Sherwani Zohaib, Kelley Chase, Farooq Hassan, Garbis Nickolas G
Stritch School of Medicine, Loyola University, Maywood, IL, USA.
Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, IL, USA.
Clin Shoulder Elb. 2022 Dec;25(4):334-338. doi: 10.5397/cise.2021.00514. Epub 2022 May 2.
Currently, the literature contains few studies that describe any potential complications following arthroscopic acromioplasty. Because part of the anterior deltoid originates from the anterior acromion, there is a risk for violation and subsequent iatrogenic rupture or avulsion during this procedure. This type of injury can be a devastating problem for patients that may lead to poor function and debilitating pain. We present a patient with deltoid insufficiency following arthroscopic acromioplasty who elected to proceed with operative management with a planned arthroscopic evaluation of the shoulder followed by an open deltoid repair. At the final follow-up visit 2.5 years postoperatively, the patient reported improved pain from baseline and no residual disability and was able to perform most activities of daily living without difficulty. This case serves as an example of a surgical repair for a deltoid avulsion following arthroscopic acromioplasty. As there is still a lack of standard guidelines, our suture repair technique can be considered one method of treatment for this type of injury.
目前，文献中很少有研究描述关节镜下肩峰成形术后的任何潜在并发症。由于部分三角肌前部起源于肩峰前部，在此手术过程中存在损伤以及随后医源性撕裂或撕脱的风险。这种类型的损伤对于患者来说可能是一个毁灭性的问题，可能导致功能不佳和使人衰弱的疼痛。我们报告一例关节镜下肩峰成形术后三角肌功能不全的患者，该患者选择进行手术治疗，计划先对肩部进行关节镜评估，然后进行开放性三角肌修复。在术后2.5年的最后一次随访中，患者报告疼痛较基线有所改善，没有残留残疾，并且能够毫无困难地进行大多数日常生活活动。该病例是关节镜下肩峰成形术后三角肌撕脱手术修复的一个实例。由于仍然缺乏标准指南，我们的缝合修复技术可被视为治疗此类损伤的一种方法。
