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用于小型肩袖撕裂的转换式棒引导脊柱针修复技术。

Switching Stick-Guided Spinal Needle Repair Technique for Small Size Rotator Cuff Tear.

作者信息

Wanitchanont Thitiphol, Lertwiram Peerapat, Vijittrakarnrung Chaiyanun

机构信息

Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand.

Department of Orthopedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Arthrosc Tech. 2024 Nov 18;14(4):103309. doi: 10.1016/j.eats.2024.103309. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103309
PMID:40453011
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126012/
Abstract

Symptomatic small rotator cuff tears are a common issue for orthopedic surgeons. While arthroscopic repair is the standard treatment after conservative methods fail, no consensus exists on the ideal technique. This study presents a rotator cuff tissue-preserving repair method using a switching stick and spinal needle, which is reproducible, easy to learn, and ensures equal tendon tissue tension post-repair.

摘要

有症状的肩袖小撕裂是骨科医生常见的问题。虽然在保守治疗方法失败后，关节镜修复是标准治疗方法，但对于理想技术尚无共识。本研究提出了一种使用转换棒和脊椎穿刺针的肩袖组织保留修复方法，该方法可重复、易于学习，并能确保修复后肌腱组织张力相等。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9086/12126012/ee9fe42b1431/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9086/12126012/ee9fe42b1431/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9086/12126012/ee9fe42b1431/gr7.jpg

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本文引用的文献

1
Prevalence of rotator cuff tendon tears and symptoms in a Chingford general population cohort, and the resultant impact on UK health services: a cross-sectional observational study.在钦福德普通人群队列中，肩袖肌腱撕裂和症状的流行情况，以及对英国卫生服务的影响：一项横断面观察性研究。
BMJ Open. 2022 Sep 13;12(9):e059175. doi: 10.1136/bmjopen-2021-059175.
2
Conservatively Treated Symptomatic Rotator Cuff Tendinopathy May Progress to a Tear.保守治疗的有症状的肩袖肌腱病可能会进展为撕裂。
Arthrosc Sports Med Rehabil. 2022 Jun 15;4(4):e1449-e1455. doi: 10.1016/j.asmr.2022.05.004. eCollection 2022 Aug.
3
High-Grade Bursal Side Rotator-Cuff Repair: A Surgical Outcome Review.
高级别滑囊侧肩袖修复术：手术结果回顾
Orthop Res Rev. 2021 Oct 11;13:179-186. doi: 10.2147/ORR.S323092. eCollection 2021.
4
Analysis of Risk Factors, Complications, Reoperations, and Demographics Associated With Open and Arthroscopic Rotator Cuff Repair: An Analysis of a Large National Database.分析与开放式和关节镜下肩袖修复术相关的风险因素、并发症、再次手术和人口统计学因素：一项大型国家数据库分析。
Arthroscopy. 2022 Mar;38(3):737-742. doi: 10.1016/j.arthro.2021.09.001. Epub 2021 Sep 8.
5
Tear Completion Versus In Situ Repair for 50% Partial-Thickness Bursal-Side Rotator Cuff Tears: A Biomechanical and Histological Study in an Animal Model.对于 50%部分厚度滑囊侧肩袖撕裂，撕裂修复与原位修复的比较：动物模型的生物力学和组织学研究。
Am J Sports Med. 2020 Jul;48(8):1818-1825. doi: 10.1177/0363546520909854. Epub 2020 Apr 16.
6
Prevention, Reduction, and Stabilization of Dog-Ear Deformities During Arthroscopic Rotator Cuff Repair.关节镜下肩袖修复术中犬耳畸形的预防、减轻及稳定
Arthrosc Tech. 2019 Dec 4;9(1):e15-e19. doi: 10.1016/j.eats.2019.08.010. eCollection 2020 Jan.
7
At a 10-Year Follow-up, Tendon Repair Is Superior to Physiotherapy in the Treatment of Small and Medium-Sized Rotator Cuff Tears.在 10 年随访中，肌腱修复在治疗小中型肩袖撕裂方面优于物理疗法。
J Bone Joint Surg Am. 2019 Jun 19;101(12):1050-1060. doi: 10.2106/JBJS.18.01373.
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Orthop Traumatol Surg Res. 2018 Oct;104(6):829-837. doi: 10.1016/j.otsr.2018.06.007. Epub 2018 Jul 20.
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Arthroscopy. 2017 Jul;33(7):1294-1298. doi: 10.1016/j.arthro.2017.01.025. Epub 2017 Mar 20.