关节镜下部分修补老年性巨大肩袖损伤

doi:10.3969/j.issn.1006-7795.2016.06.020

首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (6): 821-825.doi: 10.3969/j.issn.1006-7795.2016.06.020

关节镜下部分修补老年性巨大肩袖损伤

高庆峰¹, 成雪¹, 马震胜¹, 张磊¹, 孙欣¹, 马超¹, 刘志奎¹, 杨梦其¹, 刘子洪¹, 何耀华²

1. 开滦总医院骨科, 河北唐山 063000;
2. 上海交通大学附属第六人民医院, 上海 200233

收稿日期:2016-06-18 出版日期:2016-12-21 发布日期:2016-12-16
通讯作者: 何耀华 E-mail:heyaohua@vip.163.com
基金资助:
河北省医学科学研究重点课题计划（20160748）

Partial arthroscopic of massive rotator cuff tears in elder patients

Gao Qingfeng¹, Cheng Xue¹, Ma Zhensheng¹, Zhang Lei¹, Sun Xin¹, Ma Chao¹, Liu Zhikui¹, Yang Mengqi¹, Liu Zihong¹, He Yaohua²

1. Department of Orthopaedic, KaiLuan General Hospital, Tangshan 063000, Hebei Province, China;
2. Department of Orthopaedics, the Sixth People's Hospital Affiliated to Shanghai JiaoTong University, ShangHai 200233, China

Received:2016-06-18 Online:2016-12-21 Published:2016-12-16
Supported by:
This study was supported by Key Project of Medical Science Research of Hebei Province(20160748).

摘要/Abstract

摘要： 目的探讨关节镜下部分修补老年性巨大肩袖损伤的临床效果。方法回顾性分析2012年1月至2014年6月关节镜下部分修补老年性巨大肩袖损伤的患者58例，其中男27例，女31例；左侧11例，右侧47例，平均年龄57.5岁。应用美国肩肘外科医师评分（American Shoulder and Elbow Surgeons，ASES）、Constant-Murley肩关节功能评分、美国加利福尼亚大学洛杉矶分校（University of California，Los Angeles，UCLA）评分记录术前及术后最终随访时的肩关节疼痛、肩关节活动范围、前屈上举肌力、外展强度的情况。结果 58例患者均获得有效随访，患者术程顺利，术后获18~26个月（平均23.2个月）随访。术前ASES评分为（8.2±1.4）分，Constant评分为（37.1±7.2）分，UCLA评分为（8.7±2.5）分；术后18个月ASES评分为（28.5±4.5）分，Constant评分为（84.6±4.7）分，UCLA评分为（28.4±4.5）分。术后18个月与术前比较，差异有统计学意义（P<0.05）。结论关节镜下部分修补老年性巨大肩袖损伤的治疗效果满意，可获得良好的肩关节功能。

关键词: 巨大肩袖损伤, 肩关节, 关节镜, 肩袖部分修补, 生物力学平衡

Abstract: Objective The purpose of this study is to evaluate the technique and review the clinical effectiveness of partial arthroscopic repair of massive rotator cuff tears in elder patients. Methods Between January 2012 and June2014, 58 patients (27 men,31women) with a mean age of 57.5 years were undergone arthroscopic repair of massive rotator cuff tears. Patients were on the left side in 11 cases, and on the right side in 47 cases. All patients were evaluated from preoperatively to the final follow-up time using American Shoulder and Elbow Surgeons(ASES)score, Constant-Murley score, University of California,Los Angeles(UCLA)score of shoulder pain, active range of motion, active forward flexion and abduction strength. Then all data were analyzed statistically. Results All patients were operated successfully and got good healing and followed up at a mean time of 23.2 months (range from 18 months to 26 months). Before surgery ASES scores,constant scores,UCLA scores is 8.2±1.4,37.1±7.2,8.7±2.5, respectively. After surgery the scores are 28.5±4.5, 84.6±4.7, 28.4±4.5, respectively.The last follow-up compared with preoperative difference was statistically significant (P<0.05).Conclusion The therapeutic effect of arthroscopic repair of massive rotator cuff tears in elder patients showed satisfactory. And a good function of shoulder joint can be obtained.

Key words: massive rotator cuff tears, shoulder joint, arthroscopic, partial rotator cuff repair, the mechanobiologic balance

中图分类号:

R684

高庆峰, 成雪, 马震胜, 张磊, 孙欣, 马超, 刘志奎, 杨梦其, 刘子洪, 何耀华. 关节镜下部分修补老年性巨大肩袖损伤[J]. 首都医科大学学报, 2016, 37(6): 821-825.

Gao Qingfeng, Cheng Xue, Ma Zhensheng, Zhang Lei, Sun Xin, Ma Chao, Liu Zhikui, Yang Mengqi, Liu Zihong, He Yaohua. Partial arthroscopic of massive rotator cuff tears in elder patients[J]. Journal of Capital Medical University, 2016, 37(6): 821-825.

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关节镜下部分修补老年性巨大肩袖损伤

Partial arthroscopic of massive rotator cuff tears in elder patients

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