Cofield R H
Mayo Clin Proc. 1983 Aug;58(8):501-8.
Between December 1979 and June 1982, 74 arthroscopic examinations of the shoulder were done at our institution. Arthroscopy was done in 28 shoulders to evaluate glenohumeral instability, in 23 to assess the joint and tendons before acromioplasty for chronic supraspinatus tendinitis, in 8 to diagnose or stage arthritic diseases, in 7 to define rotator cuff tears, in 3 to assess long-standing periarthritis, in 2 to visualize intra-articular fractures, in 2 to treat infections, and in 1 to evaluate the extent of pigmented villonodular synovitis. Examination of the shoulder with the patient under anesthesia, rather than arthroscopy itself, was more useful in the patients with shoulder instability. In chronic tendinitis, identification of undersurface rotator cuff tears by arthroscopy led to specific treatment. Arthroscopy was valuable in staging intra-articular arthritic diseases and in evaluating articular fractures. It can be used in the diagnosis and treatment of acute infections. Arthroscopy is of minimal value in the assessment of rotator cuff tears and periarthritis or in the treatment of chronic infections.
1979年12月至1982年6月期间，我们机构共进行了74例肩关节镜检查。其中，28例用于评估盂肱关节不稳；23例在慢性冈上肌腱炎行肩峰成形术前评估关节和肌腱；8例用于诊断或分期关节炎疾病；7例用于明确肩袖撕裂；3例用于评估长期肩周炎；2例用于观察关节内骨折；2例用于治疗感染；1例用于评估色素沉着绒毛结节性滑膜炎的范围。对于肩关节不稳的患者，在麻醉下对肩部进行检查，而非肩关节镜检查本身，更为有用。在慢性肌腱炎中，通过关节镜识别肩袖下表面撕裂可进行针对性治疗。关节镜在关节内关节炎疾病的分期及评估关节骨折方面具有重要价值。它可用于急性感染的诊断和治疗。关节镜在评估肩袖撕裂和肩周炎或治疗慢性感染方面价值极小。
