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使用双入路和经皮套管进行360°盂唇修复术。

A 360° Labral Repair Using Two Portals and a Percutaneous Cannula.

作者信息

Gwosdz James, Chakrabarti Moyukh, Rosinski Alexander, McGahan Patrick J, Chen James L

机构信息

Advanced Orthopaedics and Sports Medicine, San Francisco, California, U.S.A.

出版信息

Arthrosc Tech. 2019 Jul 17;8(7):e763-e767. doi: 10.1016/j.eats.2019.03.014. eCollection 2019 Jul.

DOI:10.1016/j.eats.2019.03.014
PMID:31485404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6714521/
Abstract

Pan-labral tears are relatively uncommon, but they present significant challenges to arthroscopists. The difficulty lies in the need to access the glenoid rim circumferentially for proper anchor placement. Traditionally, this requires that multiple portals and percutaneous access be established as needed. Additionally, proper preoperative planning is needed to accurately reduce the labrum. In this Technical Note, we demonstrate a technique that accomplishes circumferential access and a well-planned approach with 2 portals and a percutaneous cannula.

摘要

全盂唇撕裂相对少见,但给关节镜医师带来了重大挑战。困难在于需要沿盂缘周向进入以正确放置锚钉。传统上,这需要根据需要建立多个切口和经皮入路。此外,需要进行适当的术前规划以准确复位盂唇。在本技术说明中,我们展示了一种通过两个切口和一个经皮套管实现周向进入和精心规划的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/8a0985a2e7fc/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/227e0360701f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/4db4503af81a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/a356457ba379/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/2f13420725f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/0bdb5a34f6d9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/ced4dd780ef0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/8a0985a2e7fc/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/227e0360701f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/4db4503af81a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/a356457ba379/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/2f13420725f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/0bdb5a34f6d9/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/ced4dd780ef0/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53c/6714521/8a0985a2e7fc/gr7.jpg

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本文引用的文献

1
Arthroscopic 360° Shoulder Labral Reconstruction: A Stepwise Approach.关节镜下360°肩关节盂唇重建:一种逐步操作方法
Arthrosc Tech. 2018 Aug 27;7(9):e951-e956. doi: 10.1016/j.eats.2018.05.007. eCollection 2018 Sep.
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Arthroscopic Repair of a Circumferential 360° Labral Tear.关节镜下修复360°环形盂唇撕裂
Arthrosc Tech. 2017 Jul 31;6(4):e1131-e1136. doi: 10.1016/j.eats.2017.03.034. eCollection 2017 Aug.
3
Glenohumeral Instability Related to Special Conditions: SLAP Tears, Pan-labral Tears, and Multidirectional Instability.
与特殊情况相关的盂肱关节不稳:上盂唇前上束损伤、全盂唇损伤和多向性不稳
Sports Med Arthrosc Rev. 2017 Sep;25(3):e12-e17. doi: 10.1097/JSA.0000000000000153.
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J Am Acad Orthop Surg. 2013 Jun;21(6):332-42. doi: 10.5435/JAAOS-21-06-332.
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Inferior anchor cortical perforation with arthroscopic Bankart repair: a cadaveric study.关节镜下 Bankart 修复术致下锚皮质骨穿孔:尸体研究。
Arthroscopy. 2013 Jan;29(1):31-6. doi: 10.1016/j.arthro.2012.08.013.
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Am J Sports Med. 2013 Feb;41(2):444-60. doi: 10.1177/0363546512466067. Epub 2012 Nov 20.
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Outcomes of arthroscopic repair of panlabral tears of the glenohumeral joint.关节镜下治疗全层肩盂唇撕裂的疗效。
Am J Sports Med. 2012 Nov;40(11):2561-8. doi: 10.1177/0363546512460834. Epub 2012 Sep 28.
8
Arthroscopic repair of circumferential lesions of the glenoid labrum: surgical technique.关节镜下修复肩盂唇周缘损伤:手术技术。
J Bone Joint Surg Am. 2010 Sep;92 Suppl 1 Pt 2:130-44. doi: 10.2106/JBJS.J.00234.
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Principles for the evaluation and management of shoulder instability.肩关节不稳的评估与管理原则
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