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切除肩峰治疗肩部持续性肩袖综合征

Resection of the acromion in the treatment of persistent rotator cuff syndrome of the shoulder.

作者信息

Michelsson J E, Bakalim G

出版信息

Acta Orthop Scand. 1977;48(6):607-11. doi: 10.3109/17453677708994806.

DOI:10.3109/17453677708994806
PMID:607748
Abstract

Partial or complete excision of the acromion was performed in 25 patients (29 shoulders) with long-standing pain in the shoulder typical of rotator cuff syndrome. There was no verified history of trauma in nine cases (13 shoulders), while injury was the cause of pain in 16 patients (16 shoulders). In nine shoulders there was a small and in two a large rupture of the rotator cuff. Twelve of the 13 non-traumatic shoulders became painless postoperatively and the pain was relieved in one. In the 16 traumatic shoulders the relief of pain was complete in six, partial in nine, and one remained unchanged. The condition was not aggravated in any of the cases. Mobility increased postoperatively in four cases and was in no case decreased by the operation. In this series the results were as favourable after partial as after complete excision of the acromion alone or excision in combination with other procedures appears to be a promising method of treatment of patients with long-standing rotator cuff syndrome.

摘要

对25例(29个肩部)患有典型肩袖综合征长期肩部疼痛的患者进行了肩峰部分或完全切除术。9例(13个肩部)无确切外伤史,16例(16个肩部)疼痛由损伤引起。9个肩部存在肩袖小破裂,2个肩部存在大破裂。13个非创伤性肩部中的12个术后疼痛消失,1个疼痛减轻。16个创伤性肩部中,6个疼痛完全缓解,9个部分缓解,1个无变化。所有病例病情均未加重。4例术后活动度增加,手术未导致任何病例活动度下降。在本系列中,单独进行肩峰部分或完全切除术后的结果与联合其他手术的结果一样良好,肩峰切除术似乎是治疗长期肩袖综合征患者的一种有前景的方法。

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引用本文的文献

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Trends in rotator cuff surgery: Research through the decades.肩袖手术的发展趋势:数十年的研究
J Clin Orthop Trauma. 2021 Apr 19;18:105-113. doi: 10.1016/j.jcot.2021.04.011. eCollection 2021 Jul.
2
[Injuries of the rotator cuff of the shoulder - experiences in diagnosis and treatment (author's transl)].肩部肩袖损伤——诊断与治疗经验(作者译)
Unfallchirurgie. 1981;7(3):156-61. doi: 10.1007/BF02589731.