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关节镜下Bankart修复术治疗训练伤所致复发性肩关节前脱位的临床疗效

苏巍 庞伟峰 齐峰 牛志燕 蔺金斗 宫丽娜

武警医学2024,Vol.35Issue(1):48-52,5.
武警医学2024,Vol.35Issue(1):48-52,5.

关节镜下Bankart修复术治疗训练伤所致复发性肩关节前脱位的临床疗效

Arthroscopic Bankart repair in treatment of recurrent anterior shoulder instability caused by training injury

苏巍 1庞伟峰 1齐峰 1牛志燕 2蔺金斗 3宫丽娜4

作者信息

  • 1. 030006 太原,武警山西总队医院:外一科
  • 2. 030006 太原,武警山西总队医院:内二科
  • 3. 030006 太原,武警山西总队医院:信息科
  • 4. 10039 北京,解放军总医院第三医学中心医疗风险管理科
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of arthroscopic Bankart repair in the treatment of recurrent anterior shoul-der instability caused by training injury.Methods From January 2017 to June 2022,46 patients(49 shoulders)with recurrent anterior shoulder instability caused by training injury were selected for arthroscopy Bankart repair.The function of shoulder joint was evaluated by the American Shoulder and Elbow Surgeons scores(ASES),Rowe scores,forward elevation,abduction and external rotation.The joint function scores,the shoulder range of motion,the incidence of anchor detachment and the incidence of postoperative joint re-dislo-cation were compared before and after surgery.Results The ASES scores after operation(87.3±5.7)was significantly different from that before operation(52.2±9.5)(P<0.05).The Rowe scores after operation(95.2±4.9)was significantly different from that before operation(46.6±6.4)(P<0.05).The incidence of anchor detachment was 4.1%(2/49),and the recurrence rate of anterior instabili-ty of the shoulder joint was 6.1%(3/49).Compared with the pre-operation,no significant change was found regarding forward eleva-tion(168.7°±2.4°),abduction or external rotation(72.8°±3.3°).Conclusions Arthroscopic Bankart repair surgery in the treat-ment of shoulder joint anterior instability caused by military training injuries has the advantages of minimal trauma and low recurrence rate,which can effectively improve shoulder joint function.

关键词

肩关节前向不稳/Bankart损伤/关节镜/训练伤

Key words

anterior shoulder instability/Bankart injury/arthroscopy/training injury

分类

医药卫生

引用本文复制引用

苏巍,庞伟峰,齐峰,牛志燕,蔺金斗,宫丽娜..关节镜下Bankart修复术治疗训练伤所致复发性肩关节前脱位的临床疗效[J].武警医学,2024,35(1):48-52,5.

武警医学

OACSTPCD

1004-3594

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