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关节镜下经皮由外向内入路松解治疗难以显露的盂肱关节患者

Arthroscopic Outside-In Shoulder Release for Patients With an Inaccessible Glenohumeral Joint.

作者信息

Tang Jin, Zhao Jinzhong

机构信息

Operating Theater, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Arthrosc Tech. 2020 Aug 15;9(8):e1115-e1119. doi: 10.1016/j.eats.2020.04.010. eCollection 2020 Aug.

DOI:10.1016/j.eats.2020.04.010
PMID:32874891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7451440/
Abstract

Rotator interval release is an important procedure used in many shoulder operations. It is currently performed through an intra-articular approach, which may result in incomplete release or tissue removal. Here, we introduce an outside-in rotator interval release technique for complete rotator interval tissue removal, which is performed mainly through the lateral portal and a distal anterior portal under the coracoacromial arch. This technique can be used for many shoulder conditions, such as severe joint contracture or fibrosis, fixed shoulder dislocation, or disorders of the long head of the biceps. Our experience indicates that this technique is easy, effective, and capable of addressing even the most difficult shoulder conditions. We believe that adoption of this technique by surgeons can facilitate the success of many shoulder operations.

摘要

肩胛下肌间隙松解是许多肩部手术中使用的重要手术。目前通过关节内入路进行,这可能导致松解不完全或组织切除不彻底。在此,我们介绍一种由外向内的肩胛下肌间隙松解技术,用于彻底切除肩胛下肌间隙组织,该技术主要通过肩峰下弓下方的外侧入路和远侧前入路进行。该技术可用于多种肩部疾病,如严重的关节挛缩或纤维化、固定性肩关节脱位或肱二头肌长头疾病。我们的经验表明,该技术操作简便、效果良好,甚至能够处理最复杂的肩部疾病。我们相信外科医生采用该技术能够提高许多肩部手术的成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/4f63b9e1264d/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/dee9153dc8da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/1ada68610923/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/9f0ddd44d89e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/cb74659a3a81/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/01fb9d8b0c0f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/3519b9b2dbcb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/4f63b9e1264d/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/dee9153dc8da/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/1ada68610923/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/9f0ddd44d89e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/cb74659a3a81/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/01fb9d8b0c0f/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/3519b9b2dbcb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/745a/7451440/4f63b9e1264d/gr7.jpg

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A New Surgical Technique for Internal Shoulder Contractures Secondary to Obstetric Brachial Plexus Injury: An Anterior Coracohumeral Ligament Release.一种治疗产伤性臂丛神经损伤继发肩部内收挛缩的新手术技术:喙肱前韧带松解术
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J Shoulder Elbow Surg. 2019 Sep;28(9):1639-1646. doi: 10.1016/j.jse.2019.05.021. Epub 2019 Jul 17.
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Open Orthop J. 2018 Sep 18;12:373-379. doi: 10.2174/1874325001812010373. eCollection 2018.
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