Refior H J, Stürz H
Z Orthop Ihre Grenzgeb. 1984 Jan-Feb;122(1):27-30. doi: 10.1055/s-2008-1044579.
The principal signs for the diagnosis of a ruptured rotator sheath are a painful arch and painful, restricted movement of the shoulder joint. The diagnosis is confirmed by arthrography. Surgical reconstruction is indicated only if prior conservative treatment has been unsuccessful. A variety of approaches to the rotator sheath are advocated. Of these, the posterior-superior incision described by Debeyre et al. is particularly worthy of consideration. This approach is especially suitable for more extensive ruptures. It is described here with modifications, including the various fixation methods used for rupture of the rotator sheaths in the authors' own patients. The results obtained by the authors are classified and compared with opinions expressed in the literature. It is emphasized that the procedure described is particularly suitable for reconstruction of ruptured rotator sheaths.
诊断肩袖破裂的主要体征是疼痛弧以及肩关节疼痛、活动受限。关节造影可确诊。仅当先前的保守治疗未成功时才考虑手术重建。人们提倡多种治疗肩袖的方法。其中，德贝雷等人描述的后上切口尤其值得考虑。这种方法特别适用于更广泛的破裂。本文对其进行了改良描述，包括作者自己患者肩袖破裂时使用的各种固定方法。作者将所获结果进行分类，并与文献中的观点进行比较。强调所描述的手术方法特别适用于肩袖破裂的重建。
