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关节镜下小粗隆孤立性撕脱骨折的螺钉固定技术

Arthroscopic Screw Fixation Technique for an Isolated Avulsion Fracture of the Lesser Tuberosity.

作者信息

İpek Enver, Sülek Yusuf

机构信息

Department of Orthopedics and Traumatology, University of Health Sciences Türkiye, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

出版信息

Arthrosc Tech. 2025 Jun 30;14(8):103711. doi: 10.1016/j.eats.2025.103711. eCollection 2025 Aug.

DOI:10.1016/j.eats.2025.103711
PMID:40936573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12420614/
Abstract

Isolated avulsion fractures of the lesser tuberosity of the humerus are rare and can be difficult to diagnose. This study presents a fully arthroscopic technique for anatomic reduction and screw fixation of these injuries. The described method allows precise visualization, fragment control, and secure fixation using standard arthroscopic portals and equipment. It also allows simultaneous assessment and treatment of concomitant intra-articular pathologies. This technique offers a minimally invasive alternative to traditional open surgery, providing advantages such as reduced postoperative pain, minimal scarring, and faster rehabilitation.

摘要

肱骨小结节孤立性撕脱骨折较为罕见,且可能难以诊断。本研究介绍了一种用于这些损伤的解剖复位和螺钉固定的全关节镜技术。所描述的方法使用标准关节镜入路和设备,可实现精确可视化、碎骨块控制及牢固固定。它还能同时评估和治疗合并的关节内病变。该技术为传统开放手术提供了一种微创替代方案,具有术后疼痛减轻、瘢痕最小化及康复更快等优点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/a0e20618f3ad/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/70541584378a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/34a2b1ee106b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/81f7362fca17/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/939628512b33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/6e47b87dc50d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/91793bc60c67/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/de364437626e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/c387328c0d80/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/a0e20618f3ad/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/70541584378a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/34a2b1ee106b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/81f7362fca17/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/939628512b33/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/6e47b87dc50d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/91793bc60c67/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/de364437626e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/c387328c0d80/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e16/12420614/a0e20618f3ad/gr9.jpg

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本文引用的文献

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Arthroscopic Fixation of Avulsion Fractures of the Lesser Tuberosity of the Humerus: Clinical Outcomes With a Mean 3.5-Year Follow-up.关节镜下肱骨小结节撕脱骨折固定术:平均3.5年随访的临床结果
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使用无结关节镜固定修复小粗隆撕脱骨折
Arthrosc Tech. 2018 Aug 6;7(9):e899-e905. doi: 10.1016/j.eats.2018.04.015. eCollection 2018 Sep.
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