不可修复肩袖撕裂的肩袖重建策略  

Strategy for reconstruction of irreparable rotator cuff tears

作　　者：李智尧 郭艾[1] Li Zhiyao;Guo Ai(Department of Orthopaedics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院骨科,北京100050

出　　处：《国际外科学杂志》2024年第3期153-159,共7页International Journal of Surgery

基　　金：京津冀基础研究合作专项项目(J230007);北京市自然科学基金项目(7192045)。

摘　　要：肩袖撕裂在中年和老年人中非常普遍,这也是中老年人群中进行肩关节手术患者较多的主要原因。部分肩袖撕裂由于撕裂口巨大和严重的肌肉萎缩而被归类为不可修复撕裂。由于肩袖缺损和肌肉萎缩、不可修复肩袖撕裂的治疗存在极大的挑战,如何重建肩关节的功能是关键要点。本文将着重探讨不可修复肩袖撕裂的部分修复和肌腱转位肩袖重建技术,关注其适用范围、疗效及优缺点,以期为临床诊治提供参考。Rotator cuff tears are very common in middle-aged and older adults and are the leading cause of shoulder surgery in the population.Some patients have rotator cuff tears that are classified as irreparable tears due to the large size of the tear and severe muscle atrophy.The treatment of irreparable rotator cuff tears presents great challenges.How to reconstruct the function of the shoulder joint is the key point.In this review article,authors will focus on partial repair of irreparable rotator cuff tears and tendon transfer for rotator cuff reconstruction,paying attention to its scope of application,efficacy,advantages and disadvantages,and providing reference for clinical diagnosis and treatment.

关 键 词：肩关节 撕裂伤 肌腱病 不可修复 肩袖重建 

分 类 号：R686[医药卫生—骨科学]