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击球手肩:使用可重新张紧锚钉的全无结后盂唇修复术治疗击球手肩

Batter's Shoulder: All-Knotless Posterior Labral Repair With Retensionable Anchors for Treatment of Batter's Shoulder.

作者信息

Mason Thomas W, Glover Mark A, Beck Edward C, St Jeor Jeffery D, Trasolini Nicholas A, Waterman Brian R

机构信息

Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A.

Department of Orthopedic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A.

出版信息

Arthrosc Tech. 2024 Jan 1;13(2):102840. doi: 10.1016/j.eats.2023.09.015. eCollection 2024 Feb.

Abstract

Batter's Shoulder is a unique injury that may be associated with recurrent microtrauma followed by acute subluxation of the humeral head on the posterior glenoid edge, leading to posterior labral tears. Early identification of this injury is critical, as it may be treated with conservative nonsurgical treatments prior to labral tear onset. If conservative treatment fails and pain persists, surgical options include arthroscopic fixation to reapproximate the posterior labrum to the glenoid and restore capsular tension. Previous studies have shown the benefit of using knotless suture anchors in arthroscopic shoulder fixation. This technical note demonstrates that Batter's Shoulder is a unique injury associated with posterior labral tears of the shoulder and provides a contemporary method of arthroscopic fixation of a posterior labral tear using retensionable knotless all-suture anchors.

摘要

击球手肩是一种独特的损伤,可能与反复的微创伤有关,随后肱骨头在肩胛盂后缘急性半脱位,导致后盂唇撕裂。早期识别这种损伤至关重要,因为在盂唇撕裂发生之前,可采用保守的非手术治疗方法。如果保守治疗失败且疼痛持续,手术选择包括关节镜下固定,将后盂唇重新固定到肩胛盂并恢复关节囊张力。先前的研究表明,在关节镜下肩部固定中使用无结缝线锚钉有益。本技术说明表明,击球手肩是一种与肩部后盂唇撕裂相关的独特损伤,并提供了一种使用可重新张紧的无结全缝线锚钉进行关节镜下后盂唇撕裂固定的现代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16c/10907891/cea4552f800d/gr1.jpg

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