朋友们大家好！今天是2019年11月6日周三。开卷有益！欢迎您来到《听高绪仁讲肩关节那些事儿》第156期！没有天生的专家，唯有每天坚持不懈地努力学习、实践 和提升！ 上图：2019年11月6日周三，高绪仁在徐州医科大学附属医院暨徐州二院骨科关节外科住院部病房进行骨关节损伤病例教学查房。 今天有人问我：“高主任您好！2020年2月13日法国巴黎肩关节研讨会第1天将讨论什么肩袖损伤及肌腱转位的内容呢?” 这是一个很好地问题。 我们治疗肩关节肩袖损伤不能坐井观天，而应该放眼世界，取西方他山之石为我中国肩关节损伤与疾病患者服务。 2020年2月13日星期四到2020年2月15日星期六，法国巴黎肩关节研讨会将在法国巴黎召开。此次法国巴黎肩关节研讨会的大会主席是法国巴黎肩关节专家Philippe Valenti和法国安纳西肩关节专家Laurent Lafosse。 为期3天的2020年法国巴黎肩关节研讨会的主题是：肩袖撕裂和肩关节周围肌腱转位。 第一天的主题：Currents Concepts in Rotator Cuff and Subscapularis (SSC) Tears（肩袖撕裂和肩胛下肌撕裂的当今理念） 第二天的主题：Currents Concepts and Long-Term Results of Postero Superior Cuff Tear(当今理念和后上方肩袖撕裂的长期效果） 第三天的主题：Complex Rotator Cuff Tear（复杂的肩袖撕裂） 那么2020年2月13日星期四第1天主要讲哪些内容呢？ Currents Concepts in Rotator Cuff and Subscapularis (SSC) Tears 肩袖撕裂和肩胛下肌撕裂的当今理念 06h55-07h00: Welcome 06：55-07：00 欢迎致辞 Ph. Valenti (France), L. Lafosse (France) Ph. Valenti (法国), L. Lafosse (法国) 07h00-08h00: Presentations 07：00-08：00 演讲 Current Concepts in Rotator Cuff 肩袖的当前理念 Macro- and microstructural damage of the subscapularis tendon •• Ph. Moroder (Germany) 肩胛下肌肌腱的宏观和微观结构的损伤 Ph. Moroder (德国) Supra and infraspinatus anatomy revisited •• H. Sugaya (Japan) 再看冈上肌个冈下肌肌腱的解剖 H. Sugaya (日本) The Rotator Cuff and the Superior Capsule: Why We Need Both •• P. Denard (USA) 肩袖和上关节囊：为什么我们两个都需要？P. Denard (美国) Bony anatomy of the scapula and RCT •• K. Wieser (Switzerland) 肩胛骨的骨性解剖与肩袖撕裂 K. Wieser (瑞士) Effects of rotator cuff tears on shoulder biomechanics •• G. Athwal (Canada) 肩袖撕裂对肩关节生物力学的影响 G. Athwal (加拿大) Chronic massive RCT and range of motion •• Ph. Collin (France) 慢性巨大肩袖撕裂和肩关节活动范围 Ph. Collin (法国) 08h00-08h30: Relive Surgery 08：00-08：30 手术录像回放 Tips Tricks to Evaluate the Function of the Shoulder 评估肩关节功能的技巧和方法 Best clinical tests for subscapularis lesions •• R. Hertel (Switzerland) 肩胛下肌肌腱损伤的最好的临床检查方法 R. Hertel (瑞士) Clinical signs to suspect biceps pathology •• L. Favard (France) 二头肌长头腱病例相关的临床征象 L. Favard (法国) Best clinical signs to assess posterosuperior cuff tears •• R. Hertel (Switzerland) 评估后上方肩袖撕裂的最好的临床征象 R. Hertel (瑞士) Best clinical tests to assess teres minor deficiency •• P. Mansat (France) 评估后小圆肌肌腱撕裂的最好的临床征象 P. Mansat (法国) Clinical evaluation of periscapular muscles deficiency •• B. Elhassan (USA) 肩关节周围肌肉功能缺失的临床评估 B. Elhassan (美国) 08h30-09h00: Lecture - C. Gerber (Switzerland) Fatty infiltration and atrophy of the rotator cuff: what we have to know in 2020? 