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盂肱下韧带联合关节囊修复前下方盂唇完全缺失的临床应用

丁国成 张敏 刘欣伟 刘松波 王宇 刘铭 项良碧

局解手术学杂志2018,Vol.27Issue(2):124-127,4.
局解手术学杂志2018,Vol.27Issue(2):124-127,4.DOI:10.11659/jjssx.10E017071

盂肱下韧带联合关节囊修复前下方盂唇完全缺失的临床应用

Clinical application of glenohumeral ligament combined with articular capsule in the repair of anterior and infe-rior labrum complete defect

丁国成 1张敏 2刘欣伟 3刘松波 3王宇 3刘铭 3项良碧3

作者信息

  • 1. 大连医科大学研究生院,辽宁 大连116044
  • 2. 沈阳军区总医院麻醉科,辽宁沈阳110016
  • 3. 沈阳军区总医院骨科,全军重症战创伤救治中心,辽宁沈阳110016
  • 折叠

摘要

Abstract

Objective To investigate the method and effect of arthroscopic repair of recurrent anterior shoulder dislocation caused by anterior and inferior labrum complete defect.Methods Retrospective analyzed the clinical data of 23 patients with anterior and inferior la-brum complete defect who were admitted into hospital from June 2014 to October 2016 and recieved arthroscopic repair opreation with gleno-humeral ligament combined with articular capsule.Intraoperative arthroscopy was used to suture the lower glenohumeral ligament and articular capsule at the missing part of the glenoid labrum.The Rowe score,ASES score and UCLA score were compared before and after operation. Results There was no postoperative complications such as dislocation or infection occurred.All the 23 cases were followed up for 12~42 months,with an average of(19.6 ±3.4)months.The average lost angle of shoulder external rotation was(17.3 ±3.9)°.And the postopera-tive Rowe score,ASES score and UCLA score were significantly better than those before operation.Conclusion Arthroscopic repair opreation with glenohumeral ligament combined with articular capsule can effectively restore the stability of front shoulder joint,and it can be a good method for the treatment of recurrent anterior shoulder dislocation caused by anterior and inferior labrum complete defect.

关键词

关节镜/盂肱韧带/关节囊/肩关节脱位/盂唇缺失

Key words

arthroscopy/glenohumeral ligament/articular capsule/dislocation of shoulder/absence of glenoid labrum

分类

医药卫生

引用本文复制引用

丁国成,张敏,刘欣伟,刘松波,王宇,刘铭,项良碧..盂肱下韧带联合关节囊修复前下方盂唇完全缺失的临床应用[J].局解手术学杂志,2018,27(2):124-127,4.

基金项目

辽宁省自然科学基金(20170540959) (20170540959)

局解手术学杂志

OACSTPCD

1672-5042

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