Rondon Alexander J, Farronato Dominic M, Pezzulo Joshua D, Abboud Joseph A
The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
Arthrosc Tech. 2022 Nov 18;12(3):e421-e432. doi: 10.1016/j.eats.2022.08.048. eCollection 2023 Mar.
Massive irreparable rotator cuff tears pose a significant challenge for both the treating orthopedic surgeon and patient. Surgical treatment options for massive rotator cuff tears include arthroscopic debridement, biceps tenotomy or tenodesis, arthroscopic rotator cuff repair, partial rotator cuff repair, cuff augmentation, tendon transfers, superior capsular reconstruction, subacromial balloon spacer, and ultimately reverse shoulder arthroplasty. The present study will provide a brief overview of these treatment options along with a description of the surgical technique for subacromial balloon spacer placement.
巨大的不可修复的肩袖撕裂对治疗的骨科医生和患者来说都是一项重大挑战。巨大肩袖撕裂的手术治疗选择包括关节镜下清创、肱二头肌切断术或肌腱固定术、关节镜下肩袖修复、部分肩袖修复、肩袖增强、肌腱转移、上盂唇重建、肩峰下气囊间隔器,最终是反肩关节置换术。本研究将简要概述这些治疗选择,并描述肩峰下气囊间隔器置入的手术技术。