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关节镜辅助下胸小肌移位治疗肩胛下肌腱上三分之二不可修复性撕裂：手术技术

Arthroscopic-Assisted Pectoralis Minor Transfer for Irreparable Tears of the Upper Two-thirds of the Subscapularis Tendon: Surgical Technique.

作者信息

Cartaya Marco, Werthel Jean-David, Valenti Philippe

机构信息

Paris Shoulder Unit, Institut de la Main, Clinique Bizet, Paris, France.

出版信息

Arthrosc Tech. 2017 Sep 4;6(5):e1501-e1505. doi: 10.1016/j.eats.2017.06.010. eCollection 2017 Oct.

DOI:10.1016/j.eats.2017.06.010
PMID:29354465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5709706/
Abstract

Open transfer of the pectoralis minor through a deltopectoral approach has been described to treat irreparable tears of the upper two-thirds of the subscapularis. We present a less invasive arthroscopic-assisted technique for this transfer. Atraumatic dissection of the pectoralis minor and harvesting of the tendon with a bone chip from the coracoid process allow strong fixation with a double-button device on the lesser tuberosity. This arthroscopic technique allows assessment and treatment of associated intra- or extra-articular lesions and represents a promising option for the management of irreparable tears of the subscapularis.

摘要

通过三角肌胸大肌入路开放转移胸小肌已被描述用于治疗肩胛下肌上三分之二的不可修复撕裂。我们提出一种用于这种转移的侵入性较小的关节镜辅助技术。对胸小肌进行无创伤解剖，并从喙突采集带有骨块的肌腱，以便用双纽扣装置在小结节上进行牢固固定。这种关节镜技术能够评估和治疗相关的关节内或关节外病变，是肩胛下肌不可修复撕裂治疗的一个有前景的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/f2aebd36af4e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/447b1be0b62a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/9216cd0bc5d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/fcfa3f722cca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/c2c4454cafd7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/17bc31fd9049/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/0c284a013409/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/1ad1aaef00e3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/f1dbb4cb20dc/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/bbcb5949991f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/f2aebd36af4e/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/447b1be0b62a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/9216cd0bc5d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/fcfa3f722cca/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/c2c4454cafd7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/17bc31fd9049/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/0c284a013409/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/1ad1aaef00e3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/f1dbb4cb20dc/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/bbcb5949991f/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0549/5709706/f2aebd36af4e/gr10.jpg

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