肩关节上盂唇前后部(superior labrum from anterior to posterior, SLAP)损伤是肩胛盂上盂唇从前至后的损伤,常常累及肱二头肌长头腱(long head of the biceps tendon, LHBT)附着处,是导致老年人肩关节疼痛和功能紊乱的重要原因...肩关节上盂唇前后部(superior labrum from anterior to posterior, SLAP)损伤是肩胛盂上盂唇从前至后的损伤,常常累及肱二头肌长头腱(long head of the biceps tendon, LHBT)附着处,是导致老年人肩关节疼痛和功能紊乱的重要原因之一,严重影响生活质量。随着肩关节疾病诊疗水平的日益提高,肩关节镜技术微创治疗SLAP损伤不断取得良好的临床效果,但对LHBT的手术处理方式存在较多争论。本研究对老年SLAP损伤患者术后结果进行归纳分析,探讨关节镜下LHBT切断术对老年SLAP损伤的有效性和安全性。展开更多
目的:观察关节镜下单纯盂唇修复与肌腱切断及固定两种手术方法治疗单纯ⅡC型上盂唇前后(superior labrum from anterior to posterior,SLAP)损伤早期疗效。方法:回顾性分析关节镜下确诊为单纯ⅡC型SLAP损伤的中年患者22例,且所有患者均...目的:观察关节镜下单纯盂唇修复与肌腱切断及固定两种手术方法治疗单纯ⅡC型上盂唇前后(superior labrum from anterior to posterior,SLAP)损伤早期疗效。方法:回顾性分析关节镜下确诊为单纯ⅡC型SLAP损伤的中年患者22例,且所有患者均为单侧损伤,按照不同的手术方式将其分为两组:设盂唇单纯修复术组为对照组(n=11);肌腱切断及固定组为观察组(n=11)。观察记录两组患者术后6、12个月肩关节的加州大学洛杉矶分校(University of California at Los Angeles,UCLA)评分和美国肩肘外科医师(American Shoulder and Elbow Surgeons Scale,ASES)评分。结果:观察组术后6个月及12个月肩关节UCLA功能评分与ASES评分,均高于对照组,差异有统计学意义(P<0.05)。结论:对于中年单纯ⅡC型SLAP损伤,肌腱固定组术后早期肩关节功能恢复优于单纯盂唇修复组。展开更多
肩胛盂缘上唇前后位损伤(superior labrum anterior and posterior,SLAP)是指肩胛盂缘上唇自前向后的撕脱,常常累及肱二头肌长头腱附着处,是导致患者慢性肩痛和肩部不稳定的常见原因。随着对肩部疾病的不断研究,SLAP损伤也逐渐被学者们...肩胛盂缘上唇前后位损伤(superior labrum anterior and posterior,SLAP)是指肩胛盂缘上唇自前向后的撕脱,常常累及肱二头肌长头腱附着处,是导致患者慢性肩痛和肩部不稳定的常见原因。随着对肩部疾病的不断研究,SLAP损伤也逐渐被学者们所重视。但是由于其损伤机制复杂,治疗方法多样,加之系统资料的缺乏,故至今仍然是骨科领域一大难题。本文通过总结与探讨国内外现有文献,对SLAP病变的损伤机制和治疗的研究进展进行评述。展开更多
One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulderpain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation...One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulderpain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial,involving physiologic shoulder remodeling,posterior capsular contracture,and scapular dyskinesis. Throwers with internal impingement may complain of shoulder stiffness or the need for a prolonged warm-up,decline in performance,or posterior shoulder pain. On physical examination,patients will demonstrate limited internal rotation and posterior shoulder pain with a posterior impingement test. Common imaging findings include the classic "Bennett lesion" on radiographs,as well as articular-sided partial rotator cuff tears and concomitant SLAP lesions. Mainstays of treatment include intense non-operative management focusing on rest and stretching protocols focusing on the posterior capsule. Operative management is variable depending on the exact pathology,but largely consists of rotator cuff debridement. Outcomes of operative treatment have been mixed,therefore intense non-operative treatment should remain the focus of treatment.展开更多
文摘肩关节上盂唇前后部(superior labrum from anterior to posterior, SLAP)损伤是肩胛盂上盂唇从前至后的损伤,常常累及肱二头肌长头腱(long head of the biceps tendon, LHBT)附着处,是导致老年人肩关节疼痛和功能紊乱的重要原因之一,严重影响生活质量。随着肩关节疾病诊疗水平的日益提高,肩关节镜技术微创治疗SLAP损伤不断取得良好的临床效果,但对LHBT的手术处理方式存在较多争论。本研究对老年SLAP损伤患者术后结果进行归纳分析,探讨关节镜下LHBT切断术对老年SLAP损伤的有效性和安全性。
文摘目的:观察关节镜下单纯盂唇修复与肌腱切断及固定两种手术方法治疗单纯ⅡC型上盂唇前后(superior labrum from anterior to posterior,SLAP)损伤早期疗效。方法:回顾性分析关节镜下确诊为单纯ⅡC型SLAP损伤的中年患者22例,且所有患者均为单侧损伤,按照不同的手术方式将其分为两组:设盂唇单纯修复术组为对照组(n=11);肌腱切断及固定组为观察组(n=11)。观察记录两组患者术后6、12个月肩关节的加州大学洛杉矶分校(University of California at Los Angeles,UCLA)评分和美国肩肘外科医师(American Shoulder and Elbow Surgeons Scale,ASES)评分。结果:观察组术后6个月及12个月肩关节UCLA功能评分与ASES评分,均高于对照组,差异有统计学意义(P<0.05)。结论:对于中年单纯ⅡC型SLAP损伤,肌腱固定组术后早期肩关节功能恢复优于单纯盂唇修复组。
文摘肩胛盂缘上唇前后位损伤(superior labrum anterior and posterior,SLAP)是指肩胛盂缘上唇自前向后的撕脱,常常累及肱二头肌长头腱附着处,是导致患者慢性肩痛和肩部不稳定的常见原因。随着对肩部疾病的不断研究,SLAP损伤也逐渐被学者们所重视。但是由于其损伤机制复杂,治疗方法多样,加之系统资料的缺乏,故至今仍然是骨科领域一大难题。本文通过总结与探讨国内外现有文献,对SLAP病变的损伤机制和治疗的研究进展进行评述。
文摘One of the most common pathologic processes seen in overhead throwing athletes is posterior shoulderpain resulting from internal impingement. "Internal impingement" is a term used to describe a constellation of symptoms which result from the greater tuberosity of the humerus and the articular surface of the rotator cuff abutting the posterosuperior glenoid when the shoulder is in an abducted and externally rotated position. The pathophysiology in symptomatic internal impingement is multifactorial,involving physiologic shoulder remodeling,posterior capsular contracture,and scapular dyskinesis. Throwers with internal impingement may complain of shoulder stiffness or the need for a prolonged warm-up,decline in performance,or posterior shoulder pain. On physical examination,patients will demonstrate limited internal rotation and posterior shoulder pain with a posterior impingement test. Common imaging findings include the classic "Bennett lesion" on radiographs,as well as articular-sided partial rotator cuff tears and concomitant SLAP lesions. Mainstays of treatment include intense non-operative management focusing on rest and stretching protocols focusing on the posterior capsule. Operative management is variable depending on the exact pathology,but largely consists of rotator cuff debridement. Outcomes of operative treatment have been mixed,therefore intense non-operative treatment should remain the focus of treatment.