Nové-Josserand Laurent, Chauvet Thomas, Haritinian Emil, Collotte Philippe, Merlini Lorenzo, Vieira Thais Dutra
Centre Orthopédique Santy, Lyon, France.
Hopital Privé Jean Mermoz, Ramsay-Générale de Santé, Lyon, France.
Arthrosc Tech. 2019 Dec 31;9(1):e167-e169. doi: 10.1016/j.eats.2019.09.013. eCollection 2020 Jan.
Arthroscopy has improved the diagnosis of subscapularis tendon lesions, and the outcomes of arthroscopic repair are satisfactory. Nonetheless, the diagnosis of some partial- and full-thickness subscapularis tears remains challenging. The middle glenohumeral ligament inserts distally into the articular surface of the subscapularis tendon and can be displaced when the subscapularis tendon is torn with retraction. This article describes the middle glenohumeral ligament test, which allows retracted lesions of the subscapularis tendon to be detected even if the superior edge is visible and normally placed. In addition, it allows control of the subscapularis tendon repair.
关节镜检查改善了肩胛下肌腱损伤的诊断，关节镜修复的效果令人满意。尽管如此，一些部分和全层肩胛下肌撕裂的诊断仍然具有挑战性。肱盂中韧带向远端插入肩胛下肌腱的关节面，当肩胛下肌腱撕裂并回缩时，该韧带可能会移位。本文介绍了肱盂中韧带试验，该试验即使在肩胛下肌腱上缘可见且位置正常的情况下，也能检测到回缩的肩胛下肌腱损伤。此外，它还能用于肩胛下肌腱修复的控制。
