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首页> 外文期刊>Journal of Lasers in Medical Sciences >Repair of massive and irreparable rotator cuff tear using arthroscopic method
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Repair of massive and irreparable rotator cuff tear using arthroscopic method

机译：关节镜修复大而无法修复的肩袖撕裂

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Rotator cuff tear is one of the major causes of shoulder pain and disability, especially in elderly patients over 60 years. Improvement of performance and reduction of pain hardly occur in patients with contracted rotator cuff tear. Despite therapeutic advances, yet there are many discussions over choosing the best type of treatment for major rotator cuff tear. Complete treatment of massive rotator cuff tear continues to be a challenge in the shoulder surgery. Treatment options have changed in compassion with traditional treatment methods in open or arthroscopic debridement surgery with or without decompression. Recently, many treatments have been introduced, including a range of non-surgical treatments, acromioplasty by debridement, biceps tenotomy, tuberoplasty by biceps tenotomy, minor repair, mini-open rotator cuff repair, arthroscopic rotator cuff, muscle movement, reverse shoulder arthroscopy, soft tissue reinforcement and hemiarthroplasty. Non-surgical massive rotator cuff control is typically assigned for patients with insignificant pain. This therapy functions by changing activities, proper use of steroid injections and physical therapy with an emphasis on the anterior deltoid exercises. But the main problem is the selection of the best treatment and making the final decision. In general, in the arthroscopic morbidity, postoperative pain along with hospital stay is less and the operation has better cosmetic results. So this information and our results have prompted us to study a variety of rotator cuff treatment methods with a focus on the arthroscopic treatment.
机译：肩袖撕裂是肩部疼痛和残疾的主要原因之一，尤其是在60岁以上的老年患者中。肩袖挛缩的患者几乎不出现性能改善和疼痛减轻的情况。尽管治疗上取得了进步，但对于选择主要的肩袖撕裂的最佳治疗方法仍存在许多讨论。在肩部手术中，完整的肩袖撕裂的彻底治疗仍然是一个挑战。在有或没有减压的情况下，在开放式或关节镜清创术中，与传统治疗方法相比，治疗选择已发生变化。最近，已经引入了许多治疗方法，包括一系列非手术治疗，清创术，二头肌腱膜切开术，二头肌腱膜切开术的管状成形术，小修，微型开放式旋转袖套修复，关节镜旋转袖套，肌肉运动，反向肩关节镜检查，软组织增强和半髋置换。通常将非手术性大型肩袖控制分配给疼痛微不足道的患者。该疗法通过改变活动，适当使用类固醇注射剂和物理疗法来发挥作用，重点在于前三角肌锻炼。但是主要的问题是选择最佳治疗方案并做出最终决定。通常，在关节镜发病率中，术后疼痛和住院时间较少，并且手术具有较好的美容效果。因此，这些信息和我们的结果促使我们研究了以关节镜治疗为重点的多种肩袖治疗方法。

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