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Diminutive Incision Acromioplasty Assisted with Arthroscopy in the Treatment of Subacromial Impingement Syndrome

Author: WenZhiQiang
Tutor: LinXiangJin
School: Zhejiang University
Course: Surgery
Keywords: Subacromial impingement syndrome Arthroscopy Small incision Minimally invasive surgery
CLC: R687.3
Type: Master's thesis
Year: 2010
Downloads: 34
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Abstract


Objective To investigate the arthroscopic acromioplasty treatment methods and clinical efficacy of subacromial impingement syndrome assisted small incision . Method subacromial impingement syndrome of the 10 patients ( 11 shoulders ) , 4 males and 6 females ; ages 17-80 years old on average 56 years old . Right shoulder seven cases , the left shoulder , Neer Ⅰ 0 cases , Neer Ⅱ three cases , Neer Ⅲ 7 cases ; All patients had preoperative surgery , trauma, or a history of chronic fatigue , have varying degrees of shoulder peripheral pain and night pain ; painful arc test was positive in eight cases , Neer impingement sign positive in 7 cases , Hawkins-Kennedy hit the sign was positive in 9 cases, impact test was positive in seven cases , the pitman arm test positive five cases . Preoperative score 10-19 points in this group of patients according to the UCLA score an average of 15.4 ± 2.2 points . 10 cases of preoperative MRI, angiography in 5 cases of shoulder , four cases combined with rotator cuff injury . The routine preoperative shooting shoulder joint \The flat type acromion one cases , curved acromion 4 cases , hook-shaped acromion five cases . Surgical procedures : general anesthesia or brachial plexus anesthesia , lateral position or beach chair bit , suffering from shoulder abduction , the conventional approach to doing the glenohumeral joint cavity exploration , synovial Excluding the proceeds myelodysplastic planing ; hook knife cut or partial resection beak shoulder ligament ; the last exploration subacromial proliferation osteophyte size , removal of the arthroscopic to do shoulder joint lateral longitudinal incision , layer cut, hyperplastic tissue under direct vision subacromial resection , wedge resection of the acromion the bottom part until the shoulders give outreach to collision , 4 of which were combined with rotator cuff injury to cater to the repair of the rotator cuff , intra-articular injection of sodium hyaluronate injection sutured early shoulder exercise . Results of 10 patients with the defense . Follow - up time of 12-24 months , with an average of 15 months. The average UCLA score 25-35 points on average 31.2 ± 3.3 after 12 months were excellent in 7 cases , good in 2 cases , 1 case . Conclusion subacromial impingement syndrome in recent years gradually attracted the attention of clinicians , arthroscopic -assisted minimally invasive acromioplasty is an effective method for the treatment of subacromial impingement syndrome . Less trauma, shorter operative time , can be effective in reducing nerve stretch injury ; adequate bone resection surgery , forming a thorough can reduce again revision rate ; surgery under direct vision to hemostasis more thoroughly , reduce the the postoperative shoulder joint swelling ; surgery quick recovery after the results were clear , the recurrence rate is low , early postoperative functional exercise can be carried out .

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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