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使用免打结全缝线锚钉的保留肩袖的关节镜下SLAP损伤修复术

Rotator Cuff Sparing Arthroscopic SLAP Repair With Knotless All-Suture Anchors.

作者信息

Dekker Travis J, Lacheta Lucca, Goldenberg Brandon, Grantham W Jeffrey, Millett Peter J

机构信息

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

The Steadman Clinic, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2019 Sep 11;8(9):e993-e998. doi: 10.1016/j.eats.2019.05.009. eCollection 2019 Sep.

Abstract

Arthroscopic repair of SLAP tears is a common shoulder procedure, especially in overhead athletes. Repair techniques have evolved over the last 20 years, and the optimal technique remains elusive. In many cases, a transrotator cuff portal placed lateral to the acromion is used to access the superior glenoid. However, violating the rotator cuff is not desirable in an overhead athlete, and this approach can be associated with an increased risk of postoperative morbidity. The purpose of this Technical Note is to describe our preferred surgical technique with a rotator cuff-sparing approach for arthroscopic SLAP repair with all-suture anchors.

摘要

关节镜下修复肩袖上盂唇(SLAP)损伤是一种常见的肩部手术,尤其是在从事过头运动的运动员中。在过去20年里,修复技术不断发展,而最佳技术仍不明确。在许多情况下,会使用位于肩峰外侧的经肩袖入路来进入肩胛盂上方。然而,对于从事过头运动的运动员来说,损伤肩袖是不可取的,而且这种方法可能会增加术后发病的风险。本技术说明的目的是描述我们首选的手术技术,即采用保留肩袖的方法,使用全缝线锚钉进行关节镜下SLAP修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0471/6819747/1691c672c09a/gr1.jpg

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Arthroscopic Repair of Type II SLAP Lesions in Overhead Athletes.肩关节镜下修复过头运动员的Ⅱ型SLAP损伤
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本文引用的文献

1
An Age and Activity Algorithm for Treatment of Type II SLAP Tears.一种用于治疗II型SLAP撕裂的年龄与活动算法
Open Orthop J. 2018 Jul 31;12:271-281. doi: 10.2174/1874325001812010271. eCollection 2018.
3
Combined SLAP repair and biceps tenodesis for superior labral anterior-posterior tears.联合SLAP修复术和肱二头肌固定术治疗上盂唇前后向撕裂
Knee Surg Sports Traumatol Arthrosc. 2016 Dec;24(12):3870-3876. doi: 10.1007/s00167-015-3774-6. Epub 2015 Sep 2.
6
Demographic trends in arthroscopic SLAP repair in the United States.美国关节镜下 SLAP 修复的人口统计学趋势。
Am J Sports Med. 2012 May;40(5):1144-7. doi: 10.1177/0363546512436944. Epub 2012 Feb 9.
7
The outcome of type II SLAP repair: a systematic review.肩盂唇后下部 II 型撕裂修复的疗效:系统评价。
Arthroscopy. 2010 Apr;26(4):537-45. doi: 10.1016/j.arthro.2009.08.017. Epub 2010 Jan 25.

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