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肩袖撕裂的手术干预:一项全面的文献综述

Surgical Interventions for Rotator Cuff Tears: A Comprehensive Literature Review.

作者信息

Aden Abdirizak, Alsayeh Sultan, Aburas Lena, Masood Qazi

机构信息

Trauma and Orthopedics, Medway Maritime Hospital, Gillingham, GBR.

出版信息

Cureus. 2024 Dec 12;16(12):e75606. doi: 10.7759/cureus.75606. eCollection 2024 Dec.

Abstract

Rotator cuff tears in the shoulder joint are common musculoskeletal injuries that may present with or without symptoms. Rotator cuff tears are a common musculoskeletal condition that become increasingly prevalent with age. This mines various surgical interventions for rotator cuff tears, focusing on patient selection criteria and treatment outcomes across different subgroups. A comprehensive search was conducted to identify studies on rotator cuff tear classifications and surgical techniques. The review analyzes patient characteristics influencing treatment choices and outcomes. Rotator cuff tears are classified by size and extent. Surgical interventions range from arthroscopic repairs to reverse shoulder arthroplasty (RSA), each with specific indications. Patient factors such as age, tear size, activity level, and overall health influence the selection of surgical technique. Minimally invasive procedures generally offer reduced times and complications, while open surgeries may be necessary for complex tears. The choice of surgical treatment for rotator cuff tears is determined by multiple factors, including tear characteristics and patient demographics. Tailoring interventions to individual patient needs can optimize outcomes and restore shoulder function effectively.

摘要

肩关节的肩袖撕裂是常见的肌肉骨骼损伤,可能有症状,也可能没有症状。肩袖撕裂是一种常见的肌肉骨骼疾病,随着年龄的增长越来越普遍。本文探讨了肩袖撕裂的各种手术干预措施,重点关注不同亚组的患者选择标准和治疗结果。进行了全面的检索以确定关于肩袖撕裂分类和手术技术的研究。该综述分析了影响治疗选择和结果的患者特征。肩袖撕裂按大小和范围分类。手术干预措施从关节镜修复到反肩关节置换术(RSA)不等,每种都有特定的适应症。年龄、撕裂大小、活动水平和整体健康等患者因素会影响手术技术的选择。微创手术通常能减少手术时间和并发症,而对于复杂撕裂可能需要开放手术。肩袖撕裂的手术治疗选择由多种因素决定,包括撕裂特征和患者人口统计学特征。根据个体患者需求定制干预措施可以优化治疗结果并有效恢复肩部功能。

相似文献

8
[Research progress of treatment for massive rotator cuff tears].[巨大肩袖撕裂的治疗研究进展]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Jan 15;35(1):8-13. doi: 10.7507/1002-1892.202004056.

本文引用的文献

1
Partial-Thickness Rotator Cuff Tears: Current Concepts.部分厚度肩袖撕裂:当前概念。
JBJS Rev. 2024 Aug 26;12(8). doi: e24.00063. eCollection 2024 Aug 1.
2
Rotator cuff tears.肩袖撕裂。
Nat Rev Dis Primers. 2024 Feb 8;10(1):8. doi: 10.1038/s41572-024-00492-3.
3
Arthroscopic Transosseous Rotator Cuff Repair.关节镜下经骨缝合修复肩袖。
J Am Acad Orthop Surg. 2023 Apr 1;31(7):e366-e375. doi: 10.5435/JAAOS-D-22-00057.
5
Rotator Cuff Repair With Patch Augmentation: What Do We Know?使用补片增强修复肩袖:我们了解些什么?
Arch Bone Jt Surg. 2022 Oct;10(10):833-846. doi: 10.22038/ABJS.2022.61345.3012.
9
The Evolution of Arthroscopic Rotator Cuff Repair.关节镜下肩袖修复术的发展历程
Orthop J Sports Med. 2021 Dec 6;9(12):23259671211050899. doi: 10.1177/23259671211050899. eCollection 2021 Dec.

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