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关节镜下修复肩肱韧带肱骨撕脱损伤

Arthroscopic Repair of Humeral Avulsion of the Glenohumeral Ligament Lesion.

作者信息

Fritz Erik M, Pogorzelski Jonas, Hussain Zaamin B, Godin Jonathan A, Millett Peter J

机构信息

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

The Steadman Clinic, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2017 Jul 31;6(4):e1195-e1200. doi: 10.1016/j.eats.2017.04.008. eCollection 2017 Aug.

DOI:10.1016/j.eats.2017.04.008
PMID:29354417
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5621980/
Abstract

Humeral avulsion of the glenohumeral ligament (HAGL) is a lesion associated with anterior shoulder instability. Although uncommon, HAGL lesions are a significant contributor to shoulder pain and dysfunction and, if missed, can even be a cause of failed Bankart repair. HAGL lesions should generally be repaired surgically; however, given their low prevalence, there is no consensus on the optimal surgical approach. The purpose of this Technical Note is to describe our preferred surgical technique for the fixation of an HAGL lesion using an all-arthroscopic approach and a knotless suture anchor construct.

摘要

盂肱韧带肱骨撕脱伤(HAGL)是一种与肩关节前向不稳相关的损伤。尽管HAGL损伤并不常见,但它是导致肩部疼痛和功能障碍的重要原因,若漏诊,甚至可能是Bankart修复失败的原因。HAGL损伤通常应手术修复;然而,鉴于其发病率较低,对于最佳手术入路尚无共识。本技术说明的目的是描述我们使用全关节镜入路和无结缝线锚钉结构固定HAGL损伤的首选手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/d98665c0efa8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/3769152c3c5a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/27edf115b10d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/6cff66abf1b3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/d5cb4d624e5f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/933c5fbdd5ea/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/d98665c0efa8/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/3769152c3c5a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/27edf115b10d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/6cff66abf1b3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/d5cb4d624e5f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/933c5fbdd5ea/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce57/5621980/d98665c0efa8/gr6.jpg

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本文引用的文献

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Am J Sports Med. 2017 Apr;45(5):1134-1140. doi: 10.1177/0363546516680608. Epub 2016 Dec 28.
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Humeral Avulsion of the Glenohumeral Ligaments: A Systematic Review.肩肱韧带肱骨撕脱:一项系统评价
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The effect of humeral avulsion of the glenohumeral ligaments and humeral repair site on joint laxity: a biomechanical study.
潜在关节过度松弛患者肩部不稳定的管理
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Orthop J Sports Med. 2021 Jul 15;9(6):23259671211004968. doi: 10.1177/23259671211004968. eCollection 2021 Jun.
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