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关节镜下取出突出及松动的肩关节内固定物的技术与技巧

Techniques and Tips to Arthroscopically Remove Prominent and Loose Shoulder Joint Hardware.

作者信息

Skipper Zachary T, 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 Aug 14;12(9):e1549-e1554. doi: 10.1016/j.eats.2023.04.031. eCollection 2023 Sep.

DOI:10.1016/j.eats.2023.04.031
PMID:37780655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10533940/
Abstract

The number of arthroscopic shoulder operations has continued to steadily increase in recent years, with a projection of over 500,000 rotator cuff operations in 2023. Although the incidence of anchor pullout, hardware failure, and aberrant hardware placement is relatively low, this increased volume of shoulder operations has inevitably resulted in a consequent increase in the number of patients who experience such hardware complications. These hardware issues can cause significant pain, limit shoulder function, and cause permanent damage to the shoulder articular cartilage. The described arthroscopic techniques are presented to provide tools and strategies to safely and effectively remove prominent and loose shoulder joint hardware.

摘要

近年来,肩关节镜手术的数量持续稳步增长,预计2023年肩袖手术将超过50万例。尽管锚钉拔出、硬件故障和硬件放置异常的发生率相对较低,但肩关节手术数量的增加不可避免地导致了此类硬件并发症患者数量的相应增加。这些硬件问题可导致严重疼痛、限制肩部功能,并对肩关节软骨造成永久性损伤。本文介绍了关节镜技术,以提供安全有效地取出突出和松动的肩关节硬件的工具和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/793e6d8c11e5/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/99ebafaaa987/gr5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/793e6d8c11e5/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/7f3571a06cfd/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/e4899d1c8345/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/76b4130d6475/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/6bdfa42cac2a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/99ebafaaa987/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/4f4eb94716cf/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/3d23876318a0/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/dda2e9ae8090/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bac/10533940/793e6d8c11e5/gr9.jpg

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本文引用的文献

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Early anchor displacement after arthroscopic rotator cuff repair.关节镜下肩袖修复术后早期锚钉移位
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Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States.美国上肢肌肉骨骼门诊手术的流行病学。
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The incidence of early metallic suture anchor pullout after arthroscopic rotator cuff repair.关节镜下肩袖修复术后早期金属缝线锚钉拔出的发生率。
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