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保留喙肩韧带和胸小肌的改良缝线纽扣Latarjet手术：一种避免肩胛下肌劈开的方法

Modified Suture Button Latarjet Procedure With Coracoacromial Ligament and Pectoralis Minor Preservation: An Approach to Avoid Subscapularis Split.

作者信息

Deng Zhenhan, Lu Wei

机构信息

Department of Orthopaedic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Department of Sports Medicine, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen, China.

出版信息

Arthrosc Tech. 2024 Sep 23;14(3):103251. doi: 10.1016/j.eats.2024.103251. eCollection 2025 Mar.

DOI:10.1016/j.eats.2024.103251
PMID:40207328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977158/
Abstract

The main mechanism of the Latarjet procedure for maintaining anterior shoulder stability is attributed to the "triple locking" factors. During the traditional Latarjet procedure, the subscapularis split is inevitably, which is one of the main difficulties in surgical technique and sources of complications. We introduce a procedure in which the coracoid graft can pass through the subscapularis without splitting based on our previous modified suture button Latarjet procedure with preservation of the coracoacromial ligament and pectoralis minor.

摘要

Latarjet手术维持肩关节前方稳定性的主要机制归因于“三重锁定”因素。在传统的Latarjet手术中，肩胛下肌不可避免地会被劈开，这是手术技术的主要难点之一和并发症的来源。基于我们之前保留喙肩韧带和胸小肌的改良缝线纽扣Latarjet手术，我们介绍一种喙突移植骨可以不劈开肩胛下肌而穿过的手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/6d516303cf8b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/46ac6c98702a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/9adfd0f41ac7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/fd172cebe2c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/d850974767f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/e71b00b2f5ed/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/c019d4efe012/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/545fd38661f3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/6d516303cf8b/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/46ac6c98702a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/9adfd0f41ac7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/fd172cebe2c9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/d850974767f4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/e71b00b2f5ed/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/c019d4efe012/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/545fd38661f3/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c62c/11977158/6d516303cf8b/gr8.jpg

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本文引用的文献

1
Suture Button Congruent Arc Latarjet Procedure in the Treatment of Recurrent Anterior Shoulder Instability With Glenoid Bone Loss Greater Than 25.缝线纽扣全等弧Latarjet手术治疗盂肱关节骨丢失大于25%的复发性前肩关节不稳
Arthrosc Tech. 2024 Apr 27;13(7):103008. doi: 10.1016/j.eats.2024.103008. eCollection 2024 Jul.
2
Modified Suture-Button Latarjet Procedure With Coracoacromial Ligament and Pectoralis Minor Preservation Achieves Good Clinical Outcomes at 2-Year Follow-Up: Case Series of Latarjet Technique.保留喙肩韧带和胸小肌的改良缝线纽扣式Latarjet手术在2年随访时取得良好临床疗效：Latarjet技术病例系列
Arthroscopy. 2025 Jan;41(1):19-28. doi: 10.1016/j.arthro.2024.04.037. Epub 2024 May 11.
3
Analysis of reasons for failure to return to sport after Latarjet surgery: a systematic review.
Latarjet 手术后无法重返运动的原因分析：系统评价。
J Shoulder Elbow Surg. 2024 Jul;33(7):1642-1649. doi: 10.1016/j.jse.2023.11.006. Epub 2024 Jan 3.
4
Surgical considerations for glenoid bone loss in anterior glenohumeral instability: a narrative review.肩盂骨缺损在前肩盂不稳中的手术处理：综述
Eur J Trauma Emerg Surg. 2024 Apr;50(2):395-403. doi: 10.1007/s00068-023-02357-y. Epub 2023 Aug 29.
5
Open Versus Arthroscopic Latarjet for Recurrent Anterior Shoulder Instability: A Systematic Review and Meta-analysis.开放性与关节镜下Latarjet手术治疗复发性前肩不稳：一项系统评价和Meta分析
Orthop J Sports Med. 2023 Jun 5;11(5):23259671231174476. doi: 10.1177/23259671231174476. eCollection 2023 May.
6
LUtarjet-limit unique coracoid osteotomy Latarjet (With video).LU 拉塔热特-独特喙突截骨术拉塔热特（附视频）
Burns Trauma. 2022 May 28;10:tkac021. doi: 10.1093/burnst/tkac021. eCollection 2022.
7
Modified Arthroscopic Latarjet Procedure: Button Fixation Without Splitting of the Subscapularis.改良关节镜下Latarjet手术：纽扣固定且不劈开肩胛下肌
Arthrosc Tech. 2021 Sep 21;10(10):e2365-e2373. doi: 10.1016/j.eats.2021.07.014. eCollection 2021 Oct.
8
Modified Arthroscopic Latarjet Procedure: Suture-Button Fixation Achieves Excellent Remodeling at 3-Year Follow-up.改良关节镜下 Latarget 手术：缝线纽扣固定在 3 年随访时可实现出色的重建效果。
Am J Sports Med. 2020 Jan;48(1):39-47. doi: 10.1177/0363546519887959. Epub 2019 Nov 25.
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Innervation of the subscapularis: an anatomic study.肩胛下肌的神经支配：一项解剖学研究。
JSES Open Access. 2019 Apr 26;3(2):65-69. doi: 10.1016/j.jses.2019.02.001. eCollection 2019 Jul.
10
Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure.改良缝线纽扣关节镜下Latarjet手术的临床结果与影像学评估
BMC Musculoskelet Disord. 2019 Apr 16;20(1):173. doi: 10.1186/s12891-019-2544-x.