肩峰下球囊扩张间隔物增强修复肩袖术后出现 Rice 体滑膜炎、异物反应和肩袖撕裂：1 例报告。

Rice-Body Synovitis, Foreign Body Reaction, and Rotator Cuff Failure After Subacromial Balloon Spacer Augmentation of a Rotator Cuff Repair: A Case Report.

机构信息

Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, New York.

Department of Pathology and Laboratory Medicine, Hospital for Special Surgery, New York, New York.

出版信息

JBJS Case Connect. 2023 May 26;13(2). doi: e23.00009. eCollection 2023 Apr 1.

DOI:10.2106/JBJS.CC.23.00009

PMID:37235697

Abstract

CASE

A 66-year-old woman presented with shoulder pain and weakness 4 months after augmentation of a rotator cuff repair with a Stryker InSpace subacromial balloon spacer. A magnetic resonance imaging (MRI) demonstrated a failed rotator cuff repair, large effusion with rice bodies, synovitis, axillary lymphadenopathy, loose anchors, and erosive changes to the greater tuberosity. Arthroscopy revealed balloon fragmentation surrounded by diffusely hyperemic synovium without repairable cuff tissue. Final cultures proved negative for infection. Histologic evaluation revealed ulcerated synovium with diffuse chronic and focal acute inflammation.

CONCLUSION

Despite promising early results, augmentation of a rotator cuff repair with a subacromial balloon spacer introduces a risk of inflammatory reaction that may mimic a deep infection and compromise rotator cuff healing.

摘要

病例

一位 66 岁女性在 Stryker InSpace 肩峰下球囊间隔物增强肩袖修复术后 4 个月出现肩部疼痛和无力。磁共振成像（MRI）显示肩袖修复失败、大的关节积液伴痛风石、滑膜炎、腋窝淋巴结病、松动的锚钉和大结节侵蚀性改变。关节镜检查显示球囊碎片周围弥漫性充血性滑膜，无可修复的肩袖组织。最终的培养结果为阴性，无感染。组织学评估显示溃疡性滑膜伴弥漫性慢性和局灶性急性炎症。