Takamura Karren M, Chen James B, Petrigliano Frank A
Department of Orthopaedic Surgery, University of California Los Angeles, 10833 LeConte Avenue, 76-119 CHS, Los Angeles, CA 90095-6902, USA.
Department of Orthopaedic Surgery, University of California Los Angeles, 10833 LeConte Avenue, 76-119 CHS, Los Angeles, CA 90095-6902, USA.
Clin Sports Med. 2018 Oct;37(4):517-526. doi: 10.1016/j.csm.2018.05.003.
The management of glenohumeral osteoarthritis is difficult in young, active individuals. After nonoperative management fails, arthroscopic debridement with concomitant procedures (eg, loose body removal, capsular release, labral debridement, synovectomy, osteophyte resection, bursectomy, subacromial decompression, microfracture, and biceps tenotomy or tenodesis) to address potential pain generators may be an option in small, contained, unipolar lesions.
对于年轻、活跃的个体，肱骨头-肩关节骨关节炎的治疗颇具难度。在非手术治疗失败后，对于小型、局限的单极病变，采用关节镜下清创并辅以相关操作（如取出游离体、松解关节囊、清理盂唇、滑膜切除术、切除骨赘、切除滑囊、肩峰下减压、微骨折以及肱二头肌肌腱切断术或固定术）以处理潜在的疼痛根源可能是一种选择。
