Hulstyn M J, Fadale P D
Department of Orthopaedic Surgery, Brown University School of Medicine, Rhode Island Hospital, Providence, USA.
Orthop Clin North Am. 1995 Oct;26(4):597-612.
The importance of a thorough knowledge of regional anatomy in any surgical discipline cannot be overemphasized. This is particularly true for the orthopedist as arthroscopic procedures continue to evolve with our increased understanding of shoulder pathology and as we attempt to improve patient outcomes. Surface and bony anatomy allow the arthroscopist to infer the location of the glenohumeral joint and subacromial space. Proper portal placement allows access to these regions without risk of neurovascular, tendon, or articular injury. Glenohumeral and subacromial anatomy can be clearly seen arthroscopically with many normal variants. Knowledge of normal shoulder anatomy allows the orthopedic surgeon to safely and successfully treat pathologic conditions.
在任何外科领域,全面掌握局部解剖学的重要性都怎么强调都不为过。对于骨科医生而言尤其如此,因为随着我们对肩部病理学的认识不断加深,关节镜手术也在持续发展,同时我们也在努力改善患者的治疗效果。体表和骨骼解剖结构能让关节镜医生推断出盂肱关节和肩峰下间隙的位置。正确的入路放置可进入这些区域,而不会有神经血管、肌腱或关节损伤的风险。通过关节镜可以清楚地看到盂肱关节和肩峰下的解剖结构,且存在许多正常变异。了解正常的肩部解剖结构能让骨科医生安全、成功地治疗病理状况。