Moroder Philipp, Lacheta Lucca, Danzinger Victor, Thiele Kathi, Ellermann Sophia, Akgün Doruk
Department for Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Arthrosc Tech. 2021 Jan 16;10(2):e581-e586. doi: 10.1016/j.eats.2020.10.044. eCollection 2021 Feb.
Irreparable supraspinatus tendon tears are challenging to treat, especially in a young and high-demanding patient population. Whereas interposition tendon grafting and partial repair are limited by the quality of the remaining rotator cuff tendons and muscles, superior capsular reconstruction and subacromial spacers do not provide the active biomechanical principle of a contracting supraspinatus. The purpose of this technical note is to introduce an arthroscopic middle trapezius transfer below the acromion to replace the former supraspinatus unit. This technique might combine the benefits of both the static concepts seen with subacromial spacers or superior capsular reconstruction and dynamic concepts such as interposition grafting and partial repairs.
不可修复的冈上肌腱撕裂治疗具有挑战性，尤其是对于年轻且需求较高的患者群体。尽管肌腱植入和部分修复受剩余肩袖肌腱和肌肉质量的限制，但上盂唇重建和肩峰下间隔物并不能提供收缩的冈上肌的主动生物力学原理。本技术说明的目的是介绍一种在肩峰下方进行关节镜下斜方肌中部转移以替代原冈上肌单元的方法。该技术可能结合了肩峰下间隔物或上盂唇重建等静态概念以及肌腱植入和部分修复等动态概念的优点。
