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在修复肩袖破裂时上斜方肌的前移。

Advancement of the supraspinatus muscle in the repair of ruptures of the rotator cuff.

作者信息

Ha'eri G B, Wiley A M

出版信息

J Bone Joint Surg Am. 1981 Feb;63(2):232-8.

PMID:7462280
Abstract

In ruptures of the rotator cuff, the supraspinatus tendon frequently is retracted and repair without excessive tension is difficult to achieve. The technique of supraspinatus advancement, as described by Debeyre et al., may be a useful technique for such patients. We reviewed the results of this operation in eighteen patients seen by us. In fourteen (77 per cent) of them satisfactory results were obtained after a minimum follow-up of two years. Meticulous technique and preservation of the neurovascular supply of the supraspinatus tendon enhanced the outcome. An approach to the supraspinatus muscle utilizing resection of the acromioclavicular joint facilitated the repair.

摘要

在肩袖破裂时,冈上肌腱常发生回缩,难以在无过度张力的情况下进行修复。如德贝雷等人所描述的冈上肌推进技术,可能对此类患者是一种有用的技术。我们回顾了我们所诊治的18例患者接受该手术的结果。其中14例(77%)在至少随访两年后获得了满意的结果。精细的技术操作以及保留冈上肌腱的神经血管供应可改善手术效果。采用切除肩锁关节的方法显露冈上肌有助于修复。

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