军事医学2017，Vol.41Issue(2)：111-113,145,4.DOI:10.7644/j.issn.1674-9960.2017.02.007
关节镜下Bankart联合SLAP损伤修复治疗复发性肩关节脱位的临床效果
Clinical results of arthroscopic repair of combined Bankart and SLAP lesions for recurrent shoulder dislocations
蒋长亮 1黄迅悟 1关长勇 1孙继桐 1吕岩磊 2谢聪钦 1齐帜3
作者信息
- 1. 解放军 309 医院关节外科,北京 100091
- 2. 解放军 309 医院创伤外科,北京 100091
- 3. 解放军 309 医院门诊部,北京 100091
- 折叠
摘要
Abstract
Objective To evaluate the clinical results of arthroscopic repair of combined Bankart and superior labrum anterior to posterior (SLAP)lesions in patients with recurrent shoulder dislocations.Methods Between May 2011 and January 2015,we reviewed 15 cases with combined Bankart and SLAP lesions with recurrent shoulder dislocations who underwent arthroscopic repair.Their average age during surgery was 24.2 years (ranging from 16 to 38 years).During the operation,we began by repairing the unstable SLAP lesion with absorbable suture anchors before we repaired Bankart lesion from the inferior to superior.Fifteen patients in the control group had isolated Bankart lesions without SLAP lesions and underwent arthroscopic repair.Their mean age was 24.6 years (ranging from 18 to 35 years).The preoperative and postoperative results were analyzed by Visual Analogue Scale (VAS)for pain,the range of motion,American Shoulder and Elbow Surgeon (ASES)and Rowe Shoulder Scores Systems.We compared the results with the isolated Bankart lesion. Results For patients who underwent arthroscopic repair of combined Bankart and SLAP lesions,the mean postoperative follow-up period was 15 months (ranging from 13 to 28 months),vs 22 months (ranging from 21 to 34 months)in the control group.VAS for pain was decreased from preoperative 4.9 to postoperative 1.9 (P <0.05).Mean ASES and Rowe Shoulder Scores were improved from preoperative 56.4 and 33.7 to postoperative 91.8 and 94.1,respectively (P <0.05). Recurrent dislocation was not observed until the last follow-up and anterior instability in two groups was not noted during the physical examination.Compared with the isolated Bankart lesion group,no statistical significance was found in the ASES score,Rowe Shoulder Score,or VAS for pain (P >0.05 ).Anterior flexion,abduction,and internal rotation of the affected shoulder during the last follow-up were normal after surgery.Conclusion For recurrent dislocation of the shoulder with combined Bankart and SLAP lesion,arthroscopic repair using absorbable suture anchors can achieve favorable clinical results.It can effectively restore shoulder function.关键词
肩关节/关节镜/修复/Bankart联合关节盂上唇从前至后部损伤Key words
shoulder joint/arthroscopy/repair/combined Bankart and SLAP iesion分类
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蒋长亮,黄迅悟,关长勇,孙继桐,吕岩磊,谢聪钦,齐帜..关节镜下Bankart联合SLAP损伤修复治疗复发性肩关节脱位的临床效果[J].军事医学,2017,41(2):111-113,145,4.
