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有限关节镜下三角肌筋膜切除术可增加肩峰下视野并有助于肩袖撕裂的特征性诊断。

Limited Arthroscopic Deltoid Fasciectomy Increases Subacromial Visualization and Characterization of Rotator Cuff Tears.

作者信息

Chapman J Parker, Field Larry D

机构信息

Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.

出版信息

Arthrosc Tech. 2023 Jul 31;12(8):e1467-e1471. doi: 10.1016/j.eats.2023.04.020. eCollection 2023 Aug.

DOI:10.1016/j.eats.2023.04.020
PMID:37654882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466425/
Abstract

Adequate arthroscopic visualization in the subacromial space is a necessity to appropriately characterize rotator cuff tears and to subsequently develop a suture construct that best reduces the cuff tear with the least tissue tension possible for optimal healing. The purpose of this article and corresponding video is to demonstrate a technique for carrying out a limited deltoid fasciectomy, resulting in enhanced visualization of the rotator cuff through the lateral viewing portal.

摘要

在肩峰下间隙进行充分的关节镜可视化对于准确描述肩袖撕裂情况以及随后构建缝线结构至关重要，该缝线结构能在尽可能减少组织张力的情况下最佳地修复肩袖撕裂，以实现最佳愈合。本文及相应视频的目的是展示一种进行有限三角肌筋膜切除术的技术，该技术可通过外侧观察入口增强对肩袖的可视化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/9310813d12e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/da513a52cc01/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/59935767015b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/7d1a5a8ee126/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/40596c876f48/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/17896b701b31/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/9310813d12e6/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/da513a52cc01/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/59935767015b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/7d1a5a8ee126/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/40596c876f48/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/17896b701b31/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d941/10466425/9310813d12e6/gr6.jpg

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本文引用的文献

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Acromion-axillary nerve distance and its relation to the arm length in the prediction of the axillary nerve position: a clinical study.肩峰-腋神经距离及其与臂长的关系在腋神经位置预测中的临床研究。
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Prediction of Shoulder Stiffness After Arthroscopic Rotator Cuff Repair.关节镜下肩袖修复术后肩关节僵硬的预测。
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The Effect of Tendon Delamination on Rotator Cuff Healing.
腱膜分层对肩袖愈合的影响。
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Arthroscopic "Panorama" View of the Subacromial Space via Deltoid Fascia Release.经三角肌筋膜松解术的肩峰下间隙关节镜“全景”视图
Arthrosc Tech. 2016 Aug 22;5(4):e935-e939. doi: 10.1016/j.eats.2016.04.016. eCollection 2016 Aug.
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Circumferential rotator cuff repair with the n+4 portal, subclavian portal, and high posteromedial portal.采用n + 4 入路、锁骨下入路和高位后内侧入路进行肩袖全周修复。
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Is posterior delamination in arthroscopic rotator cuff repair hidden to the posterior viewing portal?关节镜肩袖修复术中后方层裂是否隐藏在后方观察入路中？
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