Bonfatti Rocco, Manzini Chiara, De Santis Elisa, Donà Alessandro, Micheloni Gian Mario, Giorgini Andrea, Porcellini Giuseppe
Orthopedic Surgery and Traumatology Department, Sassuolo Hospital S.p.A., University of Modena and Reggio Emilia, Sassuolo, Italy.
Shoulder Elbow Team, Forli, Italy.
Arthrosc Tech. 2024 Sep 21;14(2):103225. doi: 10.1016/j.eats.2024.103225. eCollection 2025 Feb.
Osteochondritis dissecans (OCD) of the glenoid is a rare condition occurring primarily in overhead athletes. Symptoms are not specific and consist of pain, worsening range of motion, and decreased sport performance. Radiologic evaluation is crucial for diagnosis and, in particular magnetic resonance imaging, to grade this condition according to the International Cartilage Research Society OCD grading system. International Cartilage Research Society OCD stages II, III, and IV generally require surgical treatment. There's still no consensus on the best procedure, and various techniques have been described, mostly inspired by experience in other joints. This Technical Note describes an arthroscopic technique with a single-layer hyaluronate-based scaffold added to microfractures and fixed with fibrin glue for the treatment of osteochondritis dissecans of the glenoid.
肩胛盂剥脱性骨软骨炎（OCD）是一种主要发生在从事过头运动的运动员中的罕见病症。症状不具有特异性，包括疼痛、活动范围恶化以及运动表现下降。放射学评估对于诊断至关重要，尤其是磁共振成像，以便根据国际软骨研究学会OCD分级系统对这种病症进行分级。国际软骨研究学会OCD的II期、III期和IV期通常需要手术治疗。对于最佳手术方法仍未达成共识，并且已经描述了各种技术，大多是受其他关节治疗经验的启发。本技术说明描述了一种关节镜技术，即在微骨折处添加基于透明质酸盐的单层支架并用纤维蛋白胶固定，用于治疗肩胛盂剥脱性骨软骨炎。
