Dávid A, Makowski S, Muhr G
Chirurgische Universitätsklinik und Poliklinik, Bochum.
Unfallchirurg. 1995 Nov;98(11):566-9.
Shoulder arthrodesis definitely results in a restricted range of motion. However, in patients with a painful restricted motion after glenohumeral empyema or arthritis reduction of pain and an improved range of motion in the thoracoscapular joint are achieved with arthrodesis. Glenohumeral arthrodesis is also indicated for the management of paralysis of the rotator cuff if multidirectional stability is present. From 1978 to 1991 shoulder fusion was performed in ten patients in our institute. The mean age of the seven male and three female patients was 49 years. In six cases arthrodesis was necessary because of shoulder infections after internal fixation of humeral head fractures; three were performed because of posttraumatic arthritis and two, because of complete plexus lesions. The followup an average of just over 3 years after arthrodesis revealed acceptable function according to the Neer and Hawkins score. All patients but one reported a significant improvement of function and pain relief after arthrodesis.
肩关节融合术无疑会导致活动范围受限。然而，对于因盂肱关节积脓或关节炎而出现疼痛性活动受限的患者，通过关节融合术可减轻疼痛并改善肩胛胸壁关节的活动范围。如果存在多向稳定性，盂肱关节融合术也适用于治疗肩袖麻痹。1978年至1991年，我院对10例患者进行了肩关节融合术。7例男性和3例女性患者的平均年龄为49岁。6例因肱骨头骨折内固定术后肩部感染而需要进行关节融合术；3例因创伤后关节炎，2例因完全性臂丛神经损伤。关节融合术后平均随访3年多，根据Neer和Hawkins评分，功能尚可接受。除1例患者外，所有患者均报告关节融合术后功能有显著改善且疼痛缓解。
