Gerhardt C, Lehmann L J
Klinik für Unfall- und Handchirurgie, ViDia Christliche Kliniken Karlsruhe, St. Vincentius-Kliniken, Südendstr. 32, 76135, Karlsruhe, Deutschland.
Orthopade. 2018 Feb;47(2):148-157. doi: 10.1007/s00132-017-3512-5.
In recent years, the understanding of shoulder fractures has changed due to the progress of arthroscopy. In addition to the cosmetic result, the access morbidity, particularly the integrity of the subscapularis muscle in glenoid and scapular fractures, must be mentioned as an advantage of a minimally invasive approach. Furthermore, necessary secondary interventions, e. g. hook plate removal, can be prevented or minimized by modern implants and arthroscopic techniques.However, the available data and publications are almost exclusively limited to technical notes or small case series, so statements about faster recreation or potential reduction of infection risk cannot be made. Whether addressing concomitant injuries has an effect on the clinical and functional outcome is also unclear at the present time.
近年来，由于关节镜技术的进步，对肩部骨折的认识发生了变化。除了美容效果外，入路相关并发症，特别是在肩胛盂和肩胛骨骨折中肩胛下肌的完整性，必须作为微创方法的一个优势提及。此外，通过现代植入物和关节镜技术，可以预防或减少必要的二次干预，例如取出钩钢板。然而，现有的数据和出版物几乎都仅限于技术说明或小病例系列，因此无法就更快恢复或潜在降低感染风险做出陈述。目前，处理合并损伤是否会对临床和功能结果产生影响也尚不清楚。
