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通过使用双肩肌的长头来进行关节镜子下肩膀增强来治疗经常发生的肩膀脱

Jun Wang¹, Danlei Huang¹, Zhiyang Ye¹

¹Department of Orthopedics, Chenggong Hospital of Xiamen University (the 73th Group Military Hospital of People's Libera-tion Army), Xiamen, Fujian, China.

Technology and health care : official journal of the European Society for Engineering and Medicine

|February 20, 2025

概括

关节镜子下肩膀增强有效地恢复了患有状腺缺陷的患者的肩膀稳定性. 与班卡特修复相比,双肩转位技术的长头在保持外部旋转方面表现出更好的结果.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
肩部关节镜检查肩部关节镜检查

背景情况:

反复发生的前肩部脱是普遍存在的问题,通常是由于特定的关节运动造成的.
这项研究侧重于患有显著的头皮状腺缺陷 (13.5-20%) 的患者.

研究的目的:

为了评估动脉镜子下肩膀增大,使用双肩肌的长头来评估肩膀的稳定性.
为了比较这种技术与关节镜Bankart修复在患有状腺缺陷的患者.

主要方法:

对50名患有复发性前肩部脱位的患者进行了回顾性分析.
两组:A组 (班卡特修复+ subscapularis增大),B组 (双肩长头转移+ subscapularis增大). 两组分别是小组A和小组B.
随访时间超过1年,评估视觉模拟尺度,罗伊和Constant-Murley分数.

主要成果:

在1年的随访期间,在两组中都没有观察到任何复发性脱位.
手术后,疼痛评分和功能结果的显著改善.
与A组相比,B组的外部旋转损失明显较小.

结论:

通过长头双肩转移进行关节镜子下肩膀增大,有效地恢复前肩膀稳定性,在中度状腺缺陷的患者中.
与传统的Bankart维修相比,这种技术可以更好地保护外部旋转.

关键词:

关节镜检查 (arthroscopy) 是一种关节镜检查.双肩长肌的长骨缺陷是一种骨缺陷.经常发生的肩部脱.头皮甲状腺缺陷头皮甲状腺缺陷在 subscapularis 肌肉中.

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