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布福德复合体中条索状肩胛下肌上盂肱韧带孤立性撕裂：一例报告

Isolated tear of the cord-like middle glenohumeral ligament in Buford complex: A case report.

作者信息

Lee Byung-Ill, Kim Yong Beom, Won Sung Hun, Hwang Shu Chiang, Choi Sung-Woo, Nho Jae-Hwi, Chun Dong-Il

机构信息

Center of Arthroscopy Department of Orthopaedic Surgery, Soonchunhyang University Hospital Seoul, Seoul, Korea.

出版信息

Medicine (Baltimore). 2017 Nov;96(45):e8604. doi: 10.1097/MD.0000000000008604.

DOI:10.1097/MD.0000000000008604
PMID:29137087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5690780/
Abstract

RATIONALE

We describe a rare case of the isolated tear in the cord-like middle glenohumeral ligament (MGHL) in Buford complex. To the best of our knowledge, this is the first report in the English literature about the isolated tear of cord-like MGHL in Buford complex. The present report describes in detail our experience with the diagnosis of isolated tear of the cord-like MGHL in Buford complex and management.

PATIENT CONCERNS

A 50-year-old female patient visited our hospital with pain and stiffness in the right shoulder that lasted for 9 months.

DIAGNOSES

The clinical impression was frozen shoulder by primary impingement syndrome of right shoulder and the magnetic resonance (MR) images showed tear of cord-like MGHL.

INTERVENTIONS

We repaired the torn MGHL with the arthroscopic technique.

OUTCOMES

Positive outcome by arthroscopic repair demonstrates that this disease entity is one of spectrum of pathologic condition in shoulder joint.

LESSONS

Isolated tear of cord-like MGHL should be restored to the original anatomy for positive outcome.

摘要

原理

我们描述了一例布福德复合体中条索状肩胛下肌中盂肱韧带（MGHL）孤立性撕裂的罕见病例。据我们所知，这是英文文献中关于布福德复合体中条索状MGHL孤立性撕裂的首例报告。本报告详细描述了我们对布福德复合体中条索状MGHL孤立性撕裂的诊断及处理经验。

患者情况

一名50岁女性患者因右肩疼痛和僵硬持续9个月前来我院就诊。

诊断

临床诊断为右肩原发性撞击综合征导致的肩周炎，磁共振（MR）图像显示条索状MGHL撕裂。

干预措施

我们采用关节镜技术修复了撕裂的MGHL。

结果

关节镜修复取得了良好效果，表明该疾病实体是肩关节病理状况谱中的一种。

经验教训

为取得良好效果，条索状MGHL的孤立性撕裂应恢复至原始解剖结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/c9cffc2b0249/medi-96-e8604-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/9dc0c5f7d8a6/medi-96-e8604-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/570949eea2b1/medi-96-e8604-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/bab4b3fbf7e5/medi-96-e8604-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/c9cffc2b0249/medi-96-e8604-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/9dc0c5f7d8a6/medi-96-e8604-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/570949eea2b1/medi-96-e8604-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/bab4b3fbf7e5/medi-96-e8604-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c57/5690780/c9cffc2b0249/medi-96-e8604-g004.jpg

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本文引用的文献

1
The correlation of the Buford complex and SLAP lesions.布福德复合体与肩袖上盂唇损伤的相关性。
J Shoulder Elbow Surg. 2005 Nov-Dec;14(6):565-9. doi: 10.1016/j.jse.2005.01.002.
2
Variants of the anterosuperior glenoid labrum and associated pathology.肩胛盂前上唇变异及相关病理情况
Arthroscopy. 2002 Oct;18(8):882-6. doi: 10.1053/jars.2002.36119.
3
Straight anterior instability: Lesions of the middle glenohumeral ligament.前方直接不稳定：肩肱中韧带损伤。
在关节镜下修复中小型肩袖撕裂时，在松解旋转间隙和喙肱韧带后先行松解肩盂肱中韧带以预防术后僵硬的效果：一项回顾性对照研究。
JSES Rev Rep Tech. 2024 Aug 30;4(4):774-778. doi: 10.1016/j.xrrt.2024.08.002. eCollection 2024 Nov.
4
Preemptive middle glenohumeral ligament release in arthroscopic rotator cuff repair does not reduce the postoperative stiffness: a retrospective comparative study.关节镜肩袖修复术中预防性肱二头肌长头腱切断术并不减少术后僵硬：一项回顾性对比研究。
BMC Musculoskelet Disord. 2023 Jun 15;24(1):490. doi: 10.1186/s12891-023-06611-7.
Arthroscopy. 2001 Mar;17(3):229-235. doi: 10.1053/jars.2001.21486.
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Periarticular fiber system of the shoulder joint.肩关节的关节周围纤维系统
Arthroscopy. 1997 Dec;13(6):680-91. doi: 10.1016/s0749-8063(97)90001-3.
5
The Buford complex--the "cord-like" middle glenohumeral ligament and absent anterosuperior labrum complex: a normal anatomic capsulolabral variant.布福德复合体——“索状”的肩胛下肌盂肱中韧带及上盂唇前复合体缺失：一种正常的解剖学关节囊盂唇变异。
Arthroscopy. 1994 Jun;10(3):241-7. doi: 10.1016/s0749-8063(05)80105-7.