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肩袖破裂的外科治疗(作者译)

[Surgical treatment of the rotator cuff rupture (author's transl)].

作者信息

Reichelt A

出版信息

Dtsch Med Wochenschr. 1981 Apr 17;106(16):501-4. doi: 10.1055/s-2008-1070345.

DOI:10.1055/s-2008-1070345
PMID:7011765
Abstract

Ruptures of the rotator cuff are more frequent than generally assumed. Out of 25 patients with ruptures of the rotator cuff treated surgically, 17 were seen at follow-up investigations at least 6 months later. The procedure was successful in most cases. Should severe pains persist despite regular conservative treatment for 6--8 weeks, disturbing night rest of sports and working performance, and has the rupture been demonstrated by arthrography, surgical reconstruction should not be delayed as partial shoulder immobility diminishes postoperative results considerably. Long-term follow-up physiotherapy is a prerequisite for a lasting success.

摘要

肩袖破裂比通常认为的更为常见。在25例接受手术治疗的肩袖破裂患者中,17例在至少6个月后的随访检查中被观察到。该手术在大多数情况下是成功的。如果经过6至8周的常规保守治疗后仍持续存在严重疼痛,影响夜间休息、运动和工作表现,并且关节造影已证实存在破裂,那么手术重建不应延迟,因为肩部部分活动受限会显著降低术后效果。长期的随访物理治疗是取得持久成功的前提条件。

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