08：30-09：00 讲座 C. Gerber(瑞士) 脂肪浸润和肩袖萎缩：2020年我们需要知道什么？ 09h00-10h00: Presentations 09：00-10：00 演讲 Subscapularis (SSC) Tear 主题：肩胛下肌肌腱撕裂 Best imaging to evaluate SSC tear and its reparability? •• J.-F. Kempf (France) 评估肩胛下肌肌腱撕裂和可修复性的最佳影像学 J.-F. Kempf (法国) How to classify SSC lesions •• J. Barth (France) 如何将肩胛下肌肌腱撕裂分类？ J. Barth (法国) The hidden lesion of the SSC •• L. Neyton (France) 隐蔽型的肩胛下肌肌腱撕裂 L. Neyton (法国) Criteria to repair partial SSC lesions •• K. Wieser (Switzerland) 修复部分肩胛下肌肌腱撕裂的标准 K. Wieser (瑞士) Coracoid impingement: does it exist? •• G. Nourissat (France) 喙突撞击：存在么？ G. Nourissat (法国) 10h00-10h30: Coffee break 10：00-10：30 会间休息时间 10h30-11h00: Relive Surgery 10：30-11：00 手术录像回放 Tips and Tricks to Repair SSC Lesions 修复肩胛下肌肌腱损伤的技巧与窍门 How and when do you repair the SSC in the box •• Ph. Moroder (Germany) 如何及何时修复肩胛下肌损伤？Ph. Moroder (德国) How and when do you repair the SSC out of the box •• P. Randelli (Italy) 如何及何时修复肩胛下肌损伤？P. Randelli (Italy) New vision to repair a complete SSC tear •• G. Athwal (Canada) 修复完全的肩胛下肌肌腱撕裂的新视野 G. Athwal (加拿大) Tips and tricks to repair a retracted SSC Tear •• L. Lafosse (France) 修复退缩性肩胛下肌肌腱撕裂的技巧和窍门 L. Lafosse (France) One or two double row for SSC repair? •• J. Keener (USA) 单排还是双排修复肩胛下肌肌腱撕裂？ J. Keener (USA) 11h00-11h30: Interactive Cases Discussion 11：00-11：30 互动式病例讨论 3 cases SSC tear Traumatic / Degenerative /Antero superior 3个肩胛下肌损伤的病例：创伤性/退变性/前上方撕裂 Moderator: E. Calvo (Spain) 主持人：E. Calvo (西班牙) Speakers: K. Wieser (Switzerland), Y. Barth (France), D. Dines (USA) 演讲者：K. Wieser (瑞士), Y. Barth (法国), D. Dines (美国) 11h30-12h30: Live Surgery 11：30-12：30 现场手术转播 Repair SSC Lesion 修复肩胛下肌肌腱损伤 12h30-14h00: Lunch Industry Workshops 12：30-14：00 午餐及厂家工作操作工作坊 14h00-14h30: Mini Battle 14：00-14：30 小辩论 Long Head of the Biceps (LHB) 肱二头肌长头腱 Best imaging for the LHBiceps: Ultrasound versus MRI? •• H. Guérini (France) 肱二头肌长头腱最佳的影像学：超声还是磁共振？ H. Guérini (法国) Why do you prefer tenotomy? •• WN. Levine (USA) 为何是那么你更喜欢肱二头肌长头腱切断术？WN. Levine (美国) Why do you prefer a lasso loop fixation tenodesis? •• L. Lafosse (France) 为什么你更喜欢lasso环固定肱二头肌长头腱？L. Lafosse (法国) Why do you prefer an interference screw fixation in the BG? •• Ph. Valenti (France) 为什么你喜欢用界面螺钉将肱二头肌长头腱固定在结节间沟？Ph. Valenti (法国) Why and how you do a subpectoralis fixation? •• P. Denard (USA) 为什么几如何进行胸大肌下肱二头肌长头腱固定术？