肩袖撕裂合并医源性关节盂骨折及肩关节不稳的治疗：1例罕见病例报告
Treatment of a rotator cuff tear combined with iatrogenic glenoid fracture and shoulder instability: A rare case report.
作者信息
Chiang Chen-Hao, Tsai Ting-Chien, Tung Kuan-Kai, Chih Wei-Hsing, Yeh Ming-Long, Su Wei-Ren
机构信息
Department of Biomedical Engineering, National Cheng Kung University, Tainan 70428, Taiwan.
Department of Orthopaedic Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi 60002, Taiwan.
出版信息
World J Orthop. 2020 Nov 18;11(11):516-522. doi: 10.5312/wjo.v11.i11.516.
BACKGROUND
The brisement manipulation is an effective treatment for refractory shoulder stiffness. Rotator cuff tears can sometimes exist in combination with adhesive capsulitis. Arthroscopic capsular release combined with rotator cuff repair has achieved good outcomes in published reports.
CASE SUMMARY
We report the case of a patient with right shoulder pain for more than 1 year that was suspected to have adhesive capsulitis and a rotator cuff tear that was treated with brisement manipulation and arthroscopic management. An iatrogenic glenoid fracture with shoulder instability occurred during the manipulation. Arthroscopic treatment for fracture fixation, capsular release, and rotator cuff repair was performed, and the functional results are reported.
CONCLUSION
Arthroscopic fixation for iatrogenic glenoid fracture and repairing coexisting rotator cuff tear can provide the stability needed for early rehabilitation.
背景
手法松解是治疗难治性肩关节僵硬的有效方法。肩袖撕裂有时会与粘连性关节囊炎并存。在已发表的报告中，关节镜下关节囊松解联合肩袖修复取得了良好的效果。
病例摘要
我们报告了一例右肩疼痛超过1年的患者，怀疑患有粘连性关节囊炎和肩袖撕裂，接受了手法松解和关节镜治疗。手法操作过程中发生了医源性关节盂骨折并伴有肩关节不稳。进行了关节镜下骨折固定、关节囊松解和肩袖修复治疗，并报告了功能结果。
结论
关节镜下固定医源性关节盂骨折并修复并存的肩袖撕裂可为早期康复提供所需的稳定性。
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