Sahu Dipit
Sir H. N. Reliance Foundation Hospital, Mumbai, India.
Jupiter Hospital, Thane, India.
Arthrosc Tech. 2022 Feb 28;11(3):e441-e448. doi: 10.1016/j.eats.2021.11.014. eCollection 2022 Mar.
Patients with neglected/missed anterior shoulder dislocation and an associated rotator cuff tear present a dilemma for the correct surgical approach that will facilitate a reduction of the dislocation and repair of the rotator cuff tear. This report describes an arthroscopic technique using standard arthroscopic portals to reduce neglected (3-6 weeks) anterior shoulder dislocation and repair the rotator cuff tendon. The arthroscopy is performed in a beach chair position using anterolateral and anteromedial portals for reduction of the shoulder dislocation. The same anterolateral portal is used as a viewing portal, and the anteromedial portal and an additional lateral portal are used for subsequent rotator cuff repair.
对于被漏诊/漏治的前肩关节脱位合并肩袖撕裂的患者，选择正确的手术入路是一个难题，因为这既要便于复位脱位，又要修复肩袖撕裂。本报告描述了一种关节镜技术，该技术使用标准关节镜入路来复位被漏治（3 - 6周）的前肩关节脱位并修复肩袖肌腱。关节镜检查在沙滩椅位进行，使用前外侧和前内侧入路来复位肩关节脱位。同一前外侧入路用作观察入路，前内侧入路和另一个外侧入路用于随后的肩袖修复。
