularis tendon tear classification based on 3-dimensional anatomic footprint: a cadaveric and prospective clinical observational study.基于三维解剖足迹的肩胛下肌腱撕裂分类:一项尸体解剖及前瞻性临床观察研究
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Structural integrity and clinical outcomes after arthroscopic repair of isolated subscapularis tears.关节镜下孤立性肩胛下肌撕裂修复后的结构完整性和临床结果
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