冈下肌腱固定术治疗肩关节前向不稳的疗效分析

Effect of infraspinatus tendon fixation in treatment of shoulder anterior instability with kissing injury

摘要:

目的 探讨冈下肌腱固定术治疗伴有对吻性损伤的肩关节前向不稳患者的临床可行性。方法 选取2013 年1 月-2017 年1 月于贵州医科大学附属医院收治的80 例伴有对吻性损伤的肩关节前向不稳患者， 依据治疗方法将这些患者分为关节镜下盂唇修补术联合冈下肌腱固定术组（联合手术组）和单独关节镜下盂 唇修补术组（单独手术组），对两组患者的肩关节中立位外旋、内旋活动度、OSIS 评分、ROWE 评分及临床 疗效进行分析。结果 联合手术组术后OSIS 评分低于单独手术组（P <0.05），术后ROWE 评分高于单独手 术组（P <0.05），联合手术组治疗的优良率高于单独手术组（P <0.05）。结论 冈下肌腱固定术在伴有对吻性 损伤的肩关节前向不稳患者治疗中的临床可行性高，值得临床推广使用。

Abstract:

Objective To investigate the clinical feasibility of infraspinatus tendon fixation in the treatment of anterior instability of shoulder joint with kissing injury. Methods The clinical data of 80 patients with anterior instability of shoulder joint with kissing injury in our hospital from January 2013 to January 2017 were retrospectively analyzed. These patients were divided into two groups including a labral repair combined with infraspinatus tendon fixation under arthroscope group (combined surgery group, n = 40) and a simple glenoidal labrum repair under arthroscope group (single surgery group, n = 40) according to the treatment methods. The ranges of external rotation and internal rotation of the shoulder joint at neutral position, OSIS scores, ROWE scores and clinical efficacy of the two groups were statistically analyzed. Results The OSIS score of the patients in the combined surgery group was lower than that in the single surgery group (P < 0.05), while the ROWE score was higher than that in the single surgery group (P < 0.05). The excellent rate of treatment in the combined surgery group was higher than that in the single surgery group (P < 0.05). Conclusions Infraspinatus tendon fixation is highly feasible in the treatment of anterior instability of shoulder joint with kissing injury, so is worthy of promotion and use in the clinic.