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关节镜下移位性大结节骨折翻修修复术

Arthroscopic Revision Repair of Displaced Greater Tuberosity Fracture.

作者信息

Cogan Charles J, Tramer Joseph, Entezari Vahid

机构信息

Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.

出版信息

Arthrosc Tech. 2024 Oct 29;14(4):103302. doi: 10.1016/j.eats.2024.103302. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103302
PMID:40453035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126026/
Abstract

Recurrent displacement of a greater tuberosity fracture fragment after an attempt at open reduction internal fixation is a rare but troublesome complication. This can lead to persistent pain, stiffness, lack of overhead function, and the possible need for revision surgery. Benefits of an arthroscopic revision surgery are numerous and include improved visualization of the fracture fragments, minimal soft tissue disruption, ability to address concurrent glenohumeral joint pathology, and decreased blood loss. This technique highlights the unique scenario of performing an arthroscopic revision greater tuberosity fracture repair to a pre-existing lateral humerus plate.

摘要

在尝试进行切开复位内固定后，大结节骨折块反复移位是一种罕见但棘手的并发症。这可能导致持续疼痛、僵硬、缺乏过顶功能，以及可能需要进行翻修手术。关节镜下翻修手术的益处众多，包括改善骨折块的可视化、软组织破坏最小化、能够处理合并的盂肱关节病变以及减少失血。该技术突出了对预先存在的肱骨外侧钢板进行关节镜下翻修大结节骨折修复的独特情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/3873ab90a614/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/bea602acc216/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/43851c8a9735/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/27e70ad44dff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/3873ab90a614/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/bea602acc216/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/43851c8a9735/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/27e70ad44dff/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12126026/3873ab90a614/gr4.jpg

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本文引用的文献

1
Management of greater tuberosity fracture dislocations of the shoulder.肩部大结节骨折脱位的治疗
JSES Rev Rep Tech. 2023 Aug 30;4(3):578-587. doi: 10.1016/j.xrrt.2023.07.007. eCollection 2024 Aug.
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关节镜下治疗移位性大结节骨折
Arthrosc Tech. 2021 Mar 12;10(4):e1055-e1060. doi: 10.1016/j.eats.2020.12.006. eCollection 2021 Apr.
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Revision Arthroscopic Greater Tuberosity Fracture Fixation and Implant Removal: An Open to Arthroscopic Approach.关节镜下大结节骨折翻修固定及植入物取出：从开放手术到关节镜手术的方法转变
Arthrosc Tech. 2021 Feb 15;10(3):e831-e839. doi: 10.1016/j.eats.2020.10.073. eCollection 2021 Mar.
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Acta Orthop. 2011 Dec;82(6):714-20. doi: 10.3109/17453674.2011.618912. Epub 2011 Sep 6.
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