摘要
目的探讨关节镜下Bankart修复术治疗训练伤所致复发性肩关节前向不稳的临床疗效。方法选取2017-01至2022-06武警山西总队医院收治的武警官兵因训练伤所致肩关节复发性脱位Bankart损伤患者46例(49肩),行关节镜下Bankart修复术。采用美国肩肘关节外科协会(ASES)评分和Rowe评分、前屈上举角度、外展外旋角度对肩关节功能进行评价。比较患者手术前后关节功能评分、肩关节活动范围、锚钉脱出及术后肩关节不稳复发率等指标。结果术后ASES评分[(87.3±5.7)分]与术前[(52.2±9.5)分]比较,差异有统计学意义(P<0.05)。术后Rowe评分[(95.2±4.9)分]与术前[(46.6±6.4)分]比较,差异有统计学意义(P<0.05)。术后锚钉脱出发生率为4.1%(2/49),肩关节不稳复发率为6.1%(3/49),肩关节活动度:术后前屈上举(168.7°±2.4°),外展外旋(72.8°±3.3°)与术前比较差异均无统计学意义。结论肩关节镜下Bankart修复术治疗军事训练伤所致复发性肩关节前向不稳临床效果满意,创伤小,再脱位发生率低,可有效改善肩关节功能。
Objective To explore the clinical effect of arthroscopic Bankart repair in the treatment of recurrent anterior shoulder 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-dislocation 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 instability of the shoulder joint was 6.1%(3/49).Compared with the pre-operation,no significant change was found regarding forward elevation(168.7°±2.4°),abduction or external rotation(72.8°±3.3°).Conclusions Arthroscopic Bankart repair surgery in the treatment 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.
作者
苏巍
庞伟峰
齐峰
牛志燕
蔺金斗
宫丽娜
SU Wei;PANG Weifeng;QI Feng;NIU Zhiyan;LIN Jindou;GONG Lina(Department of Surgery,Shanxi Provincial Corps Hospital of Chinese People's Armed Police Force,Taiyuan 030006,China;Department of the Second Internal Medicine,Shanxi Provincial Corps Hospital of Chinese People's Armed Police Force,Taiyuan 030006,China;Department of Information,Shanxi Provincial Corps Hospital of Chinese People's Armed Police Force,Taiyuan 030006,China;Medical Risk Management Department,the Third Medical Center of PLA General Hospital,Beijing 100039,China)
出处
《武警医学》
CAS
2024年第1期48-52,共5页
Medical Journal of the Chinese People's Armed Police Force
