前囊重建术与真皮同种异体移植物联合应用于解剖型肩袖关节成形术：病例报告。

Anterior Capsular Reconstruction with Dermal Allograft in Combination With Anatomic Glenohumeral Arthroplasty: A Case Report.

机构信息

Philadelphia Hand to Shoulder Center, Philadelphia, Pennsylvania.

Novant Health Orthopedics and Sports Medicine, Winston-Salem, North Carolina.

出版信息

JBJS Case Connect. 2020 Dec 24;10(4):e20.00214. doi: 10.2106/JBJS.CC.20.00214.

DOI:10.2106/JBJS.CC.20.00214

PMID:33449549

Abstract

CASE

A 43-year-old man with chronic right shoulder pain and dysfunction due to recurrent anterior instability, irreparable subscapularis tear, and glenohumeral arthritis presented to our practice. After workup and counseling, he was treated with anatomic total shoulder arthroplasty augmented by anterior capsular reconstruction using human acellular dermal allograft. At 15 months postoperatively, his forward elevation, external rotation, and internal rotation were 160, 45, and T12, nearly equal to contralateral values. His glenohumeral joint remained reduced, and no complications were encountered.

CONCLUSION

We report the first known anterior capsular reconstruction performed in combination with anatomic shoulder arthroplasty.

摘要

病例

一名 43 岁男子因复发性前向不稳定、不可修复的肩胛下肌撕裂和肩关节炎导致慢性右肩疼痛和功能障碍，来到我们诊所就诊。经过检查和咨询，他接受了解剖型全肩关节置换术，并使用人脱细胞真皮同种异体移植物进行了前关节囊重建。术后 15 个月，他的前向抬高、外旋和内旋分别为 160、45 和 T12，几乎与对侧相等。他的肩关节仍保持复位，未出现任何并发症。