临床外科杂志 ›› 2018, Vol. 26 ›› Issue (10): 787-788.doi: 10.3969/j.issn.10056483.2018.10.021

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肩胛下肌损伤的关节镜下治疗

  

  1. 430000  武汉市第一医院骨关节科
  • 出版日期:2018-10-20 发布日期:2018-10-20

Arthroscopic treatment of the injury of the subscapularis

  1. Department of Orthopedics,Wuhan No.1 Hospital,Wuhan 430000,China
  • Online:2018-10-20 Published:2018-10-20

摘要:   目的  分析肩胛下肌损伤的关节镜下治疗的疗效。方法  肩胛下肌损伤的关节镜手术治疗患者24例。术中肩胛下肌足印区植入带线铆钉,单排缝合肩胛下肌。术前、术后采用UCLA评分和ASES评分评价肩关节功能康复情况。结果  随访时间9~18个月,平均(11±5.1)个月。术前UCLA评分(14.8±3.2)分,末次随访UCLA评分(32.3±2.0)分; 术前ASES评分(56.7±8.8)%,末次随访ASES评分(88.1±7.5)%。优8例、良14例、差2例,优良率为91.67%。结论  肩胛下肌损伤,尤其是部分损伤,关节镜手术可以提高诊断准确率,且创伤小、功能恢复快。

Abstract:   Objective    To evaluate the treatment and the clinical effect of arthroscopic tratment of the injury of the subscapularis.  Methods  A retrospective analysis of subscapularis injury patients who had arthroscopic surgery.Rivet with wire was implanted in the foot of the subscapularis and using single row suturing during operation.Before and after operation with UCLA score and ASES score evaluation of shoulder function recovery.  Results  The followup time of 9 months to 18 months,an average of(11±5.1)months.Preoperative UCLA score(14.8±3.2)points,the last followup UCLA score(32.3±2.0),preoperative ASES score(56.7±8.8)%,the last followup ASES score(88.1±7.5)%.8 cases of excellent,good in 14 cases and poor in 2 cases,the excellent rate was 91.67%.   Conclusion   The injury of the subscapularis,especially in the partial ones,the arthroscopic surgery can improve the accuracy of diagnosis,and the trauma is small and the function is quickly restored.

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