目的 总结关节镜下改良弹性固定 Latarjet 术治疗 1 例慢性锁定性肩关节前脱位的经验。方法 2016 年 7 月收治 1 例因摔伤致右肩疼痛、畸形、活动受限 8 周的 49 岁男性患者。伤后曾于外院行肩关节复位，未成功。术前美国肩肘外科协会（ASES）评分 22 分，肩关节功能 Constant-Murley 评分 37 分，疼痛视觉模拟评分（VAS）8 分。影像学检查示右肩关节锁定性前脱位、肩袖损伤、Hill-Sachs 损伤。术前诊断右肩关节慢性锁定性前脱位伴肩袖损伤。全关节镜下彻底松解关节盂、肱骨头、肩胛下肌腱周围及肱三头肌止点软组织，关节复位后以改良双袢法弹性固定 Latarjet 术。结果 术后切口Ⅰ期愈合，无重要血管及神经损伤等并发症发生。患者获随访 24 个月。影像学复查示盂肱关节恢复正常对位关系，无脱位复发。右肩关节功能恢复正常，24 个月时 ASES 评分及 Constant-Murley 评分均为 94 分。结论 关节镜下改良弹性固定 Latarjet 术治疗慢性锁定性肩关节前脱位疗效满意。
Citation：
黄刚, 柳海峰, 谢卫勇, 李瑛, 陆伟, 王大平. 关节镜下改良弹性固定 Latarjet 术治疗一例慢性锁定性肩关节前脱位. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(3): 387-389. doi: 10.7507/1002-1892.201809107
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- 1. El Rassi G, Hijjawi A, Matta J, et al. Bilateral locked anterior shoulder dislocation in a bench-pressing athlete: case report. Arch Orthop Trauma Surg, 2015, 135(6): 747-749.
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- 3. Cerciello S, Corona K, Morris B, et al. Early outcomes and perioperative complications of the arthroscopic Latarjet procedure: systematic review and meta-analysis. Am J Sports Med, 2018.[Epub ahead of print].
- 4. Boileau P, Gendre P, Baba M, et al. A guided surgical approach and novel fixation method for arthroscopic Latarjet. J Shoulder Elbow Surg, 2016, 25(1): 78-89.
- 5. 陆振飞, 王建华, 徐兵, 等. 经冈上肌入路全关节镜下松解治疗重度原发性冻结肩的疗效观察. 中国修复重建外科杂志, 2017, 31(7): 773-777.
- 6. Kleiner MT, Payne WB, McGarry MH, et al. Biomechanical comparison of the Latarjet procedure with and without capsular repair. Clin Orthop Surg, 2016, 8(1): 84-91.
- 7. Abdulian MH, Kephart CJ, Mcgarry MH, et al. Biomechanical comparison of the modified Bristow procedure with and without capsular repair. Knee Surg Sports Traumatol Arthrosc, 2016, 24(2): 489-495.
