肩胛下肌的隐匿性损伤：关节镜再审视
The Hidden Lesion of the Subscapularis: Arthroscopically Revisited.
作者信息
Neyton Lionel, Daggett Matthew, Kruse Kevin, Walch Gilles
机构信息
Ramsay, Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France.
Kansas City University, Kansas City, Missouri, U.S.A.
出版信息
Arthrosc Tech. 2016 Aug 15;5(4):e877-e881. doi: 10.1016/j.eats.2016.04.010. eCollection 2016 Aug.
Abstract
The "hidden lesion" refers to a tear of the subscapularis in the presence of an intact biceps pulley or rotator interval. Visualization of these tears during open surgery is difficult, yet even with the advancement of arthroscopy, visualization can still be challenging. Incomplete visualization of the subscapularis could lead to failure to diagnose a tear of the tendon and subsequently hinder results after shoulder surgery. With the advancement of arthroscopy, a technique to identify these hidden lesions is needed to avoid inferior results. We describe an arthroscopic technique to visualize, diagnosis, and repair these tears when clinically indicated. Implementing this technique in the setting of suspected subscapularis tendon injury can provide complete visualization of the tendon insertion.
摘要
“隐匿性损伤”是指在肱二头肌滑车或旋转间隙完整的情况下肩胛下肌的撕裂。在开放手术中很难看到这些撕裂，然而即使随着关节镜技术的进步，可视化仍然具有挑战性。肩胛下肌可视化不完全可能导致无法诊断肌腱撕裂，进而影响肩部手术后的效果。随着关节镜技术的进步，需要一种识别这些隐匿性损伤的技术以避免较差的结果。我们描述了一种关节镜技术，用于在临床指征明确时可视化、诊断和修复这些撕裂。在疑似肩胛下肌腱损伤的情况下应用该技术可以实现肌腱附着点的完全可视化。
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