关节镜治疗肩关节前脱位的术式选择

发布时间：2018-05-09 23:05

本文选题：肩关节前脱位 + 关节镜　；参考：《中国矫形外科杂志》2017年22期

【摘要】：[目的]探讨分析关节镜治疗肩关节前脱位的术式选择。[方法]收集本院2015年1月~2017年2月收治的12例肩关节前脱位合并Bankart损伤、Hill-Sachs损伤的病例,参照肩关节"肩胛盂轨迹"(On Track/Off Track)概念的术式推荐选择合适的手术方式行关节镜手术治疗患者的临床资料,进行回顾性分析。[结果]所有患者获得5~31个月随访,平均(17.17±8.92)个月。Rowe评分由术前的平均(32.92±7.75)分提高为末次随访时的(89.42±4.44)分,末次随访Rowe评分显著高于术前,差异有统计学意义(t=-19.546,P0.001)。ASES评分由术前的(72.42±5.99)分提高至末次随访时的(91.50±4.12)分。末次随访ASES评分显著高于术前,差异有统计学意义(t=-12.597,P0.001)。所有随访患者均无肩关节前脱位复发,恐惧试验全部阴性,术后患者均恢复日常生活、工作及学习。[结论]参照"肩胛盂轨迹"概念进行肩关节前脱位术前评估,分析肩胛盂及肱骨头后外侧骨性缺损大小,通过获得有效的数据,推荐合适的手术方式,取得良好效果。
[Abstract]:[objective] to explore the choice of arthroscopic treatment for anterior dislocation of shoulder. [methods] from January 2015 to February 2017, 12 cases of anterior dislocation of shoulder with Bankart injury and Hill-Sachs injury were collected. According to the concept of "scapular glenoid track" on Track/Off track, the clinical data of patients undergoing arthroscopic surgery were analyzed retrospectively. [results] all the patients were followed up for 5 to 31 months. The average score was 17.17 卤8.92 months. The Rowe score increased from 32.92 卤7.75 to 89.42 卤4.44 at the last follow-up. The Rowe score of the last follow-up was significantly higher than that of the preoperative. The difference was statistically significant from the preoperative score of 72.42 卤5.99 to the score of 91.50 卤4.12 at the last follow-up. The ASES score at the last follow-up was significantly higher than that before operation, and the difference was statistically significant (P 0.001). All the patients had no recurrence of anterior dislocation of shoulder and negative fear test. All patients recovered from daily life, work and study after operation. [conclusion] according to the concept of "scapular glenoid locus", the preoperative evaluation of anterior dislocation of shoulder joint was carried out, and the size of scapular glenoid and posterolateral bone defect of humerus head was analyzed.
【作者单位】：贵阳市第四人民医院骨科;
【分类号】：R687.4

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