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肩关节肩峰成形术中的生物力学问题(作者译)

[Biomechanical problems in acromio plasty of the shoulder joint (author's transl)].

作者信息

Laumann U, Hertel E

出版信息

Arch Orthop Trauma Surg (1978). 1978 Dec 12;93(1):49-56. doi: 10.1007/BF00386551.

DOI:10.1007/BF00386551
PMID:727930
Abstract

In the confines of the spatium subacromiale, the anatomic structures are subjected to increased wear by friction and convolution. In case of compression syndromes relief is obtained by a partial resection of the acromion, by an acromio plasty, or by a complete removal of the acromion, i.e., the acromionectomy. By analysing the anatomic preparation we have found that a resection of the ligamentum coraco-acromiale and the anterior third of the acromion can give a sufficient decompression without any substantial disturbance of the mechanism of the shoulder girdle, while the acromionectomy implies an unnecessarily extensive procedure which involves considerable disadvantages for the biomechanics of the shoulder girdle.

摘要

在肩峰下间隙内,解剖结构因摩擦和回旋而承受着增加的磨损。在出现压迫综合征的情况下,可通过部分切除肩峰、进行肩峰成形术或完全切除肩峰(即肩峰切除术)来缓解症状。通过对解剖标本的分析,我们发现切除喙肩韧带和肩峰前三分之一可实现充分减压,而不会对肩胛带机制造成任何实质性干扰,而肩峰切除术意味着一种不必要的广泛手术,对肩胛带生物力学存在相当大的不利影响。

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本文引用的文献

1
Excision of the acromion in treatment of the supraspinatus syndrome; report of 95 excisions.切除肩峰治疗冈上肌综合征;95例切除术报告
J Bone Joint Surg Br. 1949 Aug;31B(3):436-42.
2
Complete acromionectomy in the treatment of chronic tendinitis of the shoulder.
J Bone Joint Surg Am. 1962 Apr;44-A:494-504.
3
Anterior acromioplasty for the chronic impingement syndrome in the shoulder: a preliminary report.肩峰前成形术治疗肩部慢性撞击综合征:初步报告
J Bone Joint Surg Am. 1972 Jan;54(1):41-50.
4
The painful arc syndrome. Clinical classification as a guide to management.疼痛弧综合征。作为治疗指南的临床分类。
J Bone Joint Surg Br. 1977 May;59(2):166-72. doi: 10.1302/0301-620X.59B2.873977.
5
[Acromiocoracoid ligament and its relation to the tendon of the supraspinous muscles].
Rev Chir Orthop Reparatrice Appar Mot. 1976;62(2 suppl):60-2.