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AOSSM 2016：Bankart修复首次肩关节脱位，能让患者受益

2016-07-09 Seven L 译 MedSci原创

Bankart修复肩关节脱位复发
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美国骨科运动医学学会年会上有研究表明，Bankart修复首次肩关节脱位，可能让患者受益。Tyler J. Marshall博士和他的同事使用CPT代码分析121例平均年龄19岁的患者，均在关节镜下行Bankart修复，术后平均随访51个月。进行回顾性图表审查，以确定病人的人口统计学数据和报告的术前脱位的数量等信息。如果患者在术前有超过1次脱位，被认为是复发性脱位，术后不稳定被列为半脱位或术后脱位。

美国骨科运动医学学会年会上有研究表明，Bankart修复首次肩关节脱位，可能让患者受益。

Tyler J. Marshall博士和他的同事使用CPT代码分析121例平均年龄19岁的患者，均在关节镜下行Bankart修复，术后平均随访51个月。

进行回顾性图表审查，以确定病人的人口统计学数据和报告的术前脱位的数量等信息。如果患者在术前有超过1次脱位，被认为是复发性脱位，术后不稳定被列为半脱位或术后脱位。患者还完成了一项调查，以确定简明肩关节功能测试(SST)评分、运动恢复、术后不稳定、是否需要进一步的手术干预等情况。

总体上，复发性脱位组和首次脱位组分别有53例患者和68例患者；两组的术后不稳定率分别为47%和9%；两组患者中需要重复操作以纠正不稳定情况的分别有32%和7%；两组的SST评分分别为11和11.4。

研究者也指出，约有75%的患者被视为竞技运动者，两组的骨损失均约为20%。

研究表明，Bankart修复首次肩关节脱位，能让患者受益。

原始出处：

Marshall TJ. Paper #103. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 7-10, 2016; Colorado Springs, Colo.

Patients likely benefit from Bankart repair of initial shoulder dislocation.Healio.July 8, 2016


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  1. [GetPortalCommentsPageByObjectIdResponse(id=129400, encodeId=36a912940037, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:43:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=107372, encodeId=a47510e3721a, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Aug 30 11:14:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2003521, encodeId=d3c5200352129, content=<a href='/topic/show?id=95f53013946' target=_blank style='color:#2F92EE;'>#关节脱位#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30139, encryptionId=95f53013946, topicName=关节脱位)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4cce318, createdName=wleon8895, createdTime=Fri Apr 14 10:58:00 CST 2017, time=2017-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1349546, encodeId=929a1349546d6, content=<a href='/topic/show?id=3b118194e7a' target=_blank style='color:#2F92EE;'>#肩关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81947, encryptionId=3b118194e7a, topicName=肩关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=55683, createdName=仁医06, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356083, encodeId=b7cc135608383, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1542498, encodeId=1732154249834, content=<a href='/topic/show?id=120f85233cb' target=_blank style='color:#2F92EE;'>#脱位#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85233, encryptionId=120f85233cb, topicName=脱位)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ebbe13414128, createdName=ms1692212821629096, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=)]
    2016-09-17 1e10c84am36(暂无匿称)

    不错哦，会学到很多，喜欢梅斯医学文章

    0

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    2016-08-30 ylzr123

    好文，值得学习，赞！

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    2017-04-14 wleon8895

    #关节脱位#

    0

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    2016-07-11 仁医06

    #肩关节#

    0

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    2016-07-11 zhaojie88

    #ART#

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=129400, encodeId=36a912940037, content=不错哦，会学到很多，喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:43:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=107372, encodeId=a47510e3721a, content=好文，值得学习，赞！, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Aug 30 11:14:00 CST 2016, time=2016-08-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2003521, encodeId=d3c5200352129, content=<a href='/topic/show?id=95f53013946' target=_blank style='color:#2F92EE;'>#关节脱位#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30139, encryptionId=95f53013946, topicName=关节脱位)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4cce318, createdName=wleon8895, createdTime=Fri Apr 14 10:58:00 CST 2017, time=2017-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1349546, encodeId=929a1349546d6, content=<a href='/topic/show?id=3b118194e7a' target=_blank style='color:#2F92EE;'>#肩关节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=81947, encryptionId=3b118194e7a, topicName=肩关节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=55683, createdName=仁医06, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1356083, encodeId=b7cc135608383, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1542498, encodeId=1732154249834, content=<a href='/topic/show?id=120f85233cb' target=_blank style='color:#2F92EE;'>#脱位#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85233, encryptionId=120f85233cb, topicName=脱位)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ebbe13414128, createdName=ms1692212821629096, createdTime=Mon Jul 11 01:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=)]
    2016-07-11 ms1692212821629096

    #脱位#

    0