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在肩关节多向不稳定情况下使用无结全缝线锚钉进行关节镜下盂唇修复和关节囊全层移位术

Arthroscopic Labral Repair and Pancapsular Shift With Knotless All-Suture Anchors in the Setting of Multidirectional Instability of the Shoulder.

作者信息

Rupp Marco-Christopher, Rutledge Joan C, Dey Hazra Rony-Orijit, Dey Hazra Maria E, Haskel Jonathan, Millett Peter J

机构信息

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Department of Orthopaedic Sports Medicine, Hospital rechts der Isar, Technical University of Munich, Munich, Germany.

出版信息

Arthrosc Tech. 2023 Jul 3;12(8):e1289-e1295. doi: 10.1016/j.eats.2023.03.020. eCollection 2023 Aug.

DOI:10.1016/j.eats.2023.03.020
PMID:37654880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466139/
Abstract

In the management of multidirectional type of shoulder instability (MDI), arthroscopic surgical stabilization is a preferred treatment option after failed conservative therapy regimens because of the ability to easily access all aspects of the capsule with one surgical procedure. As arthroscopic techniques have evolved, factors critical to postoperative success have been elucidated. Currently, optimal arthroscopic treatment of MDI involves circumferentially restoring labral integrity, a tailored, patient-specific surgical reduction of capsular volume, and adequately managing potential lesions of the biceps anchor. The purpose of this article and accompanying video is to present our technique for arthroscopic circumferential labral repair and pancapsular shift using knotless all-suture anchors in the setting of MDI with a concurrent type II SLAP lesion.

摘要

在多向性肩关节不稳定（MDI）的治疗中，由于一次手术就能轻松触及关节囊的各个方面，关节镜手术稳定术是保守治疗方案失败后的首选治疗方法。随着关节镜技术的发展，已阐明了对术后成功至关重要的因素。目前，MDI的最佳关节镜治疗包括周向恢复盂唇完整性、根据患者具体情况量身定制的关节囊容积手术性缩小以及妥善处理肱二头肌锚的潜在损伤。本文及随附视频的目的是介绍我们在伴有II型SLAP损伤的MDI情况下，使用无结全缝线锚钉进行关节镜下圆周盂唇修复和全关节囊移位的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/6c050da72a02/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/ffe5c8c1b902/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/3a0c9fe8de13/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/c45067aae830/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/5512dd4f3825/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/110058dd7724/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/6c050da72a02/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/ffe5c8c1b902/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/3a0c9fe8de13/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/c45067aae830/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/5512dd4f3825/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/110058dd7724/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1520/10466139/6c050da72a02/gr6.jpg

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