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关节镜下肩关节融合术治疗产瘫性臂丛神经麻痹

Arthroscopic Shoulder Fusion for Obstetric Brachial Plexus Palsy.

作者信息

Morsy Mohamed G, Gawish Hesham M, Galal Mostafa A, Waly Ahmed H

机构信息

Department of Orthopaedic Surgery and Traumatology, Arthroscopy and Sports Injury Unit, Alexandria University, Alexandria.

Department of Orthopaedic Surgery and Traumatology, Kafr El Sheikh University, Kafr El Sheikh, Egypt.

出版信息

Arthrosc Tech. 2020 Jul 1;9(7):e1049-e1055. doi: 10.1016/j.eats.2020.03.025. eCollection 2020 Jul.

DOI:10.1016/j.eats.2020.03.025
PMID:32714818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7372597/
Abstract

Shoulder fusion for sequelae of obstetrical brachial plexus injury is reported as a valuable surgical solution with very good results and functional range of motion. It is traditionally performed in open fashion. Few reports describe the technique of arthroscopic shoulder fusion, but nearly all of them were done in cases with traumatic brachial plexus injury that have normal joint anatomy. This report describes and discusses the arthroscopic shoulder fusion technique in cases with disorganized glenohumeral joint secondary to obstetric brachial plexus injury. An illustrative case example is presented.

摘要

据报道,对于产瘫后遗症行肩关节融合术是一种有效的手术解决方案,可取得非常好的效果和功能活动范围。传统上该手术以开放方式进行。很少有报告描述关节镜下肩关节融合技术,且几乎所有报告都是针对具有正常关节解剖结构的创伤性臂丛神经损伤病例。本报告描述并讨论了在因产瘫导致的盂肱关节结构紊乱病例中行关节镜下肩关节融合技术。文中给出了一个典型病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/1e71ba58e3b0/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/9c46ccdae547/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/15815a8bee62/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/5dca631b166c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/4802ffe85928/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/81036f323134/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/702718e91018/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/82ef73e76ee6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/703e30c6d9ed/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/a517badf8dda/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/1e71ba58e3b0/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/9c46ccdae547/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/15815a8bee62/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/5dca631b166c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/4802ffe85928/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/81036f323134/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/702718e91018/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/82ef73e76ee6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/703e30c6d9ed/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/a517badf8dda/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e8b/7372597/1e71ba58e3b0/gr10.jpg

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本文引用的文献

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Shoulder Elbow. 2017 Oct;9(4):266-271. doi: 10.1177/1758573217693807. Epub 2017 Feb 13.
2
Arthroscopic arthrodesis of the shoulder in brachial plexus palsy.臂丛神经麻痹时肩关节的关节镜下关节固定术。
J Shoulder Elbow Surg. 2017 May;26(5):e115-e121. doi: 10.1016/j.jse.2016.09.040. Epub 2016 Nov 28.
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Management of Shoulder Problems Following Obstetric Brachial Plexus Injury.
产瘫后肩部问题的管理
Shoulder Elbow. 2014 Jan;6(1):12-7. doi: 10.1111/sae.12003. Epub 2013 Jan 21.
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Glenohumeral arthrodesis for the treatment of recurrent shoulder instability in epileptic patients.盂肱关节固定术治疗癫痫患者复发性肩关节不稳
Bone Joint J. 2014 Nov;96-B(11):1525-9. doi: 10.1302/0301-620X.96B11.33754.
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Glenohumeral arthrodesis for malignant tumor of the shoulder girdle.用于肩胛带恶性肿瘤的盂肱关节固定术。
J Shoulder Elbow Surg. 2015 Feb;24(2):174-8. doi: 10.1016/j.jse.2014.05.023. Epub 2014 Aug 28.
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Arthroscopically assisted shoulder arthrodesis: is it an effective technique?关节镜辅助下肩关节融合术:这是一种有效的技术吗?
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