Matthews L S, Vetter W L, Oweida S J, Spearman J, Helfet D L
Union Memorial Hospital, Baltimore, MD 21218.
Arthroscopy. 1988;4(2):106-11. doi: 10.1016/s0749-8063(88)80076-8.
Beginning in 1983, the principles of staple capsulorrhaphy of the shoulder utilizing arthroscopic techniques were applied to the treatment of patients with recurrent anterior shoulder instability. This paper describes the results of arthroscopic staple capsulorrhaphy of the shoulder in the first 25 consecutive cases in which these techniques were utilized. The patient population includes 4 females and 19 males, 2 of whom underwent bilateral staged procedures. Eleven of the patients had documented recurrent anterior dislocations while the remaining 12 patients were determined to have subluxation of the shoulder. The average age of the patient population was 23 years. Follow-up averaged 36 months. Results were determined by utilizing a strict 100 point rating scale as described by Rowe. Utilizing this scale, 67% of patients achieved good or excellent results. Five patients came to undergo additional surgical procedures. There were no complications of infection or neurovascular injury, but one patient suffered staple impingement upon the humeral head leading to excoriation thereof and secondary pain. An average loss of external rotation of 9 degrees, as compared to the contralateral shoulder, was noted postoperatively.
从1983年开始，利用关节镜技术进行肩部吻合器关节囊缝合术的原则被应用于复发性肩关节前脱位患者的治疗。本文描述了连续25例首次运用这些技术进行肩关节镜吻合器关节囊缝合术的结果。患者群体包括4名女性和19名男性，其中2人接受了双侧分期手术。11名患者有复发性前脱位的记录，其余12名患者被确定为肩关节半脱位。患者群体的平均年龄为23岁。随访平均为36个月。结果通过使用Rowe描述的严格的100分评分量表来确定。使用该量表，67%的患者取得了良好或优异的结果。5名患者接受了额外的手术。没有感染或神经血管损伤的并发症，但有1名患者的吻合器撞击肱骨头，导致肱骨头擦伤和继发性疼痛。术后与对侧肩部相比，平均外旋丧失9度。
