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[1]姚五平,李玉吉,吳錦秋,等.關(guān)節(jié)鏡下Bankart損傷修復(fù)術(shù)聯(lián)合Remplissage術(shù)治療合并Hill-Sachs損傷的復(fù)發(fā)性肩關(guān)節(jié)前脫位[J].中醫(yī)正骨,2021,33(02):72-74.
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關(guān)節(jié)鏡下Bankart損傷修復(fù)術(shù)聯(lián)合Remplissage術(shù)治療合并Hill-Sachs損傷的復(fù)發(fā)性肩關(guān)節(jié)前脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年02期
頁(yè)碼:
72-74
欄目:
臨床報(bào)道
出版日期:
2021-02-20

文章信息/Info

作者:
姚五平李玉吉吳錦秋趙振文袁凌偉劉學(xué)睿
(甘肅省中醫(yī)院,甘肅 蘭州 730050)
關(guān)鍵詞:
肩脫位 關(guān)節(jié)鏡檢查 Bankart損傷修復(fù)術(shù) Hill-Sachs損傷 Remplissage術(shù)
摘要:
目的:觀察關(guān)節(jié)鏡下Bankart損傷修復(fù)術(shù)聯(lián)合Remplissage術(shù)治療合并Hill-Sachs損傷的復(fù)發(fā)性肩關(guān)節(jié)前脫位的臨床療效。方法:2015年4月至2018年4月,采用關(guān)節(jié)鏡下Bankart損傷修復(fù)術(shù)聯(lián)合Remplissage術(shù)治療復(fù)發(fā)性肩關(guān)節(jié)前脫位患者18例。男13例,女5例。年齡18~43歲,中位數(shù)31歲。均合并Hill-Sachs損傷,骨缺損體積均小于肱骨頭體積的20%。合并肩胛骨關(guān)節(jié)盂骨缺損14例,骨缺損直徑均小于關(guān)節(jié)盂直徑的20%; 合并肱二頭肌肌腱炎4例、上盂唇損傷3例; 均不合并盂肱韌帶肱骨側(cè)撕脫損傷、肱骨大小結(jié)節(jié)骨折及肩袖損傷。采用美國(guó)肩肘關(guān)節(jié)外科醫(yī)師協(xié)會(huì)(American Shoulder and Elbow Surgeons,ASES)評(píng)分標(biāo)準(zhǔn)、美國(guó)加州大學(xué)洛杉磯分校(the University of California at Los Angeles,UCLA)肩關(guān)節(jié)評(píng)分標(biāo)準(zhǔn)評(píng)價(jià)臨床療效,記錄手術(shù)前后肩關(guān)節(jié)屈曲活動(dòng)度、外旋活動(dòng)度。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間12~17個(gè)月,中位數(shù)15個(gè)月。ASES評(píng)分,術(shù)前(84.4±4.7)分,術(shù)后12個(gè)月(97.4±6.3)分; UCLA評(píng)分,術(shù)前(21.8±4.4)分,術(shù)后12個(gè)月(28.9±3.1)分; 肩關(guān)節(jié)屈曲活動(dòng)度,術(shù)前168.1°±2.7°,術(shù)后167.8°±2.9°; 外旋活動(dòng)度,術(shù)前71.0°±9.4°,術(shù)后72.7°±8.7°。末次隨訪時(shí),所有患者均未發(fā)生肩關(guān)節(jié)再脫位。結(jié)論:關(guān)節(jié)鏡下Bankart損傷修復(fù)術(shù)聯(lián)合Remplissage術(shù)治療合并Hill-Sachs損傷的復(fù)發(fā)性肩關(guān)節(jié)前脫位,有利于改善肩關(guān)節(jié)功能、維持肩關(guān)節(jié)正常活動(dòng),避免肩關(guān)節(jié)再脫位。

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更新日期/Last Update: 2021-02-20