Digital technology assisted arthroscopic individualized greater tuberosity plasty for treatment of subacromial impingement syndrome
PAN Zhao-xun, DU De-kai, DU Ben-cai, SUN Chao, YANG Xiao-ming, MIN Xiao-jun
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (6) : 684-687.
Digital technology assisted arthroscopic individualized greater tuberosity plasty for treatment of subacromial impingement syndrome
Objective To investigate the clinical effect of digital measurement based on the relative height of humeral head in the treatment of acromion impingement syndrome. Methods From February 2014 to March 2016, 89 patients with impingement syndrome were admitted. The relative height of the humeral head was measured by CT before the operation, andwe used C-type-arm to determine grinding position during the operation.We compared CT data，CMS andVAS between preoperation and postoperation to evaluate the clinical efficacy. Results During an average follow-up of 15.5 months,88 patients were followed-up. At the last follow-up, all patients’ shoulder function has fully recovered. The relative height of humeral head was increased from (0.73±0.15) cm to (1.08±0.08) cm (P<0.05). The CMS was increased from (46.7±3.99) to (91.8±2.32) (P<0.05),and the VAS decreased from (5.3±1.1) to (0.6±0.3) (P<0.05). Conclusion The clinical efficacy of arthroscopic greater tuberosity plasty based on digital measurement of the relative height of humeral head for the treatment of acromion impingement syndrome was reliable.
Arthroscopy / Subacromial impingement syndrome / Greater tuberosity plasty / Gigital measurement / Relative height
[1] Michener LA，McClure PW, Karduna AR. Antomical and biomechanical mechanisms of subacromial impingent syndrome[J]. Clin Biomech，2003，18(5):369-379.
[2] 马志峰. 关节镜肱骨大结节成形术治疗非出口型肩峰下撞击综合征临床分析[J]. 河南外科学杂志, 2015, 21(4):39-40.
[3] 潘昭勋, 崔岩, 孙超, 等. 肱骨头的相对高度与肩峰下撞击综合征的相关性研究[J]. 中国临床解剖学杂志, 2014,32(3):354-356.
[3] Angela RT, Philip WM, Ian AY, et al. Comprehensive impairment-based exercise and manual therapy intervention for patients with subacromial impingement syndrome: a case series[J]. JOSPT, 2010, 40(8):474-493.
[4] 任江涛, 徐丛. 关节镜下缝线桥技术修复肩袖撕裂的缝合及固定方式研究进展[J]. 中华骨科杂志, 2016, 36(7):443-448.
[5] 崔卫国, 杨静会. 关节镜下单排固定法和双排缝合桥固定法治疗肩袖全层撕裂的疗效对比[J]. 医学临床研究, 2016, 33(2): 270-272.
[6] Watts AR, Williams B, Kim SW, et al. Shoulder impingement syndrome: a systematic review of clinical trial participant selection criteria[J]. Shoulder elbow, 2017, 9(1):31-41.
[7] Abrams GD, Gupta AK, Hussey KE, et al. Arthroscopic repair offull-thickness rotator cuff tears with and without acromioplasty: randomized prospective trial with 2-year follow-up[J]. Am J Sports Med, 2014, 42(6): 1296-1303.
[8] Filippo F, Alan GZ, Bruno I, et al. Is acromioplasty necessary in the setting of full-thickness rotator cuff tears? A systematic review[J]. J Orthopaed Traumatol, 2015, 16(3): 167-174.
[9] Mihata T, McGarry MH, Kahn T, et al. Biomechanical effects of acromioplasty on superior capsule reconstruction for irreparable supraspinatus tendon tears[J]. Am J ports Med, 2016, 44(1): 191-197.
[10]郁凯,门蒙, 张殿英. 肩关节前上方稳定结构:喙肩韧带[J]. 中华肩肘外科电子杂志, 2016, 4（3）:171-173.
[11]Gartsman GM. O’Connor DP. Arthroscopic rotator cuff repair with and without subacromial decompression: A prospective, randomized study of one-year outcomes[J]. J Shoulder Elbow Surg, 2004,13(4):424-426.
[12] Lim WA, Bin Abd Razak HR, Lim LW, et al. Outcomes are favorable in Asian patients undergoing deltoid-on open rotator cuff repair without acromioplasty[J]. J Orthop, 2015,12(3):126-129.
[13] 眭杰, 汪滋民. 肩峰下滑囊切除在肩峰下撞击综合征手术治疗中的应用价值[J]. 中国矫形外科杂志, 2013, 21(1):37-40.
[14]Suenaga N, Minami A, Fukuda K, et al. The correlation between bursoscopic and histologic findings of the acromin[J]. Arthroscopy, 2002,18(1):16-20.
/
| 〈 |
|
〉 |
