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中华临床医师杂志(电子版)

中华临床医师杂志(电子版) ›› 2018, Vol. 12 ›› Issue (03) : 177 -180. doi: 10.3877/cma.j.issn.1674-0785.2018.03.012

所属专题： 文献；

综述

巨大肩袖撕裂的机制与修复方法的研究进展
张耀辉1, 郝雅丽1, 冯江峰1, 康志伟1, 杨自权2,†()   
  1. 1. 030001　太原，山西医科大学
    2. 030001　太原，山西医科大学第二医院骨科
  • 收稿日期:2017-09-20 出版日期:2018-02-01
  • 通信作者: 杨自权

Massive rotator cuff tears: mechanisms and repair methods

Yaohui Zhang1, Yali Hao1, Jiangfeng Feng1, Zhiwei Kang1, Ziquan Yang2,†()   

  1. 1. Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
    2. the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
  • Received:2017-09-20 Published:2018-02-01
  • Corresponding author: Ziquan Yang
  • About author:
    Corresponding author: Yang Ziquan, Email:
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张耀辉, 郝雅丽, 冯江峰, 康志伟, 杨自权. 巨大肩袖撕裂的机制与修复方法的研究进展[J]. 中华临床医师杂志(电子版), 2018, 12(03): 177-180.

Yaohui Zhang, Yali Hao, Jiangfeng Feng, Zhiwei Kang, Ziquan Yang. Massive rotator cuff tears: mechanisms and repair methods[J]. Chinese Journal of Clinicians(Electronic Edition), 2018, 12(03): 177-180.

巨大肩袖撕裂因其损伤机制复杂，目前仍是骨科难题。对于其最佳治疗方法及术后效果，各学者报道也不尽相同。其主要的治疗方法包括保守治疗、肩关节清理及肩峰成形术、肱二头肌长头键切断或固定术、撕裂肌腱修复术、肌腱转位术及比较热门的上关节囊重建及反肩关节置换术。本文着重对巨大肩袖撕裂的机制和治疗方法的研究成果作一综述，以期为临床治疗提供参考。

关键词: 巨大肩袖撕裂, 损伤机制, 上关节囊重建

Massive rotator cuff tears are still an orthopedic problem due to complicated damage mechanisms. Currently, there is still controversy over the optimal treatment and postoperative effect. The main treatments include conservative therapy, arthroscopic acromioplasty, tenotomy, and fixation of the long head of the biceps, repair or reconstruction of tears, tendon transfer, superior capsule reconstruction, and reverse shoulder arthroplasty. This paper gives a brief overview of massive rotator cuff tears to provide a reference for clinicians.

Key words: Massive rotator cuff tear, Mechanism, Superior capsule reconstruction
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