Payne L Z
Department of Orthopaedic Surgery and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut.
Orthop Rev. 1994 Jul;23(7):577-83.
Glenoid labral tears without capsular or ligamentous detachment are being reported with increasing frequency. Yet, the significance and need for treatment of these injuries remain controversial. Labral tears often occur with other glenohumeral pathology making the diagnosis difficult. The current preferred treatment method is arthroscopic labral débridement, and this has a seemingly good initial outcome. Recent long-term follow-up studies, however, have shown that this treatment has only moderately good results at more than 2-year follow up. Labral tears may occur from instability, and labral débridement in these shoulders has disappointing results unless surgical stabilization is also performed.
据报道，无关节囊或韧带分离的盂唇撕裂的发生率在不断增加。然而，这些损伤的重要性及治疗必要性仍存在争议。盂唇撕裂常与其他盂肱关节病变同时发生，这使得诊断变得困难。目前首选的治疗方法是关节镜下盂唇清创术，其初始效果似乎良好。然而，最近的长期随访研究表明，在超过2年的随访中，这种治疗的效果仅为中等。盂唇撕裂可能由不稳定引起，在这些肩部进行盂唇清创术的结果令人失望，除非同时进行手术稳定治疗。
