联合腱悬吊治疗肩关节前脱位  

Operative Treatment of Anterior Shoul der JointDislocation with Conjoined Tcndon Suspension

作　　者：曾志军[1] 姜其为[1] 周之德[1] 

机构地区：[1]上海第二医科大学附属新华医院骨科,上海第二医科大学

出　　处：《中华骨科杂志》1995年第11期726-727,共2页Chinese Journal of Orthopaedics

摘　　要：作者采用联合腱悬吊手术方法治疗习惯性肩关节前脱位。将喙肱肌和肱二头肌短头形成的联合腱连同喙突尖在肩胛下肌下穿过再将喙突尖原位固定。自１９８７年２月～１９９２年１２月共收治３０例（３２个肩关节），经临床平均３年以上随访无１例再复发脱位，并保留良好的上臂外旋外展功能，术后所有肩关节功能评价良好。并对这种联合腱转位手术方法的生物力学机制进行临床研究分析，证实特别是在关节囊破损、松弛，转位后的联合腱对阻挡肱骨头前移作用，对盂肱关节前方稳定功能最为显著。因此，是一种较为理想的手术方法。AbstractWe appliedthe conjoined tendon suspension for op-erative treatment of anterior dislocation of shoulder jointin thirty patients,The tip of coracoid process was takendown together with the attached conjoined tendon ofcoracobrachialis and biceps brachialis,The whole seg-ment was relixed to the coracoid process proper. Thistechnique was applied to thirty patients ( 32 joints)from Feb.1987 to Dec. 1992.Follow-up study(meanduration 3 years ) revealed no recurrence with goodpreservation of shoulder joint function, Arm supinationand abduction function was satisfactory. Biomechanicsstudy showed that the tansposed conjoined tendon couldeffectively prevent the anterior movement of humerushead and was especially useful in cases with ruptured orlax joint capsules. The operative method proved to bequite ideal and applicable to most cases.

关 键 词：肩关节 关节脱位 联合腱 悬吊治疗 

分 类 号：R684.705[医药卫生—骨科学]