Kronberg M, Wahlström P, Broström L A
Department of Orthopedics, University Hospital, Umeå, Sweden.
J Shoulder Elbow Surg. 1997 Mar-Apr;6(2):125-30. doi: 10.1016/s1058-2746(97)90032-x.
Shoulder function was assessed in 37 patients with a mean age of 57 years after acromioplasty and repair of full-thickness rotator cuff tears were performed. The cuff tears were closed without transfer of other muscles or use of synthetic materials. At review 2 years after surgery 32 patients had significant pain relief and improved shoulder function. Range of motion, muscle strength, and endurance were increased. The mean Constant score was 77, and 80% of the patients were graded as having mild or disability. Radiographic measurements disclosed an increased supraspinatus outlet area after surgery. It is concluded that in patients with impingement syndrome and a full-thickness rotator cuff tear, shoulder function will be improved after acromioplasty and cuff repair, but a slight decrease in range of motion and muscle strength will remain when compared with the contralateral side.
对37例平均年龄57岁的患者在进行了肩峰成形术和全层肩袖撕裂修复术后评估其肩部功能。肩袖撕裂采用直接缝合，未转移其他肌肉或使用合成材料。术后2年复查时，32例患者疼痛明显缓解，肩部功能改善。活动范围、肌肉力量和耐力均增加。Constant平均评分为77分，80%的患者被评定为轻度或无残疾。影像学测量显示术后冈上肌出口面积增加。结论是，对于患有撞击综合征和全层肩袖撕裂的患者，肩峰成形术和肩袖修复术后肩部功能将得到改善，但与对侧相比，活动范围和肌肉力量仍会略有下降。
