巨大肩袖损伤的临床治疗新进展  

Recent advances on diagnosis and treatment of massive rotator cuff tears

作　　者：徐晖 姜熙平 胡庆翔[1] 何耀华 XU Hui;JIANG Xiping;HU Qingxiang;HE Yaohua(Department of Orthopaedics,Shanghai Sixth Peoples Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200235,China;Department of Orthopaedics,Jinshan District Central Hospital Affiliated to Shanghai University of Medicine&Health Sciences,Shanghai 201500,China)

机构地区：[1]上海交通大学医学院附属上海市第六人民医院骨科,上海200235 [2]上海健康医学院附属金山区中心医院骨科,上海201500

出　　处：《外科研究与新技术》2024年第1期1-6,F0002,共7页Surgical Research and New Technique

基　　金：国家自然科学基金面上项目(82372441);上海市金山区院士专家工作站平台项目(jszjz2020007Y)。

摘　　要：肩袖损伤是肩部常见疾病,尤其在运动员和中老年人中更为普遍。随着人口老龄化趋势加快,肩袖损伤患者数量呈增长态势。对于巨大肩袖损伤,其手术后再次撕裂的风险较高,预后较差,这对临床而言是一项重要挑战。近年来,针对巨大肩袖损伤的手术技术不断创新,包括上关节囊重建术、肩峰下球囊技术、肌腱转位术和反向肩关节置换术等。本文总结了巨大肩袖损伤对肩关节生物力学的影响,并关注了最新的治疗进展,以期为临床治疗提供新的参考依据。Rotator cuff tear is a common shoulder disease,especially among athletes and middle-aged and elderly individuals.With the accelerating trend of aging population,the number of patients with rotator cuff tears is increasing.For massive rotator cuff tears,there is a high risk of re-tear after surgery and poor prognosis,which poses a significant clinical challenge.In recent years,surgical techniques for massive rotator cuff tears have continued to innovate,including superior capsule reconstruction,subacromial balloon spacer implantation,tendon transfer,and reverse shoulder arthroplasty.This article summarized the biomechanical effects of massive rotator cuff tears on the shoulder joint and focused on the latest treatment advancements,aiming to provide new reference for clinical treatment.

关 键 词：巨大肩袖损伤 上关节囊重建术 肩峰下球囊技术 肌腱转位术 反向肩关节置换术 

分 类 号：R-522[医药卫生]