Leach R E, Corbett M, Schepsis A, Stockel J
Clin Orthop Relat Res. 1982 Apr(164):20-5.
In 78 consecutive cases of a modified Putti-Platt operation using an anterior shoulder incision, only on recurrent dislocation occurred in a 19-year-old male athlete who suffered an insulin seizure. All other patients have returned to athletic activity. This study indicates that external rotation is greater if measured with the arm at 90 degrees of abduction. Inasmuch as this is the more functional position for the arm, measurements to determine limitation of shoulder rotation should be done in this position. Results show that there is a definite individual variation in external rotation of the shoulder. The Putti-Platt operation limits external rotation by 12 degrees to 19 degrees as measured at 90 degrees of abduction. This however, has not been a functional problem in any of our patients. The modified Putti-Platt operation is a sound, surgical procedure that gives excellent functional results in an athletic population.
在78例采用肩部前切口的改良普蒂-普拉特手术的连续病例中，一名19岁的男性运动员在发生胰岛素癫痫发作后仅出现一次复发性脱位。所有其他患者均已恢复体育活动。本研究表明，如果在手臂外展90度时进行测量，外旋角度会更大。由于这是手臂更具功能的位置，因此应在此位置进行测量以确定肩部旋转的受限情况。结果显示，肩部外旋存在明显的个体差异。在90度外展时测量，普蒂-普拉特手术将外旋限制在12度至19度。然而，这在我们的任何患者中都不是一个功能问题。改良的普蒂-普拉特手术是一种可靠的外科手术，在运动员群体中能产生优异的功能效果。
