Smith Jace R, Field Larry D
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Arthrosc Tech. 2019 Sep 19;8(10):e1099-e1104. doi: 10.1016/j.eats.2019.05.025. eCollection 2019 Oct.
The indications and best technique for plication of the rotator interval capsule, performed as a supplemental procedure at the time of arthroscopic shoulder stabilization, remain a controversial topic. There are currently no well-accepted surgical indication guidelines that have been established. Several biomechanical studies, however, have demonstrated the important contribution of the rotator interval capsule to stability of the glenohumeral joint, and the utilization of rotator interval plication in patients with glenohumeral instability has been supported in several publications. The indications for and surgical steps to accomplish the arthroscopic "seamster" technique for rotator interval plication, used by the authors for >20 years, is described.
在关节镜下肩关节稳定手术时作为补充手术进行的肩胛下肌间隙关节囊折叠术的适应证和最佳技术，仍然是一个有争议的话题。目前尚未建立被广泛接受的手术适应证指南。然而，多项生物力学研究表明肩胛下肌间隙关节囊对盂肱关节稳定性有重要作用，并且在一些出版物中也支持在盂肱关节不稳定患者中应用肩胛下肌间隙折叠术。本文描述了作者使用超过20年的关节镜下肩胛下肌间隙折叠术“缝匠肌”技术的适应证和手术步骤。
