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社论:肩锚关节炎的早期发现和治疗可改善短期转归,但预防胜于治疗。

Editorial Commentary: Early Detection and Treatment Improves Short-Term Outcomes After Shoulder Anchor Arthropathy, but an Ounce of Prevention Is Worth a Pound of Cure.

出版信息

Arthroscopy. 2021 Dec;37(12):3421-3422. doi: 10.1016/j.arthro.2021.07.014.

Abstract

Anchor arthropathy is a rare, but devastating, complication after arthroscopic labral repair and shoulder stabilization. Early recognition and treatment in the form of removal of anchor and suture material, loose bodies, and potential revision stabilization significantly improve short-term outcomes. The entity of anchor arthropathy may be difficult to diagnose, and a high index of suspicion is needed when a patient presents postoperatively with pain and stiffness beyond atypical for their time in rehab. In the end, while early treatment can be favorable, prevention with meticulous attention to detail on anchor placement, position, and potential use of knotless anchors is strongly recommended.

摘要

锚定关节炎是关节镜下盂唇修复和肩部稳定术后一种罕见但破坏性很强的并发症。早期诊断和治疗,包括去除锚钉和缝线材料、游离体以及潜在的翻修稳定术,可以显著改善短期结果。锚定关节炎的诊断可能具有一定难度,因此当患者术后出现疼痛和僵硬,且超出康复期典型表现时,需要高度怀疑该病。最后,虽然早期治疗可能有利,但强烈建议通过仔细注意锚钉的放置、位置和潜在使用无结锚钉等细节来预防该病。

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