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肩关节镜手术。综合评估。

Arthroscopic surgery of the shoulder. A general appraisal.

作者信息

Ogilvie-Harris D J, Wiley A M

出版信息

J Bone Joint Surg Br. 1986 Mar;68(2):201-7. doi: 10.1302/0301-620X.68B2.3958003.

DOI:10.1302/0301-620X.68B2.3958003
PMID:3958003
Abstract

Arthroscopic surgery of the shoulder was performed on 439 patients over a 10-year period: these patients are reviewed after a minimum follow-up of one year. Diagnostic arthroscopy is known to be valuable and we have found that arthroscopic surgery also is safe and effective. It was useful in treating frozen shoulder, early osteoarthritis, isolated tears of the glenoid labrum and lesions of the biceps tendon. It was less useful in treating partial tears of the rotator cuff, tendonitis and severe osteoarthritis, and of little value in treating complete tears of the rotator cuff or in treating patients in whom previous operations on the rotator cuff had failed. It may prove to be a useful method of performing synovectomy in rheumatoid arthritis and of treating instability.

摘要

在10年期间,对439例患者实施了肩关节镜手术:这些患者在至少随访1年后接受复查。诊断性关节镜检查已知具有重要价值,并且我们发现关节镜手术也是安全有效的。它在治疗肩周炎、早期骨关节炎、盂唇孤立性撕裂和肱二头肌腱损伤方面很有用。在治疗肩袖部分撕裂、肌腱炎和严重骨关节炎方面效果较差,而在治疗肩袖完全撕裂或既往肩袖手术失败的患者方面价值不大。它可能被证明是类风湿关节炎中行滑膜切除术和治疗关节不稳的一种有用方法。

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