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使用经胸观察入口的关节镜下肩胛下肌腱修复术

Arthroscopic Subscapularis Tendon Repair Using a Transpectoral Viewing Portal.

作者信息

Lambers Heerspink F Okke, Leenders Alexandra M, Hollman Freek

机构信息

Department of Orthopedic Surgery, VieCuri Medical Center, Venlo, the Netherlands.

Department of Orthopedics, Maastricht University Medical Centre+, Maastricht, The Netherlands.

出版信息

Arthrosc Tech. 2025 Mar 27;14(6):103515. doi: 10.1016/j.eats.2025.103515. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103515
PMID:40656753
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255466/
Abstract

The subscapularis is the strongest muscle in the rotator cuff and is essential for shoulder function and stability. Arthroscopic repair of the subscapularis tendon can be challenging as the result of muscle retraction, the proximity of the axillary nerve, and impaired visualization. In some cases, a 70° arthroscope is required to enhance the tendon view. We describe the use of a transpectoral viewing portal to facilitate arthroscopic repair of subscapularis tears.

摘要

肩胛下肌是肩袖中最强壮的肌肉，对肩部功能和稳定性至关重要。由于肌肉回缩、腋神经位置靠近以及视野受限，肩胛下肌腱的关节镜修复具有挑战性。在某些情况下，需要使用70°关节镜来改善对肌腱的视野。我们描述了一种经胸观察入口的使用方法，以促进肩胛下肌撕裂的关节镜修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/fec1fff4c54e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/6947390c8dd9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/ee3ed45b9402/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/a2869f512be5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/9169854b7737/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/529c4b2a3443/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/244086b36ab9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/0a44b6fbc4bf/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/fec1fff4c54e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/6947390c8dd9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/ee3ed45b9402/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/a2869f512be5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/9169854b7737/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/529c4b2a3443/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/244086b36ab9/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/0a44b6fbc4bf/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f150/12255466/fec1fff4c54e/gr8.jpg

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本文引用的文献

1
Both Radiologists and Surgeons Miss a Substantial Number of Subscapularis Tears on Magnetic Resonance Imaging Examination Prior to Shoulder Arthroscopy.在肩关节镜检查之前的磁共振成像检查中，放射科医生和外科医生都遗漏了大量的肩胛下肌撕裂病例。
Arthrosc Sports Med Rehabil. 2023 Nov 30;6(1):100825. doi: 10.1016/j.asmr.2023.100825. eCollection 2024 Feb.
2
Arthroscopic Single-Portal Subscapularis Tendon Repair.关节镜下单切口肩胛下肌腱修复术
Arthrosc Tech. 2020 Sep 15;9(10):e1447-e1452. doi: 10.1016/j.eats.2020.06.005. eCollection 2020 Oct.
3
Arthroscopic Subscapularis Repair Using a Subacromial View.
使用肩峰下视野的关节镜下肩胛下肌修复术。
Arthrosc Tech. 2020 Apr 25;9(5):e599-e602. doi: 10.1016/j.eats.2020.01.011. eCollection 2020 May.
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Arthroscopic Repair of Subscapularis Tendon Tears.肩胛下肌腱撕裂的关节镜修复术
JBJS Essent Surg Tech. 2017 May 10;7(2):e13. doi: 10.2106/JBJS.ST.16.00074. eCollection 2017 Jun 28.
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Arthroscopic Repair of Massive Subscapularis and Supraspinatus Tear by Double-Row Knotless Technique.关节镜下采用双排无结技术修复巨大肩胛下肌和冈上肌撕裂
Arthrosc Tech. 2017 Nov 20;6(6):e2255-e2258. doi: 10.1016/j.eats.2017.08.033. eCollection 2017 Dec.
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Accuracy of preoperative MRI in the diagnosis of subscapularis tears.术前MRI诊断肩胛下肌撕裂的准确性。
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Arthroscopic subscapularis repair.关节镜下肩胛下肌修复术。
J Am Acad Orthop Surg. 2014 Feb;22(2):80-9. doi: 10.5435/JAAOS-22-02-80.
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Diagnosis of subscapularis tendon tears: are available diagnostic tests pertinent for a positive diagnosis?肩胛下肌腱撕裂的诊断：现有的诊断试验对阳性诊断是否有意义？
Orthop Traumatol Surg Res. 2012 Dec;98(8 Suppl):S178-85. doi: 10.1016/j.otsr.2012.09.008. Epub 2012 Nov 9.