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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.

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/a0a4/10323969/28fcdcf9c088/gr1.jpg

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