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 inferior labrum complete defect

作　　者：丁国成 张敏[2] 刘欣伟[3] 刘松波[3] 王宇[3] 刘铭[3] 项良碧[3] 

机构地区：[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

出　　处：《局解手术学杂志》2018年第2期124-127,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：辽宁省自然科学基金(20170540959)

摘　　要：目的探讨关节镜下盂肱下韧带联合关节囊加强固定修复前下方盂唇缺失致复发性肩关节前脱位的方法和疗效。方法回顾性分析沈阳军区总医院骨科2014年6月至2016年10月在关节镜下应用盂肱中下韧带联合关节囊加强固定修复前下方盂唇完全缺失的患者23例,术中采用关节镜下带线锚钉缝合盂肱下韧带及关节囊于盂唇缺失部位。比较术前及术后Rowes评分、ASES评分、UCLA评分。结果术后未出现再脱位、感染等手术相关并发症,23例病例均获随访,随访时间12~42个月,平均(19.6±3.4)个月。患者平均肩关节外旋活动角度丢失(17.3±3.9)°,术后Rowes评分、ASES评分、UCLA评分均显著优于术前。结论关节镜下盂肱下韧带联合关节囊加强固定前下方盂唇缺失部分,可有效恢复肩关节前方稳定性,是治疗因前下方盂唇完全缺失引起慢性复发性肩关节前脱位的较好方法。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 labrum complete defect who were admitted into hospital from June 2014 to October 2016 and recicved arthroscopic repair opreation with glenohumeral 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 postoperative Rowe score, ASES score and UCLA score were significantly better than those before operation. Conclusion Arthroseopic 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 

分 类 号：R816.8[医药卫生—放射医学]