肩关节外科领域的发展与现状

Current development of shoulder surgery

肩关节外科作为骨科学的一个分支,在国外发达国家发展迅速,但国内至今尚未形成一个成熟的体系,只有少数大医院成立了独立的肩关节外科专科。关节镜技术的发展完善及人工肱骨头置换的应用,使肩关节外科的治疗手段更加多元化,以往那些所谓的禁忌证逐渐都可以进行手术得到解决。本期《中华创伤骨科杂志》介绍了肩关节外科部分的治疗方法与经验,包括肩关节脱位、肩胛骨骨折、肩峰撞击征、肩关节不稳等手术治疗。在不增加患者经济负担的前提下,微创、最佳的肩关节功能恢复是医生及患者的追求与目标。

Shoulder surgery has rapidly grown into an independent branch of orthopedics in the developed countries, but not in China, for only several large-scale Chinese hospitals have set up an independent department of shoulder surgery. Advancement of arthroscopy and increasing application of displacement of artificial humeral head have enriched the treatment methods of shoulder problems so that many of the previous contradictions can be resolved through surgery. This issue of Chinese Journal of Orthopaedic Trauma（CJOT） introduces some procedures and experience of the shoulder surgery, including operative managements of shoulder dislocation, fracture of shoulder blade, acromion impingement syndrome and shoulder instability. Surgeons should achieve as much as possible minimal invasion and optimal functional recovery of the shoulder as long as they do not dramatically increase the expenses of the patients.