Bigdon Sebastian F, Bolliger Lilianna, Albers Christoph E, Collin Philippe, Zumstein Matthias A
Department of Orthopaedic Surgery and Traumatology, University of Bern, Bern, Switzerland.
Saint-Grégoire Private Hospital Center, Saint-Grégoire Cedex, France.
J Shoulder Elb Arthroplast. 2019 Mar 7;3:2471549219834192. doi: 10.1177/2471549219834192. eCollection 2019.
The use of reverse total shoulder arthroplasty (RSA) is becoming increasingly popular, but many biomechanical aspects are poorly understood. Particularly, the role and function of the subscapularis following RSA are unclear. Several clinical and biomechanical studies have analyzed its role in range of motion and stability. There is some evidence that the subscapularis is beneficial for stability but may reduce range of motion. This review provides an overview of the current literature, which suggests that the subscapularis may have a more important role in RSA than originally thought.
反式全肩关节置换术(RSA)的应用越来越广泛,但许多生物力学方面仍未得到充分理解。特别是,RSA术后肩胛下肌的作用和功能尚不清楚。一些临床和生物力学研究分析了其在活动范围和稳定性方面的作用。有证据表明,肩胛下肌对稳定性有益,但可能会减小活动范围。本综述概述了当前的文献,表明肩胛下肌在RSA中的作用可能比最初认为的更为重要。