关节镜下Bankart修复治疗训练伤所致慢性肩关节前方不稳

Arthroscopic Bankart repair for treatment of chronic anterior shoulder instability caused by military training injury

目的观察关节镜下Bankart修复治疗训练伤所致慢性肩关节前方不稳的临床疗效。方法选择21例肩关节前方不稳的患者，关节镜下锚钉修复盂唇损伤，同时修复合并出现的上盂唇前后（SLAP）损伤，较大的Hill-sachs损伤。采用UCLA功能评分标准和SST评分进行疗效的评估，记录术前和终末随访的得分。结果术后患者随访12—45个月，平均随访27个月。SST得分术前为（6．72±2．38）分，术后终末随访评分为（11．24±1．46）分，同术前比较差异有统计学意义（P〈0．01）。术前UCLA平均得分为（19．55±5．02）分，术后终末随访评分为（33．19±4．61）分，与术前比较差异有统计学意义（P〈0．01）。结论关节镜下Bankart修复治疗训练伤所致肩关节前方不稳疗效满意，可以很好恢复肩关节功能。

Objective To observe clinical effect of arthroscopic Bankart repair for the treatment of chronic anterior shoulder insta- bility caused by military training injury. Methods Twenty-one consecutive patients with chronic anterior instability of shoulder caused by military training injury were treated by arthroseopie Bankart repair. The combined lesions such as superior labrum anterior to posterior （SLAP） lesion and large Hill-sachs lesion were also repaired. The patients were assessed with two different outcome measurement tools, i.e. the University of California at Los Angeles （ UCLA ） shoulder rating scale and the Simple Shoulder Test （SST） score. Results The patients were reviewed at an average postoperative follow-up of 27 （12 -45 ） months. The mean SST score was improved from（6.72 ± 2.38） preoperatively to （ 11.24 ± 1.46） at final follow-up （ P 〈 0.01 ）. The data from the UCLA scale showed a pre-and a post-operative mean of （19.55 ± 5.02） and （33.19 ±4.61 ） , respectively （P 〈 0.01 ）. Conclusion Arthroscopic Bankart repair is a reliable treatment method to chronic anterior shoulder instability caused by military training injury, with a good postoperative recovery of shoulder function.