Gervasi Enrico, Sebastiani Enrico, Cautero Enrico, Spicuzza Alessandro
Department of Orthopaedics and Traumatology, Ospedale Civile di Latisana (UD), Italy.
Muscles Ligaments Tendons J. 2016 Feb 12;6(4):433-439. doi: 10.11138/mltj/2016.6.4.433. eCollection 2016 Oct-Dec.
The purpose of this work is to evaluate the results of arthroscopic capsulolabroplasty in patients affected by atraumatic shoulder instability (ASI).
A retrospective review was performed of 10 patients (7 women and 3 men) who underwent arthroscopic treatment of symptomatic ASI. Mean age at evaluation was 27.9 (19-35) years and the mean follow-up was 23.3 (12-37) months. We evaluated recurrence rate, range of movement, apprehension and relocation tests, hyperlaxity, and sport activity. The ASES score, the Rowe score, the Simple Shoulder Test (SST) and Visual Analogue Scale (VAS) were also used as outcomes measure.
None of the patients experienced episodes of dislocation or subluxation after surgery. The apprehension and relocation tests produced positive results in 2 patients. Six out of 10 patients reported apprehension with the arm in specific positions. The ASES mean score was 93.4 (55-100); the Rowe mean score was 85.5 (70-100); the SST mean score was 9.1 (5.8-10). On average, external rotation is reduced by 10° in adduction, and by 8° in abduction in 6 out of 10 patients; internal rotation is reduced on average by 6.6° in abduction with the arm abducted, and was overall limited in 6 out of 10 patients.
Arthroscopic capsulolabroplasty ensures excellent results in patients showing atraumatic shoulder instability in terms of recurrence. Still, an underlying insecurity persists and the risk of residual stiffness is tangible.
V.
本研究旨在评估关节镜下关节囊唇成形术治疗非创伤性肩关节不稳（ASI）患者的效果。
对10例有症状的ASI患者（7例女性，3例男性）进行关节镜治疗的回顾性分析。评估时的平均年龄为27.9岁（19 - 35岁），平均随访时间为23.3个月（12 - 37个月）。我们评估了复发率、活动范围、恐惧和复位试验、关节过度松弛以及体育活动情况。还使用ASES评分、Rowe评分、简单肩关节试验（SST）和视觉模拟量表（VAS）作为结果指标。
术后所有患者均未出现脱位或半脱位情况。恐惧和复位试验在2例患者中呈阳性。10例患者中有6例报告在特定手臂位置时有恐惧感觉。ASES平均评分为93.4（55 - 100）；Rowe平均评分为85.5（70 - 100）；SST平均评分为9.1（5.8 - 10）。10例患者中有6例内收时外旋平均减少10°，外展时减少8°；外展时内旋平均减少6.6°，且10例患者中有6例整体内旋受限。
关节镜下关节囊唇成形术在治疗非创伤性肩关节不稳患者的复发方面取得了优异的效果。然而，潜在的不安全感仍然存在，残余僵硬的风险是切实存在的。
V级
