摘要
肩袖损伤是临床常见的肩关节疾病,目前肩关节镜下肩袖修复术已广泛用于肩袖损伤治疗,但术后再撕裂率仍较高,部分患者再次出现肩关节持续疼痛、活动受限,严重影响患者生活质量。肩袖再撕裂主要发生在关节镜修复术后6~26周,高龄、骨质疏松、糖尿病、原始撕裂大小、肌肉脂肪浸润程度、修复强度不足及过度术后康复等为其危险因素。本文对肩袖修复术后腱骨愈合机制、术后再撕裂的诊断及影响因素(内在因素、外在因素、康复因素)进行综述,以期为临床治疗提供参考依据。
Rotator cuff injury is a common shoulder disease in clinical practice.At present,rotator cuff repair under shoulder arthroscopy has been widely used in the treatment of rotator cuff injury,but the re-tear rate after surgery is still high,and some patients have continued shoulder pain and activity Restricted,seriously affecting the quality of life of patients.Retear of the rotator cuff mainly occurs 6 to 26 weeks after arthroscopic repair.Old age,osteoporosis,diabetes,the size of the original tear,the degree of muscle fat infiltration,insufficient repair strength,and excessive postoperative recovery are the risk factors.This article reviews the mechanism of tendon bone healing after rotator cuff repair,the diagnosis of postoperative tear and the influencing factors(internal factors,external factors,rehabilitation factors),in order to provide a reference for clinical treatment.
作者
杨建水
YANG Jian-shui(Department of Orthopaedics,Tianjin Wuqing District Traditional Chinese Medicine Hospital,Tianjin 301700,China)
出处
《医学信息》
2020年第1期46-50,共5页
Journal of Medical Information
关键词
肩关节
肩袖撕裂
关节镜
Shoulder joint
Rotator cuff tear
Arthroscope
