傅仰攀;黄长明;范华强;张少战;王建雄;唐聪;甘志勇;叶佳亮;

• 1:厦门大学附属成功医院骨科解放军第174医院骨科

摘要(Abstract)：

[目的]探讨胸小肌的解剖学变异及其在关节镜辅助下治疗喙锁韧带损伤手术中的影响。[方法]2015年1月~2016年10月,本院收治30例喙锁韧带损伤患者,其中4例在术中发现胸小肌存在镜下解剖学变异,男2例,女2例,平均年龄(40.50±8.88)岁,采用关节镜辅助下Endobutton结合锚钉双重解剖技术重建喙锁韧带。所有患者均由同一名医生施行关节镜术。[结果]4例术后随访13~20个月,平均(16.50±1.80)个月,根据ASES评分、Constant-Murley评分、UCLA评分标准评估:优3例,良1例,优良率100%。[结论]胸小肌的镜下解剖变异率13.33%。关节镜辅助下治疗合并胸小肌止点异常的喙锁韧带损伤操作安全简便、快速康复、术后较少残留肩关节功能障碍。但胸小肌变异会增加手术难度,延长手术时间及增加并发症发生率。也可能是肩关节疼痛的原因之一。

关键词(KeyWords)： 胸小肌止点变异;喙锁韧带损伤;关节镜;带袢钢板

Abstract:

Keywords:

基金项目(Foundation): 厦门市思明区科技和信息化局资助项目

作者(Author): 傅仰攀;黄长明;范华强;张少战;王建雄;唐聪;甘志勇;叶佳亮;

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DOI:

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