Grahl Daniel K, Field Larry D
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Upper Extremity Service, Sports Medicine and Arthroscopy Fellowship, Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Arthrosc Tech. 2019 Sep 19;8(10):e1181-e1184. doi: 10.1016/j.eats.2019.06.004. eCollection 2019 Oct.
Identifying and mobilizing rotator cuff tissue during arthroscopic revision rotator cuff repair can be challenging. A particularly complex situation is encountered when rotator cuff tendons become adhered to surrounding bony structures. Tendon adherence to the undersurface of the acromion may occur after rotator cuff repair, especially when concurrent acromioplasty was carried out during the index procedure. This adhered and retracted rotator cuff tissue may be difficult to both recognize and mobilize, once identified, arthroscopically. The authors present a technique that can aid in both identifying and lateralizing this adhered rotator cuff tissue within the subacromial space.
在关节镜下翻修肩袖修复术中识别和松解肩袖组织可能具有挑战性。当肩袖肌腱与周围骨结构粘连时，会遇到特别复杂的情况。肩袖修复术后，尤其是在初次手术中同时进行肩峰成形术时，肌腱可能会粘连在肩峰下表面。一旦在关节镜下识别出来，这种粘连和回缩的肩袖组织可能既难以识别也难以松解。作者介绍了一种有助于在肩峰下间隙识别和将这种粘连的肩袖组织向外侧移位的技术。
