Osaka Medical College.
Arthroscopy. 2019 Jan;35(1):29-31. doi: 10.1016/j.arthro.2018.08.026.
Since I reported clinical and biomechanical improvement after superior capsular reconstruction (SCR) for irreparable rotator cuff tears in 2012 and 2013, many shoulder surgeons around the world have started to perform SCR. However, most of these surgeons are still on the learning curve, and their clinical results are not consistent because clinical outcomes after SCR are correlated with graft healing, which is affected by the surgeon's skill. In cases in which the graft does heal, active shoulder elevation increases after SCR even in patients with pseudoparalysis before surgery. These patients can elevate the arm using the deltoid muscle when superior shoulder stability is restored after SCR. When patients whose grafts have healed cannot elevate the arm even after SCR, they may have concomitant cervical radiculopathy, which causes real paralysis.
自 2012 年和 2013 年我报道了对于不可修复肩袖撕裂采用上盂唇前后部切除术（SLAP）修复后临床和生物力学改善以来，世界范围内许多肩关节外科医生开始开展 SLAP 修复术。然而，大多数外科医生仍处于学习曲线阶段，他们的临床结果并不一致，因为 SLAP 修复术后的临床结果与移植物愈合相关，而移植物愈合受外科医生技术的影响。在移植物愈合的情况下，即使在术前存在假性瘫痪的患者，SLAP 修复术后主动肩抬高也会增加。这些患者在 SLAP 修复术后恢复了上肩部稳定性后可以使用三角肌抬起手臂。当移植物愈合的患者即使在 SLAP 修复术后也无法抬起手臂时，他们可能同时患有神经根型颈椎病，这会导致真正的瘫痪。
