改良肩关节镜入路治疗肩胛下肌损伤的临床应用

目的 探讨改良关节镜入路在肩胛下肌损伤治疗中的应用.方法 选择2016年1月至2019年12月我院收治的80例肩胛下肌损伤的患者,随机分为试验组和对照组两组,每组40例.对照组通过常规关节镜入路进行肩胛下肌损伤修补,试验组通过改良关节镜入路进行肩胛下肌损伤修补.术后两组均经过正规康复功能锻炼.比较两组患者手术时间、术后...

Clinical application of modified shoulder arthroscopy approach in treating subscapular muscle injury

Objective To explore the application of modified arthroscopy approach in the treatment of subscapular muscle injury.Methods A total of 80 patients with subscapular muscle injury admitted to our hospital from January 2016 to December 2019 were randomly divided into the experimental group and the control group,with 40 cases in each group.The control group used the conventional arthroscopic approach to repair the subscapular muscle injury,and the experimental group used the modified arthroscopic approach to repair the subscapular muscle injury.Both groups received formal rehabilitation exercises after the operation.The operation time,24 h visual pain score (VAS score) after surgery,ASES score and UCLA score before and six months after treatment were compared between the two groups.Results The operation time of the experimental group was (61.95±15.61)min,which was shorter than(71.15±22.20)min of the control group.The difference between the two groups was statistically significant (P<0.05).The VAS score of the experimental group was (3.24±1.68) one day after surgery,which was better than that(5.11±2.63) of the control group,and the difference between the two groups was statistically significant(P<0.05).The ASES score and UCLA score of the experimental group six months after surgery were (82.05±3.30) and (33.65±2.46),respectively,which were higher than those of the control group (76.55±4.30) and (28.70±2.45).The difference between the two groups was statistically significant (P<0.05).Conclusion The modified arthroscopic approach has the advantages of shorter operation time,less pain,clearer intraoperative exposure,and faster postoperative recovery for subscapular muscle injury repair.It is worthy of clinical application.