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关节镜下单切口肩胛下肌腱修复术

Arthroscopic Single-Portal Subscapularis Tendon Repair.

作者信息

You Jae S, Monroe Emily J, Friedman James M, Feeley Brian T, Lansdown Drew A, Zhang Alan L, Ma C Benjamin

机构信息

Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, U.S.A.

Heartland Orthopedic Specialist, Alexandria, Minnesota, U.S.A.

出版信息

Arthrosc Tech. 2020 Sep 15;9(10):e1447-e1452. doi: 10.1016/j.eats.2020.06.005. eCollection 2020 Oct.

Abstract

Tears of the subscapularis tendon can be challenging to diagnose and treat. Because the subscapularis plays an important role in shoulder function, careful arthroscopic evaluation and treatment are necessary to restore function. Previous surgical techniques have ranged from full open repairs to complex arthroscopic procedures needing suture passer and/or retriever devices. We describe an arthroscopic surgical technique of subscapularis repair through a single anterior portal using only penetrating graspers. This approach can be used for partial upper-border subscapularis tears, as well as complete and retracted subscapularis tendon tears.

摘要

肩胛下肌腱撕裂的诊断和治疗具有挑战性。由于肩胛下肌在肩部功能中起着重要作用,因此需要仔细的关节镜评估和治疗以恢复功能。以往的手术技术范围从完全开放修复到需要缝线穿引器和/或取物装置的复杂关节镜手术。我们描述了一种仅使用穿透式抓钳通过单个前入路进行肩胛下肌修复的关节镜手术技术。这种方法可用于肩胛下肌上缘部分撕裂,以及肩胛下肌腱完全撕裂和回缩撕裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2767/7587017/7e9c712f9858/gr1.jpg

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