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首页> 外文期刊>Journal of shoulder and elbow surgery >Small full-thickness tears do well ten to thirteen years after arthroscopic subacromial decompression.
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Small full-thickness tears do well ten to thirteen years after arthroscopic subacromial decompression.

机译：关节镜下肩峰下减压后十到十三年，全层小的眼泪效果很好。

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摘要

A consecutive series of 181 patients with clinical signs of subacromial impingement underwent arthroscopic subacromial decompression (ASD). All patients had the same surgical procedure, and all pathological findings at the arthroscopy were recorded. Ten to 13 years (mean, 11.2) after the procedure, 162 patients (91%) were available for follow-up consisting of clinical examination and the Constant-Murley and DASH scores. The overall mean value of the age correlated Constant score was 77 points. Men had significantly better Constant score than women. The state of the rotator cuff at the index procedure was found to affect the outcome significantly. Patients with isolated full-thickness supraspinatus tears had the best results, followed by those with partial tears, intact cuffs, or large tears involving more than 1 tendon. ASD in the treatment of subacromial impingement yields good long-term results. Small full-thickness supraspinatus tears had the best results, indicating that the ASD might prevent further cuff deterioration and that repair of these lesions may be unnecessary.
机译：连续181例具有肩峰下撞击临床症状的患者接受了关节镜下肩峰下减压（ASD）。所有患者均采用相同的手术方法，并记录了关节镜检查中的所有病理发现。术后10到13年（平均11.2），有162例患者（91％）可以进行随访，包括临床检查以及Constant-Murley和DASH评分。与年龄相关的常量得分的整体平均值为77分。男性的恒定分数明显高于女性。发现在分度手术时肩袖的状态显着影响结局。单发性全层上睑上睑撕裂的患者效果最好，其次是部分撕裂，袖口完整或有多于1条肌腱的大撕裂的患者。 ASD治疗肩峰下撞击具有良好的长期效果。较小的全层上棘上撕裂效果最好，表明ASD可以防止进一步的袖套恶化，并且可能不需要修复这些病变。

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