关节镜下锁骨远端切除术治疗肩锁关节囊肿合并肩袖撕裂性关节病：病例报告。
Arthroscopic Distal Clavicle Resection for an Acromioclavicular Ganglion Cyst with Cuff Tear Arthropathy: A Case Report.
作者信息
Fujii Yuto, Matsumura Noboru, Furuhata Ryogo, Kimura Hiroo, Suzuki Taku, Iwamoto Takuji, Matsumoto Morio, Nakamura Masaya
机构信息
Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
出版信息
JBJS Case Connect. 2022 Apr 6;12(2):01709767-202206000-00004. doi: 10.2106/JBJS.CC.21.00767.
CASE
A 77-year-old man with an acromioclavicular joint ganglion cyst with cuff tear arthropathy had a large mass in the left shoulder. Arthroscopic distal clavicle resection successfully relieved his symptoms without loss of shoulder function by enlargement of the bypass between the cyst and subacromial space through the acromioclavicular joint.
CONCLUSION
Arthroscopic distal clavicle resection can remove a 1-way check valve in a minimally invasive manner. This case indicated that arthroscopic distal clavicle resection could be a useful treatment option for patients with acromioclavicular joint ganglion cysts with functional but irreparable rotator cuff tears.
病例
一名 77 岁男子患有肩锁关节腱鞘囊肿合并肩袖撕裂性关节病，其左肩有一个大肿块。通过关节镜下锁骨远端切除术，成功地扩大了囊肿与肩峰下间隙之间的旁路，缓解了他的症状，同时保留了肩关节功能，没有造成功能丧失。
结论
关节镜下锁骨远端切除术可以微创去除单向活瓣。本病例表明，对于伴有功能但不可修复的肩袖撕裂的肩锁关节腱鞘囊肿患者，关节镜下锁骨远端切除术可能是一种有用的治疗选择。
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