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关节镜辅助的后方斜背脊和Teres大转移可以缓解疼痛并改善肩部功能

Chang Hee Baek¹, Bo Taek Kim¹, Luis Alfredo Miranda²

¹Department of Orthopaedic Surgery, Yeosu Baek Hospital, Yeosu, Republic of Korea.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|September 19, 2025

概括

关节透视辅助大背脊-大背脊 (LD-TM) 转移有效地治疗后高层不可修复的旋转手套撕裂 (PSIRCTs). 该程序显著改善了没有关节关节炎的患者的肩膀功能,疼痛评分和运动范围.

科学领域:

整形外科手术整形外科手术
肩膀重建的重建肩膀重建的重建
旋转器袖口维修旋转器袖口维修

背景情况:

在肩膀外科手术中,后高位不可修复的旋转带撕裂 (PSIRCT) 是一个重大挑战.
没有腺关节炎的PSIRCTs的传统治疗选择有局限性.
拉提西木斯背大 (LD-TM) 转移是一种潜在的重建选择.

研究的目的:

评估关节镜辅助LD-TM转移对PSIRCTs的疗效.
评估没有关节关节炎的患者的功能结果和疼痛缓解.

主要方法:

在两个中心进行关节镜辅助LD-TM转移的96名患者的回顾性审查.
纳入标准:没有关节关节炎的PSIRCT,至少2年的随访.
结果措施包括视觉模拟尺度,运动范围和患者报告的得分 (SST,SSV,ADLER,ASES).

主要成果:

在所有患者报告的结果指标 (SST,SSV,ADLER,ASES) 和运动范围 (P < .001) 中观察到显著改善.
临床上有意义的改善在关键结果得分的高比例患者中实现.
并发症包括复发 (16名患者) 和转换为逆向全肩关节整形手术 (3名患者).

结论:

关节镜辅助LD-TM转移证明了PSIRCTs疼痛缓解和功能改善的显著有效性.
该程序是选择的PSIRCT患者的可行和有效的治疗选择.
进一步的研究可能会探索长期结果,并完善患者选择标准.

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