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关节镜下Mason-Allen技术治疗肩胛下肌腱损伤
引用本文:许瀚,涂华莉,赵天佐,徐道非,汪世坤,刘刚,黄俊琪,唐诗添,石波.关节镜下Mason-Allen技术治疗肩胛下肌腱损伤[J].骨科,2022,13(6):498-501.
作者姓名:许瀚  涂华莉  赵天佐  徐道非  汪世坤  刘刚  黄俊琪  唐诗添  石波
作者单位:绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院,绵阳市中心医院
基金项目:四川省医学会骨科专项科研课题(2020SAT13)
摘    要:目的:评价关节镜下Mason-Allen技术修复肩胛下肌腱损伤的临床疗效和修复后肌腱结构完整性。方法:回顾性分析2015年05月至2018年12月我科关节镜下采用Mason-Allen技术修复肩胛下肌腱损伤患者的临床资料。采用视觉模拟疼痛评分(Visual Analogue Scale, VAS)、美国肩肘外科医师评分(American Shoulder and Elbow Surgeons Scale,ASES)、Constant肩关节评分对肩关节功能评估,采用术前及术后6月MRI评价肩胛下肌腱的完整性。结果:共纳入患者98例,其中男性75例,女性23例,平均年龄56.4±9.6岁;平均随访12.5±4.0个月。术前Constant肩关节评分48.3±19.0分,ASES评分43.6±15.2分,术后末次随访后分别为74.5±14.2分和78.3±17.1分;术前VAS评分3.42分,术后末次随访1.91分;术前肩关节前屈上举(87.26±16.30)°、外展外旋(52.18±11.41)°、内旋L1(T6-S3)水平,术后末次随访前屈上举(151.28±17.65)°、外展外旋(75.76±8.68)°、内旋T11(T8-S3)水平;差异均有统计学意义(P<0.05)。7例(7.1%)MRI检查存在再撕裂。结论:关节镜下应用Mason-Allen技术治疗肩胛下肌腱损伤,临床疗效改善明显,肌腱完整性良好,是关节镜下修复肩胛下肌腱的一种有效方法。

关 键 词:关节镜  肩胛下肌腱  Mason-Allen  Stitches
收稿时间:2022/7/18 0:00:00
修稿时间:2022/10/8 0:00:00

Clinical Outcomes of Mason-Allen Stitches Repair Technique in Treatment of Subscapularis Tendon Tears under Shoulder Arthroscopy
XU Han,TU Hua-li,ZHAO Tian-zuo,XU Dao-fei,WANG Shi-kun,LIU Gang,HUANG Jun-qi,TANG Shi-tian,SHI Bo.Clinical Outcomes of Mason-Allen Stitches Repair Technique in Treatment of Subscapularis Tendon Tears under Shoulder Arthroscopy[J].Orthopaedics,2022,13(6):498-501.
Authors:XU Han  TU Hua-li  ZHAO Tian-zuo  XU Dao-fei  WANG Shi-kun  LIU Gang  HUANG Jun-qi  TANG Shi-tian  SHI Bo
Institution:Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,,Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China,
Abstract:
Keywords:Arthroscopy  Subscapularis tendon  Suture technique  Shoulder joint
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