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改良动态前路稳定术及盂唇成形术治疗伴有SLAP损伤的前肩不稳

Modified Dynamic Anterior Stabilization and Labroplasty for Anterior Shoulder Instability With Concomitant SLAP Lesion.

作者信息

de Cabo Gonzalo, Álvarez-Benito Nuria, Ramos-Murillo Pablo, Poyato-Núñez Francisco, González-Martín David, Leyes Manuel

机构信息

Department of Orthopedic Surgery and Traumatology, Olympia, Quirón Salud, Madrid, Spain.

Department of Orthopedic Surgery and Traumatology, Hospital Universitario de Canarias, Tenerife, Spain.

出版信息

Arthrosc Tech. 2023 Nov 6;12(12):e2153-e2159. doi: 10.1016/j.eats.2023.07.041. eCollection 2023 Dec.

DOI:10.1016/j.eats.2023.07.041
PMID:38196855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10772957/
Abstract

Several arthroscopic techniques to treat anterior shoulder instability have been described. Bankart repair may be insufficient in cases with some degree of bone loss, and arthroscopic Latarjet is technically challenging. It is not rare to find at the time of surgery a more extensive labral tear (SLAP lesion) or an insufficient anterior capsulolabral tissue. We describe for those cases a dynamic anterior stabilization where using the long head of the biceps we are treating the SLAP lesion and at the same time it provides the "sling effect" of a Latarjet procedure for the anterior instability.

摘要

已经描述了几种治疗肩关节前不稳定的关节镜技术。对于存在一定程度骨质流失的病例，Bankart修复可能并不充分，并且关节镜下Latarjet手术在技术上具有挑战性。在手术时发现更广泛的盂唇撕裂（SLAP损伤）或前关节囊盂唇组织不足的情况并不少见。对于这些病例，我们描述了一种动态前路稳定术，即利用肱二头肌长头治疗SLAP损伤，同时它为前路不稳定提供了Latarjet手术的“吊带效应”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/1c622a613599/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/578f827f5c7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/8bc5d38c0ea0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/fc5a74454502/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/6c0c592f1ab7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/4b6a1511c7fa/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/115da9ac5110/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/7bddab6c25c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/e5093b9d0c47/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/ea89625fc511/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/1c622a613599/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/578f827f5c7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/8bc5d38c0ea0/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/fc5a74454502/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/6c0c592f1ab7/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/4b6a1511c7fa/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/115da9ac5110/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/7bddab6c25c6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/e5093b9d0c47/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/ea89625fc511/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a16d/10772957/1c622a613599/gr10.jpg

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3
Anterior Shoulder Ligamentoplasty as a Treatment for Multidirectional Shoulder Instability.
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6
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