面对巨大不可修复肩袖撕裂,我们能做些什么

Options for irreparable rotator cuff tears

不可修复肩袖撕裂可导致肩痛和肩功能丧失,手术治疗该类患者具有挑战性。已有多种治疗方法被提出,如清创、大结节成型、部分肩袖修复、"补片增强"修补技术、肌腱转位、上关节囊重建、肩胛上神经射频消融/切除、间隔器和反肩置换等。这些治疗方法仍处于争议中,本综述的目的是总结这些方法及其治疗结果,明确手术实质是恢复稳定盂肱关节旋转中心,选择手术方法需个性化。

Irreparable rotator cuff tear can result in pain and should disfunction,and the management of patient with it remains a challenge. A variety of treatment options have been proposed,such as debridement,tuberplasty,partial rotator cuff repair,patch augmented rotator cuff repair,tendon transfers,superior capsule reconstruction,suprascapular nerve ablation or kill,inpace and reverse shoulder arthroplasty.These procedures are still widely debated,The aim of this review is to summarise procedures and the results,the operative essence is to restore the stable rotation center of glenohumeral joint,the choice is dictated by our special need.