P. Denard (美国) Why and how I perform the Keynote procedure •• J. Kany (France) 为什么及如何采用Keynote的方法固定肱二头肌长头腱？J. Kany (法国) 14h30-15h30: Presentations 14：30-15：30 演讲 Moderateur: P. Mansat (France) 主持人：P. Mansat (法国) Clinical and Radiological Results of SSC Repair more than 10 Years FU 10年以上的肩胛下肌肌腱损伤修复后的临床及影像学随访结果 Long term results of SSC •• L. Lafosse (France) 肩胛下肌肌腱撕裂的长期临床随访结果 L. Lafosse (法国) Long term results of SSC +/ - SS repair •• L. Nove Josserand (France) 肩胛下肌肌腱+/ - 冈上肌肌腱修复的长期临床效果 L. Nove Josserand (法国) Radiological evaluation of SSC repairs •• H. Sugaya (Japan) 肩胛下肌肌腱损伤修复的影像学评估 H. Sugaya (日本) Why and when should we also address the LHB, AC joint, acromion? •• P. Boileau (France) 为什么及何时我们需要处理肱二头肌长头腱、肩锁关节及肩峰？P. Boileau (法国) Does pre op FI SSC influence final result of SSC repaires? •• A. Maqdes (Kuwait) 肩胛下肌肌腱之前做过内固定会影响肩胛下肌再修复的最后疗效么？ A. Maqdes (科威特) Strategy and results in traumatic lesion of SSC repair •• J. Barth (France) 创伤性肩胛下肌肌腱撕裂的处理策略及临床疗效 J. Barth (法国) 15h30-16h00: Relive Surgery 15：30-16：00 手术录像回放 Tips and tricks to Perform a Tendon Transfer in Irreparable SSC 进行不可修复性肩胛下肌肌肌腱转位手术时的技巧和窍门 Pectoralis Major transfer •• M. Scheibel (Germany/Switzerland) 胸大肌肌腱转位 M. Scheibel (德国/瑞士) Full arthroscopic Latissimus Dorsi transfer •• J. Kany (France) 完全关节镜下背阔肌转位 J. Kany (法国) Arthroscopically-assisted pectoralis minor transfer •• M. Cartaya (Chile) 关节镜辅助下胸小肌转位 M. Cartaya (智利) News Trends 新趋势 Arthroscopically assisted Pectoralis major transfer •• JD. Werthel (France) 关节镜辅助下胸大肌转位 JD. Werthel (法国) Lower Trapezius anteriorly •• M. Cartaya (Chile) 下斜方肌向前转位 M. Cartaya (智利) 16h00-16h30: Coffee Break 16：00-16：30 会间休息时间 16h30-17h30: Presentations 16：30-17：30 演讲 Indications and Results in Irreparable Subscapularis Tear 不可修复性肩胛下肌肌腱撕裂手术的适应症和临床疗效 Biomechanical study of PM versus LD •• JD. Werthel (France) 胸大肌、背阔肌转位的生物力学研究 JD. Werthel (法国) Why do you prefer biceps tenodesis •• P. Boileau (France) 为什么你更喜欢肱二头肌长头腱固定术 P. Boileau (法国) Why do you prefer Pectoralis major •• C. Gerber (Switzerland) 为什么你更喜欢胸大肌转位 C. Gerber (瑞士) Why do you prefer Pectoralis minor •• G. Porcellini (Italy) 为什么你更喜欢胸小肌转位？ G. Porcellini (意大利) Why do you prefer Latissimus dorsi •• B. Elhassan (USA) 为什么你更喜欢背阔肌转位？ B. Elhassan (美国) 17h30-18h00: New Technology in Rotator Cuff 17：30-18：00 肩袖新科技 Adipose Mesenchimal Stem Cell in Rotator Cuff Repair •• P. Randelli (Italy) 肩袖修复中脂肪干细胞的运用 P. Randelli (意大利) Other options to manage massive RCTs Robotic approach to the Latissimus Dorsi •• JC Garcia (Brazil) 治疗巨大肩袖撕裂其他的选择 机器人辅助背阔肌转位 JC Garcia (巴西) Title tbc •• J. Keener (USA) Title tbc •• M. Zumstein (Switzerland) 18h00-19h00: Live Surgery 18：00-19：00 现场手术转播 Arthroscopic Double Layer Lasso Loop RC repair 关节镜下双层Lasso环法肩袖修复手术 19h00: Welcome Reception 19：00 欢迎招待 “借问肩痛去哪里，路人遥指高绪仁”。如果您有任何关于肩关节的问题，欢迎您登录高绪仁好大夫在线网站进行咨询！网址链接 https://gaoxurendr.haodf.com/ 谢谢！ 高绪仁 副主任医师、副教授、医学博士/博士后、骨科关节病方向硕士研究生导师 徐州医科大学附属医院骨科高绪仁膝肩髋关节医疗组 徐州医科大学附属医院骨科关节外科膝肩髋关节人工关节置换与关节镜手术品牌专家 关键词：肩袖损伤 法国巴黎肩关节研讨会 肩胛下肌肌腱损伤 高绪仁 江苏省 徐州医科大学附属医院 徐医附院 徐州二院 骨科 肩关节 关节外科 肩关节疼痛 肩膀疼 肩痛不等于肩周炎 肩周炎 冻结肩 肩关节粘连 肩袖损伤 肱二头肌长头腱 炎症 损伤 撕裂 肩关节镜微创手术 反式人工肩关节及置换手术 听高绪仁讲肩关节那些事儿
朋友们大家好！今天是2019年11月5日周二。开卷有益！欢迎您来到《听高绪仁讲肩关节那些事儿》第155 期！没有天生的专家，唯有每天坚持不懈地努力学习、实践和提升！ 上图：2019年11月5日周二，高绪仁在徐州医科大学附属医院暨徐州二院骨科膝肩髋关节专家门诊为肩关节 疼痛、肩峰撞击、肩袖损伤的患者进行规范化肩关节体格检查。 今天有人问我：“高主任您好！2020年2月14日法国巴黎肩关节研讨会第二天将讨论什么肩袖损伤及肌腱 转位的内容呢?” 这是一个很好地问题。 我们治疗肩关节肩袖损伤不能坐井观天，而应该放眼世界，取西方他山之石为我中国肩关节损伤与疾病患 者服务。 2020年2月13日星期四到2020年2月15日星期六，法国巴黎肩关节研讨会将在法国巴黎召开。此次法国巴黎 肩关节研讨会的大会主席是法国巴黎肩关节专家Philippe Valenti和法国安纳西肩关节专家Laurent Lafosse 。 为期3天的2020年法国巴黎肩关节研讨会的主题是：肩袖撕裂和肩关节周围肌腱转位。 第一天的主题：Currents Concepts in Rotator Cuff and Subscapularis (SSC) Tears（肩袖撕裂和 肩胛下肌撕裂的当今理念） 第二天的主题：Currents Concepts and Long-Term Results of Postero Superior Cuff Tear(当今 理念和后上方肩袖撕裂的长期效果） 第三天的主题：Complex Rotator Cuff Tear（复杂的肩袖撕裂） 那么2020年2月14日星期五第二天主要讲哪些内容呢？ 第二天的主题：Currents Concepts and Long-Term Results of Postero Superior Cuff Tear(当今 理念和后上方肩袖撕裂的长期效果） Currents Concepts and Long-Term Resultsof Postero Superior Cuff Tear 当今理念和后上方肩袖撕裂的长期效果 07h00-08h00: Presentations 07：00-8：00 演讲 Postero Superior Cuff Tear 后上方肩袖撕裂 Small Tear of the Supraspinatus Tendon: Special Tips to avoid Misdiagnosis •• H. Guérini (France) 冈上肌肌腱小撕裂：用于避免误诊的特别技巧 H. Guérini (法国) When do you decide a conservative treatment •• J. Keener (USA) 您什么时候决定保守治疗？J. Keener (美国) IS lesion at the myotendinous junction; what should we do? •• L. Neyton (France) 损伤在肌肉和肌腱结合处么？您将怎么办？L. Neyton (法国) Do you repair Cuff tear over 70 years old? •• P. Flurin (France) 您修复年龄高于70岁的患者么？P. Flurin (法国) Cuff repair before 40 years old: is it different? •• H. Sugaya (Japan) 修复40岁以下年龄的肩袖损伤：有什么不同么？ H. Sugaya (日本) Socio economic aspects of RC repair •• A. Castagna (Italy) 肩袖修复的社会经济因素 A. Castagna (意大利) 08h00-09h00: Relive Surgery 08：00-09：00 手术录像再放 Tips and tricks to Repair a PS Cuff Tear 修复后上方肩袖损伤的技巧和窍门 How to manage a small or medium tear of the supraspinatus •• A. Godeneche (France) 如何处理小或中度大小的冈上肌肌腱撕裂？A. Godeneche (法国) Technique of Trans osseous fixation of a RCT •• P. Randelli (Italy) 穿骨固定修复肩袖撕裂的技术 P. Randelli (意大利) Do you still have an indication for single row repair? •• G. Porcellini (Italy) 您仍然有单排修复的适应症么？G. Porcellini (意大利) Indications and technique of bursal augmentation in RC repair •• M. Scheibel (Switzerland/Germany) 肩袖修复中滑囊增强的适应症和技术 M. Scheibel (瑞士/德国) Pearls to medialize a cuff retracted •• Ph. Valenti (France) 退缩肩袖内移的技巧 Ph. Valenti (法国) Pearls and tips to simplify patch augmentation •• J. Leuzinger (Switzerland) 简化补片加强的技巧和方法 J. Leuzinger (瑞士) Pearls to repair a retracted cuff tear •• L. Lafosse (France) 修复退缩肩袖撕裂的技巧 L. Lafosse (法国) 09h00-09h30: Interactive Cases Discussion 09：00-09：30 互动式病例讨论 Moderator: W.N. Levine (USA) 主持人： W.N. Levine (美国) Speakers: Ph. Collin (France), JC Garcia (Brazil), R. Hertel (Switzerland), Ph. Flurin (France) 演讲者：Ph. Collin (法国), JC Garcia (巴西), R. Hertel (瑞士), Ph. Flurin (法国) Postero superior CT reparable (Delamination or NO) 可修复性的后上方肩袖撕裂（分层或不分层） 09h30-10h00: Lecture - P. Boileau (France) 09：30-10：00 讲座 P. Boileau (法国) How do you Define and Manage a Pseudoparalytic Shoulder? 如何定义和处理肩关节假性麻痹？ 10h00-10h30: Coffee Break 10：00-10：30 会间休息时间 10h30-11h30: Mini Battle 10：30-11：30 小辩论 PS tear: Difficult Situations! 后上方肩袖撕裂：困难的情况！ How do you manage stiff shoulder and RCT? 如何处理肩关节僵硬和肩袖撕裂？ I operate immediately •• YS. Kim (Korea) 我立刻手术 YS. Kim (韩国) I do physiotherapy first •• L. Favard (France) 我先进行理疗 L. Favard (法国) How do you manage intratendinous supraspinatus lesions? 您如何处理冈上肌肌腱腱内撕裂？ I stop to do PRP injections •• A. Lädermann (Switzerland) 我停止手术然后采用PRP注射的方法治疗 A. Lädermann (瑞士) I do surgery •• Ph. Clavert (France) 我继续进行手术 Ph. Clavert (法国) How do you manage a supraspinatus partial tear? 您如何处理冈上肌肌腱部分撕裂？ I debride •• G. Porcellini (Italy) 我采用清理的办法 G. Porcellini (意大利) I repair in situ •• A. Castagna (Italy) 我采用原位修复的方法 A. Castagna (意大利) I take it down and I fix it •• WN. Levine (USA) 我做成全层并固定它 WN. Levine (美国) Acromioplasty – anterior, lateral, not at all? 肩峰成形---前、外、还是不进行？ I continue to do a conventional acromioplasty •• L. Favard (France) 我仍旧做传统的肩峰成形手术 L. Favard (法国) I do a lateral acromioplasty •• C. Gerber (Switzerland) 我做外侧肩峰成形手术 C. Gerber (瑞士) do not do any acromioplasty anymore •• G. Nourissat (France) 我不再进行任何肩峰成形 G. Nourissat (法国) 11h30-12h30: Live Surgery 11：30-12：30 现场手术转播 Latissimus dorsi + Teres major full arthroscopy 背阔肌+大圆肌转位 全镜下手术 12h30-14h00: Lunch Industry Workshops 12：30-14：00 午餐 厂家手术工具操作工作坊 14h00-15h00: Presentations 14：00-15：00 演讲 Biological Aspect of the Rotator Cuff Repair 肩袖损伤修复的生物学方法 Factors affecting rotator cuff healing (New biological concepts) •• M. Zumstein (Switzerland) 影响肩袖愈合的因素（新的生物学理念）M. Zumstein (瑞士) Biological augmentation in RC repair •• WN. Levine (USA) 肩袖修复的生物学增强 WN. Levine (美国) Is PRP still an option? •• P. Randelli (Italy) PRP仍旧是一个可供选择的方法么？P. Randelli (意大利) Future of growth factors and stem cells in RC repair •• S. Antuna (Spain) 肩袖修复中生长因子和干细胞在未来的作用 S. Antuna (西班牙) Patch augmentation in degenerative RCT •• J. Barth (France) 退变性肩袖撕裂的布片加强 J. Barth (法国) 15h00-16h00: Mini Battle 15：00-16：00 小辩论 PS Cuff Tear and Fatty Infiltration IS SS 2 后上方肩袖撕裂和脂肪浸润程度 冈下肌 冈上肌 2 I try to repair systematically •• P. Denard (USA) 我尽量全面进行修复 P. Denard (美国) I don’t repair •• Ph. Collin (France) 我不修复 Ph. Collin (法国) I repair partially •• P. Boileau (France) 我进行部分修复 P. Boileau (法国) I use systematically a tendon transfer •• J. Kany (France) 我采用肌腱转位的方法 J. Kany (法国) Post-operative care 手术后康复护理 I put a sling and I delay physiotherapy •• Ph. Clavert (France) 我使用悬吊带 我推迟理疗的时间 Ph. Clavert (法国) I put a sling and I start physiotherapy immediately •• A. Godeneche (France) 我使用悬吊带 我立刻进行理疗 A. Godeneche (法国) I don’t put a sling •• A. Lädermann (Switzerland) 我不用悬吊带 A. Lädermann (瑞士) Supra scapular nerve and massive cuff tear 肩胛上神经和巨大肩袖撕裂 Neurolysis is still an option •• L. Lafosse (France) 神经松解术仍旧是一个选择 L. Lafosse (法国) I do not do it anymore •• WN. Levine (USA) 我不再进行神经松解术 WN. Levine (美国) 16h00-16h30: Interactive Cases Discussion 16：00-16：30 交互式病例讨论 Moderator: P. Mansat (France) 主持人 ： P. Mansat (法国) Speakers: J. Agneskirchner (Germany), S. Antuna (Spain), Ph. Clavert (France), J. Leuzinger (Switzerland),L. Nove Josserand (France) 演讲者：J. Agneskirchner (德国), S. Antuna (西班牙), Ph. Clavert (法国), J. Leuzinger (瑞士),L. Nove Josserand (法国) Massive cuff tear: 3 cases 巨大肩袖撕裂：3个病例 16h30-17h00: Coffee Break 16：30-17：00 会间休息时间 17h00-18h00: Presentations 17：00-18：00 演讲 Clinical and Radiological Results More than 10 Years FU 10年以上随访的临床及影像学表现 Clinical and radiological results of Supraspinatus repairs •• A. Godeneche (France) 冈上肌肌腱修复的临床及影像学表现 A. Godeneche (法国) Clinical and radiological results of Supra and infra spinatus repairs •• J.