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同种异体移植重建上盂唇和肩袖撕裂后同一患者肩部肩峰下滑囊炎的比较：病例报告

Comparison of Subacromial Bursitis on the Shoulder of the Same Individual After Superior Capsule Reconstruction Using Allograft and Rotator Cuff Tear: A Case Report.

作者信息

Matsumoto Mitsuyoshi, Kenmoku Tomonori, Tazawa Ryo, Inoue Kosuke, Takaso Masashi

机构信息

Orthopaedic Surgery, Kitasato University Hospital, Sagamihara, JPN.

Orthopaedic Surgery, Kitasato University Hospital, Sagamihara City, JPN.

出版信息

Cureus. 2024 Apr 14;16(4):e58260. doi: 10.7759/cureus.58260. eCollection 2024 Apr.

DOI:10.7759/cureus.58260
PMID:38752028
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11093772/
Abstract

This paper reports a pathological comparison between the synovium of the shoulder with rotator cuff tears (RCTs) with or without an allograft in the same patient and assesses allograft remodeling after superior capsular reconstruction (SCR). A 49-year-old man underwent SCR with a fascia lata allograft for irreparable RCTs. Two years postoperatively, the patient underwent arthroscopic rotator cuff repair for left RCTs and arthroscopic debridement to alleviate right shoulder pain. Additionally, revascularization was confirmed in the allograft of the fascia lata. In conclusion, allografts are considered highly safe and expected to be engrafted after SCR.

摘要

本文报告了同一患者有或没有同种异体移植的肩袖撕裂（RCT）的肩关节滑膜之间的病理学比较，并评估了上盂唇重建（SCR）后同种异体移植的重塑情况。一名49岁男性因不可修复的RCT接受了阔筋膜同种异体移植的SCR。术后两年，该患者接受了关节镜下肩袖修复治疗左侧RCT，并进行了关节镜下清创术以缓解右肩疼痛。此外，阔筋膜同种异体移植中证实有血管再生。总之，同种异体移植被认为是高度安全的，并且有望在SCR后植入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/20be65c7f996/cureus-0016-00000058260-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/275187e1386d/cureus-0016-00000058260-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/13e1c81acb58/cureus-0016-00000058260-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/c9e3ab2ba505/cureus-0016-00000058260-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/a6fd4e16bd04/cureus-0016-00000058260-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/11385a0075e9/cureus-0016-00000058260-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/20be65c7f996/cureus-0016-00000058260-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/275187e1386d/cureus-0016-00000058260-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/13e1c81acb58/cureus-0016-00000058260-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/c9e3ab2ba505/cureus-0016-00000058260-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/a6fd4e16bd04/cureus-0016-00000058260-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/11385a0075e9/cureus-0016-00000058260-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc5d/11093772/20be65c7f996/cureus-0016-00000058260-i06.jpg

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本文引用的文献

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The Histology of a Healed Superior Capsular Reconstruction Dermal Allograft: A Case Report.愈合的肩袖上囊重建真皮移植物的组织学：一例报告。
Arthroscopy. 2019 Oct;35(10):2950-2958. doi: 10.1016/j.arthro.2019.06.024.
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Five-Year Follow-up of Arthroscopic Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears.关节镜下上囊重建治疗不可修复性肩袖撕裂的 5 年随访结果。
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Failed Dermal Allograft Procedures for Irreparable Rotator Cuff Tears Can Still Improve Pain and Function: The "Biologic Tuberoplasty Effect".
不可修复性肩袖撕裂的异体真皮移植手术失败后仍可改善疼痛和功能：“生物骨成形术效应”
Orthop J Sports Med. 2019 Aug 20;7(8):2325967119863432. doi: 10.1177/2325967119863432. eCollection 2019 Aug.
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Biological allograft healing after superior capsule reconstruction.上囊重建术后生物同种异体移植物的愈合
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Graft tears after arthroscopic superior capsule reconstruction (ASCR): pattern of failure and its correlation with clinical outcome.关节镜下上盂唇重建（ASCR）术后移植组织撕裂：失败模式及其与临床结果的相关性。
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