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一名大学生运动员因关节镜下缝线锚钉插入器残留导致肱骨头关节软骨损伤

Humeral Head Articular Cartilage Damage by a Retained Arthroscopic Suture Anchor Inserter in a College Athlete.

作者信息

Wood Robert, McCrum Christopher

机构信息

Orthopedics, Samaritan Health Services, Corvallis, USA.

Orthopedic Sports Medicine, Samaritan Health Services, Corvallis, USA.

出版信息

Cureus. 2023 Sep 1;15(9):e44536. doi: 10.7759/cureus.44536. eCollection 2023 Sep.

Abstract

Arthroscopic repair of the glenoid labrum has been shown to be a safe and effective method to address recurrent shoulder instability. However, suture anchor devices must be used appropriately and with caution to avoid postoperative complications such as prominence, migration, and loosening, which can result in intraarticular pathology postoperatively. We report a case of significant glenohumeral articular cartilage damage that occurred as a result of a retained broken suture anchor inserter after arthroscopic Bankart repair. This case demonstrates an uncommon but serious complication that can occur during the surgical insertion of suture anchors when performing arthroscopic labral repairs. Although rare, retained foreign bodies must also be considered in the differential of a symptomatic postoperative patient. Thus, postoperative radiographs are also of extreme importance in evaluating a patient with persistent pain and crepitus after surgical glenoid labral repair.

摘要

关节镜下修复盂唇已被证明是治疗复发性肩关节不稳定的一种安全有效的方法。然而,必须正确且谨慎地使用缝合锚钉装置,以避免术后出现诸如突出、移位和松动等并发症,这些并发症可能导致术后关节内病变。我们报告了一例在关节镜下Bankart修复术后因残留断裂的缝合锚钉插入器而导致严重肱盂关节软骨损伤的病例。该病例表明,在进行关节镜下盂唇修复手术插入缝合锚钉时可能会发生一种罕见但严重的并发症。尽管罕见,但在对有症状的术后患者进行鉴别诊断时也必须考虑残留异物的情况。因此,术后X线片对于评估关节镜下盂唇修复术后持续疼痛和弹响的患者也极为重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f969/10544675/0f1e91312b4f/cureus-0015-00000044536-i01.jpg

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