Boszotta H, Helperstorfer W
Unfallchirurgische Abteilung des Krankenhauses, Barmherzigen Brüder Eisenstadt.
Aktuelle Traumatol. 1993 Aug;23(5):239-43.
The three-year results for arthroscopic refixation of the labrum-ligament-capsule complex after traumatic primary dislocation of the shoulder will be discussed. This prospective study included only patients with primary dislocations showing radiographic signs of anterior instability in the drawer test and no accompanying bony injuries. Twenty-six patients with an average age of 31 years and arthroscopic suture had been dismissed from postoperative treatment after an average 15 weeks showing a fully mobile and pain-free shoulder joint. At the time of follow-up the average results obtained with our own score were 94.1 points. 61.5% of the patients showed fully mobile shoulder joints and 84.6% reported full sporting capacity. Negative findings were obtained for all stability tests performed after 32 months. No recurrencies had occurred until the time of the follow-up. Compared to the reluxation rates described in the literature for traumatic primary shoulder dislocations in juvenile patients, our three-year results were highly positive and we will continue to use arthroscopy in the treatment of instable shoulder joints after traumatic primary dislocation in order to avoid recurrencies and associated sequelae.
本文将讨论创伤性原发性肩关节脱位后关节镜下盂唇-韧带-关节囊复合体修复的三年随访结果。这项前瞻性研究仅纳入了在抽屉试验中显示出前向不稳定影像学征象且无合并骨损伤的原发性脱位患者。26例平均年龄31岁的患者接受了关节镜下缝合,术后平均15周后停止治疗,此时肩关节活动自如且无疼痛。随访时,根据我们自己的评分标准,平均得分为94.1分。61.5%的患者肩关节活动完全正常,84.6%的患者报告具备完全的运动能力。在32个月后进行的所有稳定性测试均为阴性结果。随访时未发生复发性脱位。与文献中描述的青少年创伤性原发性肩关节脱位的复发率相比,我们的三年随访结果非常理想,我们将继续使用关节镜治疗创伤性原发性脱位后不稳定的肩关节,以避免复发及相关后遗症。