Yamaguchi K, Flatow E L
Shoulder Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York, USA.
Orthop Clin North Am. 1995 Oct;26(4):643-59.
Arthroscopy has improved our diagnostic assessment of rotator cuff disease, especially in understanding patterns of articular surface partial-thickness tears. Arthroscopic subacromial decompression is a proven and reliable alternative to open acromioplasty. Despite continued controversy, most partial-thickness rotator cuff tears may be satisfactorily treated by arthroscopic debridement and decompression. The role for debridement and decompression without repair for full-thickness rotator cuff tears seems less than initially suggested, as several recent independent studies have documented results inferior to open repair. Arthroscopically assisted mini-open repair of small, full-thickness rotator cuff tears is a reliable procedure. Arthroscopic repair appears promising, but is not yet well enough documented to be considered a standard treatment.
关节镜检查改善了我们对肩袖疾病的诊断评估，尤其是在理解关节面部分厚度撕裂的模式方面。关节镜下肩峰下减压是一种经过验证且可靠的开放性肩峰成形术替代方法。尽管仍存在争议，但大多数部分厚度肩袖撕裂可通过关节镜清创减压得到满意治疗。对于全层肩袖撕裂，不进行修复仅行清创减压的作用似乎比最初认为的要小，因为最近几项独立研究表明其结果不如开放性修复。关节镜辅助下小的全层肩袖撕裂的微型开放修复是一种可靠的手术方法。关节镜修复似乎很有前景，但尚未有足够充分的文献记载使其被视为标准治疗方法。
