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肩盂唇上盂唇从前到后(SLAP)损伤:当前的争议

SLAP lesions: current controversies.

作者信息

Familiari Filippo, Huri Gazi, Simonetta Roberto, McFarland Edward G

机构信息

Department of Orthopaedic and Traumatology, Villa del Sole Clinic, Catanzaro, Italy.

Department of Orthopaedic and Traumatology, Hacettepe University, Ankara, Turkey.

出版信息

EFORT Open Rev. 2019 Jan 28;4(1):25-32. doi: 10.1302/2058-5241.4.180033. eCollection 2019 Jan.

Abstract

Knowledge of the pertinent anatomy, pathogenesis, clinical presentation and treatment of the spectrum of injuries involving the superior glenoid labrum and biceps origin is required in treating the patient with a superior labrum anterior and posterior (SLAP) tear.Despite the plethora of literature regarding SLAP lesions, their clinical diagnosis remains challenging for a number of reasons.First, the diagnostic value of many of the available physical examination tests is inconsistent and ambiguous.Second, SLAP lesions most commonly occur concomitantly with other shoulder injuries.Third, SLAP lesions have no specific associated pain pattern.Outcomes following surgical treatment of SLAP tears vary depending on the method of treatment, associated pathology and patient characteristics.Biceps tenodesis has been receiving increasing attention as a possible treatment for SLAP tears. Cite this article: 2019;4:25-32. DOI: 10.1302/2058-5241.4.180033.

摘要

在治疗存在上盂唇前、后(SLAP)撕裂的患者时,需要了解涉及上盂唇和肱二头肌附着点的一系列损伤的相关解剖结构、发病机制、临床表现及治疗方法。尽管关于SLAP损伤的文献众多,但由于多种原因,其临床诊断仍具有挑战性。首先,许多现有的体格检查测试的诊断价值不一致且不明确。其次,SLAP损伤最常与其他肩部损伤同时发生。第三,SLAP损伤没有特定的相关疼痛模式。SLAP撕裂手术治疗后的结果因治疗方法、相关病理情况和患者特征而异。肱二头肌固定术作为SLAP撕裂的一种可能治疗方法,越来越受到关注。引用本文:2019;4:25 - 32。DOI:10.1302/2058 - 5241.4.180033。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7c8/6362364/38f430af0fec/eor-4-25-g001.jpg

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