用于回缩性固定性肩袖撕裂的关节镜下松动技术
Arthroscopic Mobilization Techniques for Retracted Immobile Rotator Cuff Tears.
作者信息
Marois Anthony J, Field Larry D
机构信息
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
出版信息
Arthrosc Tech. 2024 Jun 18;13(10):103087. doi: 10.1016/j.eats.2024.103087. eCollection 2024 Oct.
Abstract
The treatment of massive, retracted rotator cuff tears remains a significant challenge to orthopaedic surgeons. While debridement and partial repair has been described as a viable option, surgeons seeking to perform a complete repair often must employ advanced mobilization techniques to lateralize retracted immobile rotator cuff tissue. Tears that appear irreparable often may be effectively mobilized with elements of capsular release, anterior interval slide, or posterior interval slide. When rotator cuff tissue is mobilized to the medial aspect of the anatomic footprint, a low-tension repair can be performed with good clinical outcomes.
摘要
巨大、回缩性肩袖撕裂的治疗对骨科医生来说仍然是一项重大挑战。虽然清创和部分修复已被描述为一种可行的选择，但寻求进行完全修复的外科医生通常必须采用先进的松动技术，将回缩的、固定不动的肩袖组织向外侧移位。看似无法修复的撕裂通常可以通过关节囊松解、前间隙滑动或后间隙滑动等方法有效地进行松动。当肩袖组织被松动到解剖足迹的内侧时，可以进行低张力修复，并取得良好的临床效果。
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2
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Arthroscopy. 2024 Jan;40(1):47-54. doi: 10.1016/j.arthro.2023.06.014. Epub 2023 Jun 22.
3
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5
Treatment options for massive rotator cuff tears: a narrative review.
Acta Biomed. 2021 Jul 26;92(S3):e2021026. doi: 10.23750/abm.v92iS3.11766.
6
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