肩袖撕裂的治疗进展：运动员肩袖撕裂的处理。
Advances in the Treatment of Rotator Cuff Tears: Management of Rotator Cuff Tears in the Athlete.
机构信息
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
出版信息
Clin Sports Med. 2023 Jan;42(1):69-79. doi: 10.1016/j.csm.2022.08.003.
Abstract
Unique biomechanical factors in the overhead and throwing athlete lead to a spectrum of rotator cuff pathology, usually with progressive lateralization of the supraspinatus footprint. Initial comprehensive nonoperative management is indicated for all athletes. Progression to arthroscopic debridement, repair of concomitant injuries, and possible rotator cuff repair with a transosseous equivalent technique are the current management strategies for athletes when nonoperative management fails.
摘要
上肢投掷运动员特有的生物力学因素导致了一系列肩袖病理改变，通常表现为冈上肌止点逐渐向外侧偏化。所有运动员都应首先接受全面的非手术治疗。如果非手术治疗失败，对于运动员，目前的治疗策略是关节镜下清创、合并损伤修复以及可能采用经骨等效技术进行肩袖修复。
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