巨大肩袖撕裂治疗现状

发布时间：2018-02-02 10:38

本文关键词： 巨大肩袖撕裂腱-骨愈合肩关节镜　出处：《中国矫形外科杂志》2017年20期 　论文类型：期刊论文

【摘要】：巨大肩袖撕裂是目前骨科疾病难点之一,对于其最佳治疗方式目前仍缺乏统一认识。治疗方式主要有药物治疗、物理治疗、康复治疗以及手术治疗等。对于可修复性巨大肩袖撕裂可尝试通过开放手术、关节镜辅助小切口治疗或全关节镜治疗,对于不可修复性撕裂可通过部分修复、肌腱移位、重建上方关节囊、补片增强、关节置换甚至关节融合等方式进行治疗。随着对肩袖撕裂的病因、损伤机制以及肩关节解剖力学等理解的逐步深入,同时得益于肩关节镜手术技术和关节镜器械的飞速发展,开发利用成体干细胞、富血小板血浆、新型修复补片材料等以降低手术失败率、术后再撕裂率以及关节僵硬等并发症,逐渐成为了目前研究的热点和重点。本文旨在对巨大肩袖撕裂治疗现状和最新研究进展进行综述,并探讨未来治疗研究趋势。
[Abstract]:Giant rotator cuff tear is one of the difficult points in orthopedic diseases at present. There is still a lack of a unified understanding of the best treatment methods. The main treatment methods are drug therapy and physical therapy. For repairable giant rotator cuff tears, open surgery, arthroscopic assisted small incision treatment or total arthroscopic treatment, and partial repair of irreparable tears can be achieved. Tendon transfer, reconstruction of the upper articular capsule, patch enhancement, joint replacement and even joint fusion, etc., as the etiology of rotator cuff tear, the mechanism of injury and the anatomical mechanics of shoulder joint, etc. At the same time, with the rapid development of shoulder arthroscopic surgery technology and arthroscopic instruments, the use of adult stem cells, platelet-rich plasma, new repair patch materials to reduce the failure rate of surgery. Complications such as postoperative retear rate and joint stiffness have gradually become the focus of research. This article aims to review the current situation and the latest research progress in the treatment of giant rotator cuff tear. The future research trend of treatment was also discussed.
【作者单位】：江苏省淮安市淮阴医院骨科;上海交通大学附属第一人民医院骨科;
【分类号】：R686
【正文快照】： 肩袖撕裂(rotater cuff tears,RCT)是指由肩关节慢性病变或外伤导致的以肩关节持续疼痛和活动功能受限为主要临床表现的一类疾病,其中撕裂的部位和大小是影响治疗及预后最重要的因素[1]。随着对肩袖撕裂的病因、损伤机制以及肩关节解剖力学理解的深入以及肩关节镜器械的飞速发

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