关节镜下Bankart修复术治疗训练伤所致复发性肩关节前脱位的临床疗效
Arthroscopic Bankart repair in treatment of recurrent anterior shoulder instability caused by training injury
苏巍 1庞伟峰 1齐峰 1牛志燕 2蔺金斗 3宫丽娜4
作者信息
- 1. 030006 太原,武警山西总队医院:外一科
- 2. 030006 太原,武警山西总队医院:内二科
- 3. 030006 太原,武警山西总队医院:信息科
- 4. 10039 北京,解放军总医院第三医学中心医疗风险管理科
- 折叠
摘要
目的 探讨关节镜下Bankart修复术治疗训练伤所致复发性肩关节前向不稳的临床疗效.方法 选取2017-01至2022-06 武警山西总队医院收治的武警官兵因训练伤所致肩关节复发性脱位Bankart损伤患者 46 例(49 肩),行关节镜下Bankart修复术.采用美国肩肘关节外科协会(ASES)评分和Rowe评分、前屈上举角度、外展外旋角度对肩关节功能进行评价.比较患者手术前后关节功能评分、肩关节活动范围、锚钉脱出及术后肩关节不稳复发率等指标.结果 术后ASES评分[(87.3±5.7)分]与术前[(52.2±9.5)分]比较,差异有统计学意义(P<0.05).术后 Rowe评分[(95.2±4.9)分]与术前[(46.6±6.4)分]比较,差异有统计学意义(P<0.05).术后锚钉脱出发生率为 4.1%(2/49),肩关节不稳复发率为 6.1%(3/49),肩关节活动度:术后前屈上举(168.7°±2.4°),外展外旋(72.8°±3.3°)与术前比较差异均无统计学意义.结论 肩关节镜下Bankart修复术治疗军事训练伤所致复发性肩关节前向不稳临床效果满意,创伤小,再脱位发生率低,可有效改善肩关节功能.
Abstract
Objective To explore the clinical effect of arthroscopic Bankart repair in the treatment of recurrent anterior shoul-der instability caused by training injury.Methods From January 2017 to June 2022,46 patients(49 shoulders)with recurrent anterior shoulder instability caused by training injury were selected for arthroscopy Bankart repair.The function of shoulder joint was evaluated by the American Shoulder and Elbow Surgeons scores(ASES),Rowe scores,forward elevation,abduction and external rotation.The joint function scores,the shoulder range of motion,the incidence of anchor detachment and the incidence of postoperative joint re-dislo-cation were compared before and after surgery.Results The ASES scores after operation(87.3±5.7)was significantly different from that before operation(52.2±9.5)(P<0.05).The Rowe scores after operation(95.2±4.9)was significantly different from that before operation(46.6±6.4)(P<0.05).The incidence of anchor detachment was 4.1%(2/49),and the recurrence rate of anterior instabili-ty of the shoulder joint was 6.1%(3/49).Compared with the pre-operation,no significant change was found regarding forward eleva-tion(168.7°±2.4°),abduction or external rotation(72.8°±3.3°).Conclusions Arthroscopic Bankart repair surgery in the treat-ment of shoulder joint anterior instability caused by military training injuries has the advantages of minimal trauma and low recurrence rate,which can effectively improve shoulder joint function.
关键词
肩关节前向不稳/Bankart损伤/关节镜/训练伤Key words
anterior shoulder instability/Bankart injury/arthroscopy/training injury引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据