摘要
目的采用改良加强肩关节前壁术式治疗肩关节习惯性脱位,并评价其治疗效果。方法通过手术将切断的肩胛下肌及肩关节囊同时外移,以加强肩关节囊前壁,治疗肩关节习惯性脱位,并对肩关节功能和脱位复发情况进行随访。结果全部病例均取得满意疗效,肩关节术后功能恢复优良率80%,无脱位复发,无明显并发症出现。结论联合前壁加强术式治疗肩关节习惯性脱位具有手术方法简单、效果可靠的优点,对关节功能无明显影响,是治疗肩关节习惯性脱位的有效方法。
Objective To study and evaluate the therapeutic effect of surgery on recurrent shoulder dislocation by amending and strengthening the anterior wall of shoulder. Methods In order to strengthen the anterior wall of shoulder joint, the subscapularis muscle and capsule of shoulder joint were moved outside by surgical in 10 patients with recurrent shoulder dislocations（anterior- inferior dislocations）. The functional recoveries and recrudescence of dislocation were followed up for 1 to 5 years. Results The therapeutic effects were satisfactory. The rate of marked functional recovery of shoulder after surgery was 80% and no recrudescence of dislocation or obviousl complications occurred. Conclusions The method of amending and strengthening anterior wall of shoulder joint is simple, reliable, and does not affect joint functions. it is efficacious for treating the recurrent shoulder dislocation.
出处
《武警医学》
CAS
2008年第1期34-36,共3页
Medical Journal of the Chinese People's Armed Police Force
关键词
肩关节
习惯性脱位
手术
Shoulder joint Recurrent dislocation Surgery
