关节镜下无结改良麦克劳克林手术治疗反向希尔-萨克斯损伤

Bernholt David L, Lacheta Lucca, Goldenberg Brandon T, Millett Peter J

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

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

Arthrosc Tech. 2019 Dec 18;9(1):e65-e70. doi: 10.1016/j.eats.2019.09.002. eCollection 2020 Jan.

Posterior shoulder dislocations often are associated with an impression fracture involving the anterior humeral head known as a reverse Hill-Sachs lesion. These injuries can result in significant bone defects that require surgical management to prevent them from engaging the posterior glenoid. We present a modified arthroscopic, knotless McLaughlin procedure (tenodesis of the subscapularis tendon into the bone defect) for the treatment of small-to medium-sized, engaging Hill-Sachs lesions. The knotless fashion aims to eliminate potential problems associated with knot tying, such as knot migration, knot impingement, and chondral abrasion.

肩关节后脱位常伴有肱骨头前部的嵌压骨折，即所谓的反Hill-Sachs损伤。这些损伤可导致明显的骨缺损，需要手术治疗以防止其与肩胛盂后部相嵌顿。我们介绍一种改良的关节镜下无结McLaughlin手术（将肩胛下肌腱固定于骨缺损处），用于治疗中小型嵌顿性Hill-Sachs损伤。无结方式旨在消除与打结相关的潜在问题，如结的移位、结的撞击和软骨磨损。