Gartsman G M, Taverna E
Texas Orthopedic Hospital, Houston 77030, USA.
Arthroscopy. 1997 Aug;13(4):450-5. doi: 10.1016/s0749-8063(97)90123-7.
To evaluate the incidence of associated glenohumeral lesions in patients with a full-thickness rotator cuff tear, an arthroscopic examination of the glenohumeral joint was performed in 200 shoulders in 195 consecutive patients before arthroscopic rotator cuff repair. One hundred twenty-one (60.5%) had coexisting intraarticular abnormalities. Ninety-six (48%) had minor abnormalities, and 25 patients (12.5%) had major coexisting intraarticular abnormalities. Major lesions (that required operative treatment, changed postoperative rehabilitation, or altered the expected end result) noted at arthroscopic examination were osteoarthritis in nine patients, partial biceps tendon tears in three, labrum tears in three, Bankart lesions in two, superior labrum anterior posterior lesions in five, and glenohumeral synovitis in three patients. Glenohumeral arthroscopy can provide valuable information in patients with a complete rotator cuff tear.
为评估全层肩袖撕裂患者合并盂肱关节病变的发生率,在对195例连续患者的200个肩关节进行关节镜下肩袖修复术前,对盂肱关节进行了关节镜检查。121例(60.5%)存在关节内异常。96例(48%)有轻微异常,25例(12.5%)存在严重的关节内合并异常。关节镜检查发现的主要病变(需要手术治疗、改变术后康复方案或改变预期最终结果)包括9例骨关节炎、3例肱二头肌肌腱部分撕裂、3例盂唇撕裂、2例Bankart损伤、5例上盂唇前后部损伤以及3例盂肱滑膜炎。盂肱关节镜检查可为完全性肩袖撕裂患者提供有价值的信息。