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本文引用的文献

1
Type V superior labral anterior-posterior (SLAP) lesion in recurrent anterior glenohumeral instability.复发性肩关节前向不稳定的肩袖上盂唇前后向损伤（SLAP）Ⅴ型。
J Shoulder Elbow Surg. 2020 Jan;29(1):95-103. doi: 10.1016/j.jse.2019.05.038. Epub 2019 Aug 27.
2
Long-term outcomes of the arthroscopic Bankart repair: a systematic review of studies at 10-year follow-up.关节镜下 Bankart 修复术的长期疗效：10 年随访研究的系统评价。
J Shoulder Elbow Surg. 2019 Nov;28(11):2084-2089. doi: 10.1016/j.jse.2019.04.057. Epub 2019 Jul 13.
3
Return to Play After the Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review.肩盂前侧不稳的 Latarjet 手术后重返运动：系统综述。
Am J Sports Med. 2019 Oct;47(12):3002-3008. doi: 10.1177/0363546519831005. Epub 2019 Apr 30.
4
Long-term outcomes of the Latarjet procedure for anterior shoulder instability: a systematic review of studies at 10-year follow-up.肩锁关节前向不稳定 Latarjet 手术的长期疗效：10 年随访的系统评价研究。
J Shoulder Elbow Surg. 2019 Feb;28(2):e33-e39. doi: 10.1016/j.jse.2018.08.028. Epub 2018 Dec 11.
5
Biceps tenodesis versus labral repair for superior labrum anterior-to-posterior tears: a systematic review and meta-analysis.肱二头肌肌腱固定术与盂唇修复治疗上盂唇前-后向撕裂：系统评价和荟萃分析。
J Shoulder Elbow Surg. 2018 Oct;27(10):1913-1919. doi: 10.1016/j.jse.2018.04.011. Epub 2018 May 24.
6
Return to sport following arthroscopic Bankart repair: a systematic review.关节镜下 Bankart 修复术后重返运动的研究进展：系统评价。
J Shoulder Elbow Surg. 2018 Jul;27(7):1342-1347. doi: 10.1016/j.jse.2018.02.044. Epub 2018 Apr 2.
7
Incidence and Return to Play After Biceps Tenodesis in Professional Baseball Players.职业棒球运动员肱二头肌肌腱固定术后的发病率和重返赛场情况。
Arthroscopy. 2018 Mar;34(3):747-751. doi: 10.1016/j.arthro.2017.08.251. Epub 2017 Nov 13.
8
Tenodesis is not superior to tenotomy in the treatment of the long head of biceps tendon lesions.经皮肱二头肌长头腱固定术不比切断术更优用于治疗长头腱病变。
Knee Surg Sports Traumatol Arthrosc. 2018 Jan;26(1):169-175. doi: 10.1007/s00167-017-4609-4. Epub 2017 Jun 16.
9
Long-Term Restoration of Anterior Shoulder Stability: A Retrospective Analysis of Arthroscopic Bankart Repair Versus Open Latarjet Procedure.长期恢复肩关节前向稳定性：关节镜下 Bankart 修复与开放式 Latarjet 手术的回顾性分析。
J Bone Joint Surg Am. 2016 Dec 7;98(23):1954-1961. doi: 10.2106/JBJS.15.01398.
10
Management of shoulder instability: the current state of treatment among German orthopaedic surgeons.肩关节不稳定的治疗：德国骨科医生的当前治疗现状
Arch Orthop Trauma Surg. 2016 Dec;136(12):1717-1721. doi: 10.1007/s00402-016-2553-2. Epub 2016 Aug 8.

关节镜下Bankart修复联合胸大肌下肱二头肌固定术后的重返运动

Return to Play after Arthroscopic Bankart Repair Combined with Open Subpectoral Biceps Tenodesis.

作者信息

Toale James P, Hurley Eoghan T, Davey Martin S, Cassidy J Tristan, Pauzenberger Leo, Mullett Hannan

机构信息

Sports Surgery Clinic, Dublin, Ireland.

Royal College of Surgeons in Ireland, Dublin, Ireland.

出版信息

Arthrosc Sports Med Rehabil. 2020 Oct 24;2(5):e499-e503. doi: 10.1016/j.asmr.2020.05.012. eCollection 2020 Oct.

DOI:10.1016/j.asmr.2020.05.012
PMID:33134986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7588640/
Abstract

PURPOSE

To evaluate the clinical outcomes and rate of return to play (RTP) in patients who underwent arthroscopic Bankart repair and open subpectoral biceps tenodesis.

METHODS

A retrospective review of patients who underwent combined arthroscopic Bankart repair and open subpectoral biceps tenodesis by a single surgeon between 2012 and 2016 was performed. RTP, the level of return, and the timing of return were assessed. Visual analog scale for pain, Rowe score, Shoulder Instability-Return to Sport after Injury score, and Subjective Shoulder Value were evaluated.

RESULTS

The study included 14 patients, with a mean follow-up of 34.2 ± 12.1 months. Of the 14 patients, 13 (92.9%) returned to sport at a mean of 4.8 ± 1.2 months and 9 (64.3%) returned to the same or higher level of sport. At final follow-up, the mean Rowe was 80.0 ± 16.3, the mean Subjective Shoulder Value was 81.0 ± 15.1, the mean Shoulder Instability-Return to Sport after Injury was 57.3 ± 25.6, and the mean visual analog scale score was 2.6 ± 1.5. One patient had a recurrent dislocation, whereas no patients underwent a further operation on the ipsilateral shoulder.

CONCLUSION

Patients undergoing arthroscopic Bankart repair combined with open subpectoral biceps tenodesis had a high rate of RTP with a low rate of recurrent instability.

LEVEL OF EVIDENCE

IV, Therapeutic Case Series.

摘要

目的

评估接受关节镜下Bankart修复术和开放性胸小肌下肱二头肌固定术患者的临床疗效及重返运动（RTP）率。

方法

对2012年至2016年间由同一位外科医生进行关节镜下Bankart修复术和开放性胸小肌下肱二头肌固定术联合手术的患者进行回顾性研究。评估RTP、恢复水平和恢复时间。评估疼痛视觉模拟量表、Rowe评分、损伤后肩部不稳定-重返运动评分和主观肩部价值。

结果

该研究纳入14例患者，平均随访34.2±12.1个月。14例患者中，13例（92.9%）平均在4.8±1.2个月时重返运动，9例（64.3%）重返相同或更高水平的运动。在末次随访时，平均Rowe评分为80.0±16.3，平均主观肩部价值为81.0±15.1，平均损伤后肩部不稳定-重返运动评分为57.3±25.6，平均视觉模拟量表评分为2.6±1.5。1例患者出现复发性脱位，同侧肩部无患者接受进一步手术。

结论

接受关节镜下Bankart修复术联合开放性胸小肌下肱二头肌固定术的患者RTP率高，复发性不稳定率低。

证据水平

IV，治疗性病例系列。