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关节镜下肩肱二头肌悬吊成形术治疗偏瘫肩疼痛性下脱位

Arthroscopic Shoulder Biceps Suspensionplasty for Hemiplegic Shoulder Painful Inferior Subluxation.

作者信息

Bozon Olivier, Coulet Bertrand

机构信息

From the Department of Orthopaedic Surgery, Upper Limb Surgery Unit, Hospital Lapeyronie, CHU Montpellier.

Institut de Neuro-Orthopédie Montpellier INOM, Hospital Lapeyronie, Montpellier, France.

出版信息

Arthrosc Tech. 2023 May 29;12(6):e991-e995. doi: 10.1016/j.eats.2023.02.037. eCollection 2023 Jun.

DOI:10.1016/j.eats.2023.02.037
PMID:37424643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10323969/
Abstract

Inferior glenohumeral subluxation represents one of the causes of disabling pain in patients with hemiplegia after a stroke. In the case of failure of medical treatment by orthosis or electrical stimulation, surgical treatment of suspensionplasty has been described with good results. We describe here an arthroscopic technique of glenohumeral suspensionplasty by tenodesis of the biceps, proposed in the context of a painful glenohumeral subluxation in patients with hemiplegia.

摘要

肩肱关节下脱位是中风后偏瘫患者致残性疼痛的原因之一。在矫形器或电刺激药物治疗失败的情况下，已有关于悬吊成形术手术治疗取得良好效果的描述。我们在此描述一种通过肱二头肌固定术进行肩肱关节悬吊成形术的关节镜技术，该技术是针对偏瘫患者疼痛性肩肱关节半脱位提出的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/16dbc3842328/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/28fcdcf9c088/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/1fa6dd205a6f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/fb33bbc35218/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/5e0307ae1236/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/4b2e6de1b79e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/be563f9ae53c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/16dbc3842328/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/28fcdcf9c088/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/1fa6dd205a6f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/fb33bbc35218/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/5e0307ae1236/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/4b2e6de1b79e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/be563f9ae53c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0a4/10323969/16dbc3842328/gr7.jpg

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引用本文的文献

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本文引用的文献

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Prevalence, risk factor and outcome in middle-aged and elderly population affected by hemiplegic shoulder pain: An observational study.偏瘫性肩痛对中老年人群的患病率、危险因素及预后：一项观察性研究。
Front Neurol. 2023 Jan 12;13:1041263. doi: 10.3389/fneur.2022.1041263. eCollection 2022.
2
Magnetic resonance imaging findings in painful hemiplegic shoulder patients with or without subluxation: A retrospective cohort study.有或无半脱位的疼痛性偏瘫肩患者的磁共振成像结果：一项回顾性队列研究。
Front Neurol. 2022 Nov 14;13:1032676. doi: 10.3389/fneur.2022.1032676. eCollection 2022.
3
Increased Load to Failure in Biceps Tenodesis With All-Suture Suture Anchor Compared With Interference Screw: A Cadaveric Biomechanical Study.
与骨内螺钉相比，全缝线锚钉固定肱二头肌肌腱止点的失效负荷增加：一项尸体生物力学研究。
Arthroscopy. 2021 Oct;37(10):3016-3021. doi: 10.1016/j.arthro.2021.03.085. Epub 2021 Apr 23.
4
Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review.减轻中风后偏瘫患者肩部半脱位的康复方法：一项系统综述
Top Stroke Rehabil. 2018 Jan;25(1):68-81. doi: 10.1080/10749357.2017.1383712. Epub 2017 Oct 11.
5
Shoulder arthroscopy: basic principles of positioning, anesthesia, and portal anatomy.肩关节镜：体位、麻醉和入路解剖学的基本原则。
J Am Acad Orthop Surg. 2013 Jun;21(6):332-42. doi: 10.5435/JAAOS-21-06-332.
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Outcomes of the biceps suspension procedure for painful inferior glenohumeral subluxation in hemiplegic patients.偏瘫患者疼痛性下盂肱关节半脱位肱二头肌悬吊术的疗效。
J Bone Joint Surg Am. 2010 Nov 3;92(15):2589-97. doi: 10.2106/JBJS.I.01390.
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Poststroke shoulder pain: a prospective study of the association and risk factors in 152 patients from a consecutive cohort of 205 patients presenting with stroke.中风后肩部疼痛：对连续队列中205例中风患者中的152例患者的关联及危险因素进行的前瞻性研究。
Eur J Pain. 2002;6(6):467-74. doi: 10.1016/s1090-3801(02)00055-1.
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Arthroscopy. 1997 Oct;13(5):641-3. doi: 10.1016/s0749-8063(97)90194-8.
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