关节镜下经肌腱缝线桥技术治疗肱骨大结节骨折
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作者Author单位AddressE-Mail
罗军 LUO Jun 浙江中医药大学, 浙江 杭州 310053
舟山广安医院运动医学科, 浙江 舟山 316200
Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China quopq@163.com 
易观俊 YI Guan-jun 舟山广安医院运动医学科, 浙江 舟山 316200  
柴重喜 CHAI Chong-xi 舟山广安医院运动医学科, 浙江 舟山 316200  
王鹏 WANG Peng 舟山广安医院运动医学科, 浙江 舟山 316200  
白黎明 BAI Li-ming 舟山广安医院运动医学科, 浙江 舟山 316200  
期刊信息:《中国骨伤》2022年,第35卷,第9期,第869-873页
DOI:10.12200/j.issn.1003-0034.2022.09.013
基金项目:舟山市医药卫生科技计划项目(编号:2020YB07)
中文摘要:

目的:探讨关节镜下经肌腱缝线桥技术治疗肱骨大结节撕脱性骨折的临床疗效。

方法:自 2014年3月至2020年3月采用肩关节镜下经肌腱缝线桥技术治疗39例肱骨大结节撕脱骨折患者,男22例,女17例;年龄 23~67(46.0±11.9)岁,病程3~11(3.9±2.4) d。分别于术前、术后12个月采用Constant-Murley肩关节功能评分及加利福尼亚大学洛杉矶分校(University of California,Los Angeles,UCLA)肩关节评分评估临床疗效。

结果:所有患者获得随访,时间 8~21(11.5±3.8)个月。骨折愈合时间2~4(3.3±0.9)个月。所有患者术后未出现切口愈合不良、关节粘连等并发症。Constant-Murley评分由术前的(56.20±1.50)分提高至术后12个月的(94.80±2.60)分(t=-55.42,P<0.01);其中优38例,良1例。UCLA评分由术前的(9.24±1.48)分提高至术后12个月的(32.82±1.37)分(t=-65.67,P<0.01);优37例,良2例。

结论:肩关节镜下经肌腱缝线桥技术治疗肱骨大结节骨折,能显著减轻疼痛,改善肩关节功能。
【关键词】关节镜  肱骨骨折  缝线
 
Arthroscopic transtendinous suture bridge (Speed Bridge) for the treatment of greater tuberosity fracture of humerus
ABSTRACT  

Objective: To explore clinical effect of shoulder arthroscopic speedbridge technique in treating avulsion fracture of greater tuberosity of humerus.

Methods: From March 2014 to March 2020,39 patients with avulsion fracture of greater tuberosity of humerus were treated with speedbridge technique under shoulder arthroscopy.There were 22 males and 17 females aged from 23 to 67 years old with an average of (46.0±11.9) years old.The courses of disease ranged from 3 to 11 days with an average of (3.9±2.4) days.Preoperative and postoperative at 12 months,Constant-Murley shoulder function score and University of California,Los Angeles (UCLA) score were used to evaluate clinical effect.

Results: All patients were followed up from 8 to 21 months with an average of (11.5±3.8) months.Fracture healing time ranged from 2 to 4 months with an average of (3.3±0.9) months.No complications such as poor incision healing and joint adhesion occurred.Constant Murley score of shoulder joint was increased from (56.20±1.50) preoperativly to (94.80±2.60) at 12 months after operation (t=-55.42,P<0.01),and 38 patients got excellent result and 1 good.UCLA score was increased from (9.24±1.48) preoperativly to (32.82±1.37) at 12 months after operation (t=-65.67,P<0.01),and 37 patients got excellent result,and 2 good.

Conclusion: Arthroscopic suture bridge technique for the treatment of greater tuberosity fracture of humerus could significantly reduce pain and improve function of shoulder.
KEY WORDS  Arthroscopes  Humeral fractures  Sutures
 
引用本文,请按以下格式著录参考文献:
中文格式:罗军,易观俊,柴重喜,王鹏,白黎明.关节镜下经肌腱缝线桥技术治疗肱骨大结节骨折[J].中国骨伤,2022,35(9):869~873
英文格式:LUO Jun,YI Guan-jun,CHAI Chong-xi,WANG Peng,BAI Li-ming.Arthroscopic transtendinous suture bridge (Speed Bridge) for the treatment of greater tuberosity fracture of humerus[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(9):869~873
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