Fares Mohamad Y, Abboud Joseph A
Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.
J Orthop Case Rep. 2023 Jun;13(6):52-56. doi: 10.13107/jocr.2023.v13.i06.3692.
Massive irreparable rotator cuff tears are challenging pathologies with many treatment modalities and therapeutic approaches. In patients with certain indications, the subacromial balloon spacer can effectively alleviate pain and improve function, in a manner that may be superior to other management options.
We report the case of a 64-year-old active male who had previously underwent a subacromial balloon placement in his right shoulder and an arthroscopic rotator cuff repair procedure on his left shoulder. He later presented with persistent pain and disability in his left shoulder and opted to undergo a second subacromial balloon placement on his left side. To the best of our knowledge, this is the first case of bilateral subacromial balloon placement procedure in the literature.
The subacromial balloon is a safe treatment modality for irreparable rotator cuff tears, and its introduction into bilateral shoulders can provide an easier recovery and rehabilitation when compared to other more invasive procedures.
巨大的不可修复的肩袖撕裂是具有多种治疗方式和治疗方法的具有挑战性的病症。对于有特定适应症的患者，肩峰下气囊间隔器可以有效地减轻疼痛并改善功能，其方式可能优于其他治疗选择。
我们报告了一例64岁的活跃男性病例，该患者先前在其右肩进行了肩峰下气囊置入术，并在其左肩进行了关节镜下肩袖修复手术。他后来出现左肩持续疼痛和功能障碍，并选择在左侧进行第二次肩峰下气囊置入术。据我们所知，这是文献中首例双侧肩峰下气囊置入手术的病例。
肩峰下气囊是治疗不可修复肩袖撕裂的一种安全治疗方式，与其他更具侵入性的手术相比，将其应用于双侧肩部可使恢复和康复更容易。
