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1. 西南医科大学附属医院骨科四川省骨科置入器械研发应用技术工程实验室
2. 西南医科大学附属医院康复科
纸质出版日期:2021,
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[1]李远,李忠,王治,张驰,雷蕾,敖彧农,何彦威,刘俊才.关节镜手术联合早期康复训练治疗肩关节复发性前脱位伴Hill-sachs损伤的近期疗效分析[J].西南医科大学学报,2021,44(01):31-35.
LI Yuan, LI Zhong, WANG Zhi, et al. Short-term efficacy of arthroscopic surgery combined with early rehabilitation training in the treatment of recurrent anterior shoulder dislocation associated with Hill-Sachs lesions[J]. Journal of Southwest Medical University, 2021,44(1):31-35.
[1]李远,李忠,王治,张驰,雷蕾,敖彧农,何彦威,刘俊才.关节镜手术联合早期康复训练治疗肩关节复发性前脱位伴Hill-sachs损伤的近期疗效分析[J].西南医科大学学报,2021,44(01):31-35. DOI:
LI Yuan, LI Zhong, WANG Zhi, et al. Short-term efficacy of arthroscopic surgery combined with early rehabilitation training in the treatment of recurrent anterior shoulder dislocation associated with Hill-Sachs lesions[J]. Journal of Southwest Medical University, 2021,44(1):31-35. DOI:
目的:探讨关节镜下行Bankart损伤修复及Remplissage手术联合早期康复训练治疗肩关节复发性前脱位伴Hill-sachs损伤的近期疗效。方法:选取我院骨与关节外科2016年1月~2019年6月收治的肩关节复发性前脱位患者25例
男19例
女6例
平均年龄29.6±10.0岁(18~47岁)
行关节镜下Bankart损伤修复及Remplissage手术联合早期康复训练治疗
术后随访6个月以上
分别对患者术前及末次随访进行肩关节活动度测量与Rowe、OSIS及Constant-Murley肩关节功能评分
并对其疗效进行分析。结果:所有患者手术顺利
伤口愈合良好
无明显并发症;平均随访18±9.4(6~36)个月
末次随访均未发现再次脱位
恐惧实验阴性
肩关节活动范围较健侧无明显受限。肩关节0°位外旋由术前(57.2±8.2°)降至(52.8±7.3°)、内旋由术前(9.3±3.1°)升至(8.5±2.1°)、前屈由术前(163.0±6.4°)降至(159.6±6.3°)、外展由术前(168.9±9.5°)降至(167.2±7.8°)
差异均无统计学意义(P>0.05)。患者Rowe肩关节评分由术前(36.2±9.8)改善至(89.6±6.5);OSIS评分由术前(36.6±7.1)改善至(17.6±3.6);Constant-Murley评分由术前(59.4±8.9)改善至(90.4±7.3)
差异均有统计学意义(P <0.01)。结论:关节镜手术联合早期康复训练治疗肩关节复发性前脱位伴Hill-sachs损伤
创伤小
恢复快
能有效恢复肩关节稳定性
对肩关节活动范围无明显影响
明显改善肩关节功能。
Objective:To explore the short-term efficacy of arthroscopic Bankart repair and remplissage combined with early rehabilitation training for recurrent anterior shoulder dislocation associated with Hill-Sachs lesions.Methods:Twenty-five patients with recurrent anterior shoulder dislocation admitted to our hospital from January2016 to June 2019 were enrolled as subjects. In those patients
19 were male and 6 female
with a mean age of 29.6 ±10.0 years(18 to 47 years). Those patients received arthroscopic Bankart repair and remplissage combined with early rehabilitation training
and > 6 months of follow-up was performed after surgery. We measured the range of shoulder motion and assessed shoulder function by Rowe
Oxford Shoulder Instability(OSIS)
and Constant-Murley scores before surgery and at the last follow-up. The efficacy of the combination therapy was analyzed. Results:All patients underwent successful surgery and had satisfactory wound healing and no obvious complications. The mean follow-up was 18 ± 9.4(6 ~ 36) months. No re-dislocation was observed at the last follow-up. The result of apprehension test was negative. The range of shoulder motion was relatively normal. There were no significant reductions in the ranges of external rotation
internal rotation
flexion
or abduction at 0° position after surgery(57.2 ± 8.2° vs 52.8 ± 7.3°
9.3 ± 3.1° vs 8.5 ± 2.1°
163.0 ± 6.4° vs 159.6 ± 6.3°
168.9 ± 9.5° vs 167.2 ± 7.8°
all P > 0.05). The Rowe
OSIS
and Constant-Murley scores for shoulder joint were all significantly improved after surgery(36.2 ± 9.8 vs 89.6 ±6.5
36.6 ± 7.1 vs 17.6 ± 3.6
59.4 ± 8.9 vs 90.4 ± 7.3
all P < 0.01). Conclusion:In the treatment of recurrent anterior shoulder dislocation associated with Hill-Sachs lesions
arthroscopic surgery combined with early rehabilitation training effectively restores shoulder stability and improves shoulder function with minimal invasion
rapid recovery
and no substantial impact on the range of shoulder motion.
肩关节前脱位Bankart损伤Hill-sachs损伤关节镜康复训练
Anterior shoulder dislocationBankart injuryHill-Sachs lesionArthroscopyRehabilitation training
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