镜下盂唇修复二头肌腱转位治疗盂部分缺损
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遵义医科大学附属医院

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Arthroscopic Bankart repair combined with Biceps transfer for the treatment of partial glenoid bone defect
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The Affiliated Hospital of Zunyi Medical University

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    摘要:

    目的:探讨关节镜下Bankart修复联合长头肌腱转位治疗合并部分肩胛盂骨缺损的复发性肩关节前向不稳定的方法及疗效。方法:2016年9月至2018年1月,对于收治的14例伴有部分肩胛盂骨缺损的复发性肩关节前脱位患者,其中男10例、女4例,年龄24~47岁,平均30.2岁,患者有肩关节不稳症状和反复脱位病史,采用关节镜下Bankart修复联合肱二头肌腱转位进行治疗。结果:手术切口均愈合良好,12例患者均获随访,随访时间12~28个月,平均21个月,末次随访肩关节恐惧试验、前抽屉试验均为阴性,肩关节无再脱位病史,肩关节ASES 评分和Rowe 评分均优于术前(P<0.05)。结论:关节镜下Bankart修复联合肱二头肌腱转位术,可以有效增强肩关节前方的稳定性,是治疗伴有部分肩胛盂骨缺损的复发性肩关节脱位有效的方法。

    Abstract:

    Objective: To investigate the methods and efficacy of arthroscopic Bankart repair combined with the Biceps transfer for the treatment of recurrent anterior shoulder instability with partial glenoid bone defect. Methods: From September 2016 to January 2018, 14 patients with recurrent anterior shoulder instability with partial glenoid bone defects underwent Bankart repair combined with the Biceps transfer. There were 10 males and 4 females with a mean age of 30.2 years (rang 24-47 years), Shoulder instability and a history of recurrent dislocation existed in all patients. Results: Surgical incision healed well. 12 patients were followed for 12 to 28 months, with an average of 21 months. At the last follow-up, the shoulder apprehension test and anterior drawer test were negative.The shoulder had no dislocation occurred, and ASES score and Rowe score were better than preoperative one (P<0.05).Conclusion:Arthroscopic Bankart repair combined with the Biceps transfer can effectively enhance the stability of the shoulder. It is an effective method for the treatment of recurrent anterior shoulder instability with partial glenoid bone defects.

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  • 收稿日期:2021-04-27
  • 最后修改日期:2021-09-24
  • 录用日期:2021-10-14
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