Ha'eri G B, Wiley A M
Clin Orthop Relat Res. 1982 Aug(168):128-22.
For the release of mechanical impingement occurring during the movement of the humeral head and its overlying rotator cuff beneath the coracoacromial arch, 21 patients who had a painful arc resistant to conservative treatment, were treated by subacromial recession operations. The procedure consisted of resection of the coracroacromial ligament, anterior acromioplasty, excision of the acromioclavicular joint and shaving of the greater tuberosity. Resection of the coracoacromial ligament was carried out in all patients. The other procedures were added when required for complete release of the impingement. Nineteen patients obtained satisfactory results with a minimum follow-up of one year. A satisfactory result was obtained only when the operative procedure relieved the specific mechanical impingement, i.e., coracoacromial ligament, acromial spur, osteoarthritic acromioclavicular joint or exuberant greater tuberosity.
对于肱骨头运动及其上方的肩袖在喙肩弓下方发生的机械性撞击的解除，21例患有对保守治疗有抵抗的疼痛弧的患者接受了肩峰下减压手术治疗。该手术包括切除喙肩韧带、前路肩峰成形术、切除肩锁关节以及打磨大结节。所有患者均进行了喙肩韧带切除。当需要完全解除撞击时，再增加其他手术步骤。19例患者获得了满意的结果，最短随访时间为1年。只有当手术操作缓解了特定的机械性撞击，即喙肩韧带、肩峰骨刺、骨关节炎性肩锁关节或增生的大结节时，才会获得满意的结果。
