关键词: 肩袖损伤!诊断!治疗

Abstract:

Objective　To explore the diagnostic method and evaluate curative effects on the rotator cuff tear． Methods     From July 2004 to July 2008，48 cases of rotator cuff tear were selected for conservative therapy （17 cases） or surgical therapy （31 cases）according to the types of rotator cuff tear. For patients of conservative therapy, the combined therapies, involving the resting, traditional Chinese medicine, NSAIDs, topical drugs, blocking therapy and traction were used. However, the excision of acromiocoracoid ligament through lateral shoulder approach, followed by acromial arthroplasty，shoulder cuff repair，mattress suture for infraspinatus，infraspinatus and subscapularis, and the shoulder fixation at the abduction position after the operation were performed for patients of surgical therapy． Results    All 48 patients were followed up for more than 6 months, averagely 13 months. The outcomes were evaluated using scoring system of UCLA．20 shoulders graded excellent in the group of operations，10 good，1 bad．the excellent and good result was about 96.8％．8 shoulders graded excellent in the group of conservative treatment, 6 good，3 bad. The excellent and good result was about 82.4%.   Conclusions    Correct analysis and diagnosis of the types of rotator cuff tear, and the prompt surgical treatment, especially for the Neer Ⅱand Ⅲ, are crucial for improving curative effects on rotator cuff tear.

Key words: Shoulder cuff tear!Diagnosis!Treatment