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关节镜下联合肩胛胸壁滑囊切除术、部分肩胛骨切除术及胸小肌松解术治疗肩胛骨弹响综合征

Combined Arthroscopic Scapulothoracic Bursectomy, Partial Scapulectomy, and Pectoralis Minor Release for the Treatment of Snapping Scapular Syndrome.

作者信息

Ganokroj Phob, Yamaura Kohei, Mologne Mitchell S, Whalen Ryan J, Provencher Matthew T

机构信息

Steadman Philippon Research Institute, Vail, Colorado.

Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Arthrosc Tech. 2023 Jun 5;12(7):e1051-e1056. doi: 10.1016/j.eats.2023.02.015. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.02.015
PMID:37533904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10390707/
Abstract

Snapping scapula syndrome (SSS) is a source of pain and discomfort in patients. It is not uncommon for patients who present with SSS to have some degree of scapular dysfunction, especially with the tightness of the pectoralis minor (PM) muscle. In this Technical Note, we demonstrate our preferred technique for arthroscopic scapulothoracic bursectomy and partial scapulectomy with concomitant pectoralis minor release for the treatment of symptomatic SSS and PM tightness. In the treatment of these patients, PM release is beneficial because arthroscopic scapulothoracic bursectomy or partial scapulectomy alone may result in residual scapular dyskinesis.

摘要

弹响肩胛综合征（SSS）是患者疼痛和不适的一个来源。出现SSS的患者存在一定程度的肩胛功能障碍并不罕见，尤其是在胸小肌（PM）紧张的情况下。在本技术说明中，我们展示了我们首选的关节镜下肩胛胸壁滑囊切除术和部分肩胛骨切除术，并同时松解胸小肌，用于治疗有症状的SSS和PM紧张。在治疗这些患者时，松解胸小肌是有益的，因为单独进行关节镜下肩胛胸壁滑囊切除术或部分肩胛骨切除术可能会导致残留的肩胛运动障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/a9c4f98a677e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/c027f0755dea/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/71ae20e28fa8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/b8ce4c4428c7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/687e20b202d0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/a9c4f98a677e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/c027f0755dea/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/71ae20e28fa8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/b8ce4c4428c7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/687e20b202d0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e26b/10390707/a9c4f98a677e/gr5.jpg

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Arthroscopic Treatment of Snapping Scapula Syndrome With Scapulothoracic Bursectomy and Partial Scapulectomy.关节镜下肩胛胸壁滑囊切除术和部分肩胛骨切除术治疗弹响肩胛综合征
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