改良侧卧位无牵引技术在军事训练伤致复发性肩关节前脱位肩关节前下盂唇韧带复合体损伤修复中的应用1.0.doc

 PAGE - 6 - 改良侧卧位无牵引技术在军事训练伤致复发性肩关节前脱位肩关节前下盂唇韧带复合体损伤修复中的应用 刘欣伟，刘松波，于苗苗，郭超，刘铭，王百盛，李如珍，张敬东，王宇 沈阳军区总医院骨科 全军重症战创伤救治中心，辽宁 沈阳 110016 第一作者：刘欣伟（1979-），男，黑龙江哈尔滨人，副主任医师，博士 通讯作者：王宇，E-mail：deformitya@126.com 摘要：目的 探讨改良侧卧位无牵引技术在军事训练伤致肩关节前下盂唇韧带复合体损伤修复中的应用效果。方法 选取2014年1月至2016年5月我科收治的82例肩关节前下盂唇韧带复合体损伤患者，年龄19~31岁，平均年龄（25.5±6.2）岁；病程1~8年，平均病程（3.5±2.9）年；复发脱位4~48次，平均（21.2±12.5）次。在改良侧卧位无牵引技术下行肩关节镜下肩关节前下盂唇韧带复合体损伤修复术，术后采用Rowes评分、UCLA评分系统进行疗效评价。结果 82例均获得7～18个月随访，平均（11.4±5.6）个月。3例术后外旋活动受限20°，无法参加对抗性训练；余79例均能够参加对抗性训练。患者平均肩关节外旋活动角度丢失（7.7±3.2）°。术后UCLA评分（90.0±4.1）分，明显高于术前（23.0±4.3）分（P＜0.05），术后Rowes评分（29.1±3.1）分，明显高于术前（7.8±1.9）分（P＜0.05）。结论 改良侧卧位无牵引技术在军事训练伤致肩关节前下盂唇韧带复合体损伤修复中的临床应用效果良好，有利于在基层医院进行推广应用。 关键词：盂唇损伤；肩关节不稳；复发性肩关节前脱位；关节镜 Application of Modified  HYPERLINK javascript:void(0); Lateral? HYPERLINK javascript:void(0); Position No Traction Technology in Arthroscopic Repair of recurrent Anterior Dislocation of Shoulder with Anterior-posterior Labrum-ligament Complex Injury LIU Xin-wei, LIU Song-bo, LIU Ming, GUO Chao, WANG Baisheng, LI Ruzhen, ZHANG Jing-dong, WANG Yu Army severe trauma treatment center, Shenyang military region general hospital, Liaoning Province, ShenYang City, 110016 Abstract: Objective To explore the clinical effect of modified  HYPERLINK javascript:void(0); lateral? HYPERLINK javascript:void(0); position no traction technology in arthroscopic repair of recurrent anterior dislocation of shoulder. Methods From Jan 2014 to May 2016, a total of 82 cases underwent arthroscopic labrum repair for anterior shoulder instability at our hospital. Their mean age was 25.5±6.2 years (19-31). Mean duration was 3.5±2.9 years (1-9). Recurrent dislocation was 21.2±12.5 times (4-48). All cases were performed modified  HYPERLINK javascript:void(0); lateral? HYPERLINK javascript:void(0); position no traction technology in arthroscopic repair. Rowes scores and UCLA scores were used for evaluation. Results 82 were all followed up and the follow-up periods raged from 7 to