Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, China.
Center for Joint Surgery, Southwest Hospital, Army Medical University, Chongqing, 400038, China.
Chin J Traumatol. 2022 May;25(3):181-183. doi: 10.1016/j.cjtee.2022.03.005. Epub 2022 Mar 30.
Arthroscopic superior capsular reconstruction is an innovative technique for the irreparable rotator cuff tears, but spontaneous pneumothorax after surgery is very rare. The present case was a 66-year-old female with irreparable rotator cuff tears of the right shoulder, treated with the arthroscopic shoulder superior capsular reconstruction. The general anesthesia and operation went smoothly, but the patient experienced stuffiness in the chest and shortness of breath after recovery from anesthesia. Thoracic CT scans showed spontaneous pneumothorax in the right side, which was successfully treated by the conservative treatments (oxygen therapy) according to multidisciplinary team. Prompt and accurate early-stage diagnosis is necessary in controlling postoperative complications and standardized treatment is the key to relieve the suffering. Spontaneous pneumothorax after arthroscopic shoulder surgery has been rarely reported in previous literatures.
关节镜下肩袖上囊重建术是治疗不可修复性肩袖撕裂的一种创新技术，但术后自发性气胸非常罕见。本病例为 1 例 66 岁女性，右侧肩袖不可修复性撕裂，行关节镜下肩袖上囊重建术。全麻及手术过程顺利，但患者在麻醉复苏后出现胸闷、呼吸急促。胸部 CT 扫描显示右侧自发性气胸，经多学科团队保守治疗（氧疗）后成功治愈。及时准确的早期诊断对于控制术后并发症至关重要，规范化治疗是缓解病痛的关键。既往文献中鲜有报道关节镜肩关节手术后发生自发性气胸。
