肩关节镜下Double-pulley双排锚钉技术治疗IdebergⅠ型肩胛盂骨折

Double-pulley dual-row technique with shoulder arthroscopy for the treatment of Ideberg typeⅠglenoid fracture

目的:评估肩关节镜下Double-pulley双排锚钉技术治疗IdebergⅠ型肩胛盂骨折的临床疗效。方法:收集2017年7月至2019年3月收治的8例接受肩关节镜下Double-pulley双排锚钉技术治疗的IdebergⅠ型肩胛盂骨折患者,男7例,女1例;左肩5例,右肩3例;年龄22~56岁,受伤至手术时间3~10 d。术前和术后拍摄肩关节X线片和行CT检查评估骨折严重程度和骨折愈合情况。运动功能评价采用美国肩肘外科(American Shoulder and Elbow Surgeons,ASES)评分和Constant-Murley评分。结果:所有患者获得随访,时间12~24个月,骨折愈合时间3~5个月。患者均未出现手术部位感染,术后肩关节CT显示骨折复位满意,未出现移位。肩关节运动功能恢复好,术后末次随访ASES评分85~97分,均较术前提高;Constant-Murley评分83~96分,均较术前提高。结论:肩关节镜下采用Double-pulley双排锚钉技术可以有效固定IdebergⅠ型肩胛盂骨折,对软组织损伤小,关节功能恢复好。

Objective:To evaluate clinical effects of Double-pulley dual-row technique with shoulder arthroscopy in treating scapular glenoid fracture(Ideberg typeⅠ).Methods:From July 2017 to March 2019,8 patiens with scapular glenoid fracture(Ideberg typeⅠ)were treated with Double-pulley dual-row technique with shoulder arthroscopy,including 7 males and 1 female;5 cased of injuries in the left shoulder,3 cased of injuries in the right shoulder;ranging in age from 22 to 56 years old;and the time from injury to operation ranged from 3 to 10 days.X-ray and CT of shoulder joint were taken before and after operation to evaluate the fracture severity and fracture healing.American Shoulder and Elbow Surgeous(ASES)and Constant-Murley scores were used to evaluate shoulder joint function.Results:All patients were followed up,and the duration ranged from 12 to 24 months,and the fracture healing time ranged from 3 to 5 months.No operative site infection was found in all patients.CT scan of shoulder joint showed satisfactory reduction and no displacement.The shoulder joint function recovered well.ASES score at the latest follow-up after operation ranged from 85 to 97 points,which were higher than those before operation;Constant-Murley score ranged from 83 to 96 points,which were higher than those before operation.Conclusion:Double-pulley dual-row technique with shoulder arthroscopy is effective to fix scapular glenoid fracture of Ideberg typeⅠwith minimal tissue trauma and significant improvement of shoulder joint function.