关节镜下肩袖肱骨止点内移治疗巨大肩袖撕裂的临床疗效研究

Clinical effect research of rotator cuff humeral ending shift under arthroscopy for massive rotator cuff tear

目的 分析关节镜下肩袖肱骨止点内移治疗巨大肩袖撕裂的临床疗效.方法 回顾性分析2016年5月至2017年5月20例采用肩关节镜下肩袖肱骨止点内移治疗的巨大肩袖撕裂患者的临床资料.结果 20例患者均随访6个月以上.术前18例患者有明显疼痛,视觉模拟量表（VAS）评分均为差;术后6个月患者VAS评分优12例,良4例,可2例.术前患者美国加利福尼亚大学洛杉矶分校（UCLA）评分均为差;术后6个月患者UCLA评分优4例,良13例,可3例.结论 关节镜下肩袖肱骨止点内移治疗巨大肩袖撕裂可以取得较好的短期疗效,疼痛明显缓解,功能明显恢复.

Objective To analyze the clinical effect of rotator cuff humeral ending shift under arthroscopy for massive rotator cuff tear. Methods The clinical data of 20 patients with massive rotator cuff tear from May 2016 to May 2017 were retrospectively analyzed, and the patients were treated with rotator cuff humeral ending shift under arthroscopy. Results All the patients were followed up for more than 6 months. Before operation, 18 patients had obvious pain and the visual analogue scale （VAS） score was poor; 6 months after operation, VAS score was excellent in 12 cases, good in 4 cases and fair in 2 cases. Before operation, the University of California at Los Angeles （UCLA） score of all patients was poor;6 months after operation, UCLA score was excellent in 4 cases, good in 13 cases and fair in 3 cases. Conclusions Rotator cuff humeral ending shift under arthroscopy in treatment of massive rotator cuff tear can obtain good short-term effect, pain relief and functional recovery.