Routman Howard D, Savoie Felix H Buddy
The Palm Beach Shoulder Service, Atlantis Orthopaedics, 900 Village Square Crossing #170, Palm Beach Gardens, FL 33410, USA.
Department of Orthopaedic Surgery, Tulane University School of Medicine, 1430 Tulane Avenue, #8632, New Orleans, LA 70112, USA.
Clin Sports Med. 2018 Oct;37(4):559-568. doi: 10.1016/j.csm.2018.05.006.
To minimize the risk of subscapularis failure after shoulder replacement, a method of preserving the subscapularis while allowing access to the glenohumeral joint was developed. Only the inferior 30% to 50% of the subscapularis tendon is detached from the humerus, leaving the superior aspect attached to the lesser tuberosity. This subscapularis-sparing, minimally invasive approach to the glenohumeral joint was evaluated in 43 subjects with a minimum 2-year follow-up and subscapularis strength equal to the opposite side. The approach provided adequate exposure for shoulder replacement surgery and decreased risk of postoperative failure of the subscapularis tendon.
为了将肩关节置换术后肩胛下肌功能丧失的风险降至最低，我们开发了一种在保留肩胛下肌的同时能够进入盂肱关节的方法。仅将肩胛下肌腱的下30%至50%从肱骨上分离，使上方部分附着于小结节。对43例患者采用这种保留肩胛下肌的微创入路处理盂肱关节，进行了至少2年的随访，结果显示肩胛下肌力量与对侧相等。该入路为肩关节置换手术提供了足够的暴露，并降低了肩胛下肌腱术后功能丧失的风险。
