Zerr J, McDermott J D, Beckmann N M, Fullick R K, Chhabra A
Department of Radiology, UTSW, 5323 Harry Hines Blvd, Dallas, TX, 75390-9178, USA.
Department of Orthopedic Surgery, Houston, TX, USA.
Skeletal Radiol. 2017 Nov;46(11):1585-1589. doi: 10.1007/s00256-017-2716-4. Epub 2017 Jul 26.
Superior capsular reconstruction (SCR) is a novel technique for treating irreparable rotator cuff tears in younger patients in whom a reverse total shoulder arthroplasty is not the optimal treatment choice. This case study describes a middle-aged male with a recurrent, massive, irreparable rotator cuff tear treated with SCR that subsequently failed at the glenoid attachment. The patient underwent successful arthroscopic revision of the SCR. The case illustrates the MRI and arthroscopic correlations of the failed dermal allograft reconstruction, which to our knowledge has not been previously shown in the radiology literature.
肩胛上盂重建术(SCR)是一种治疗年轻患者不可修复性肩袖撕裂的新技术,对于这些患者而言,反向全肩关节置换术并非最佳治疗选择。本病例研究描述了一名中年男性,其复发性、巨大、不可修复性肩袖撕裂采用SCR治疗,但随后在关节盂附着处失败。该患者接受了成功的SCR关节镜翻修术。该病例展示了失败的真皮同种异体移植重建的MRI与关节镜相关性,据我们所知,此前放射学文献中尚未有此报道。