-F. Kempf (France) 冈上肌肌腱和冈下肌肌腱修复的临床及影像学表现 J.-F. Kempf (法国) Clinical and radiological results of antero posterior cuff repairs •• P. Mansat (France) 前后肩袖修复的临床及影像学表现 P. Mansat (France) Difference between SSC, SS, AS and PS repair •• L. Favard (France) 肩胛下肌肌腱、冈上肌肌腱、前上肩袖撕裂及后上肩袖撕裂的不同 L. Favard (法国) What happens at 20 year-follow up •• C. Gerber (Switzerland) 20年的随访：发生了什么？ C. Gerber (瑞士) Arthritis and Rotator cuff repair cuff repair •• P. Flurin (France) 关节炎和肩袖损伤修复 P. Flurin (法国) 18h00-19h00 Live Surgery 18：00-19：00 现场手术转播 Lower trapezius transfer 下斜方肌转位 19h00: End of the Day 19：00 结束一天的会议 “借问肩痛去哪里，路人遥指高绪仁”。如果您有任何关于肩关节的问题，欢迎您登录高绪仁好大夫在线网站进行咨询！网址链接 https://gaoxurendr.haodf.com/ 谢谢！ 高绪仁 副主任医师、副教授、医学博士/博士后、骨科关节病方向硕士研究生导师 徐州医科大学附属医院骨科高绪仁膝肩髋关节医疗组 徐州医科大学附属医院骨科关节外科膝肩髋关节人工关节置换与关节镜手术品牌专家 关键词：肩袖损伤 法国巴黎肩关节研讨会 高绪仁 江苏省 徐州医科大学附属医院 徐医附院 徐州二院 骨科 肩关节 关节外科 肩关节疼痛 肩膀疼 肩痛不等于肩周炎 肩周炎 冻结肩 肩关节粘连 肩袖损伤 肱二头肌长头腱 炎症 损伤 撕裂 肩关节镜微创手术 反式人工肩关节及置换手术 听高绪仁讲肩关节那些事儿
朋友们大家好！今天是2019年11月4日周一。开卷有益！欢迎您来到《听高绪仁讲肩关节那些事儿》第154期！没有天生的专家，唯有每天坚持不懈地努力学习、实践和提升！ 上图：2019年11月4日周一，高绪仁在徐州医科大学附属医院暨徐州二院手术室为患者进行手术。 今天有人问我：“高主任您好！2020年2月15日法国巴黎肩关节研讨会第3天将讨论什么肩袖损伤及肌腱转位的内容呢?” 这是一个很好地问题。 我们治疗肩关节肩袖损伤不能坐井观天，而应该放眼世界，取西方他山之石为我中国肩关节损伤与疾病患者服务。 2020年2月13日星期四到2020年2月15日星期六，法国巴黎肩关节研讨会将在法国巴黎召开。此次法国巴黎肩关节研讨会的大会主席是法国巴黎肩关节专家PhilippeValenti和法国安纳西肩关节专家Laurent Lafosse。 为期3天的2020年法国巴黎肩关节研讨会的主题是：肩袖撕裂和肩关节周围肌腱转位。 第一天的主题：Currents Concepts in Rotator Cuff and Subscapularis (SSC) Tears（肩袖撕裂和肩胛下肌撕裂的当今理念） 第二天的主题：Currents Concepts and Long-Term Results of Postero Superior Cuff Tear(当今理念和后上方肩袖撕裂的长期效果） 第三天的主题：Complex Rotator Cuff Tear（复杂的肩袖撕裂） 那么2020年2月15日星期六第3天主要讲哪些内容呢？ 第三天的主题：Complex Rotator Cuff Tear（复杂的肩袖撕裂） 08h00-08h30: Relive Surgery (Tips and tricks) 8：00-8：30 手术回放（技巧和窍门） Irreparable Postero Superior Cuff Tear 不可修复的后上方肩袖撕裂 Clinical aspects of irreparable PS cuff tear ••S. Antuna (Spain) 不可修复的后上方肩袖撕裂相关临床问题 S. Antuna（西班牙） SCR ••R. Delaney (Ireland) 上关节囊重建 R. Delaney（爱尔兰） Latissimus dorsi mini invasive and @ fixation ••Ph. Valenti (France) 微创背阔肌转位及肩关节镜下固定 Ph. Valenti（法国） Latissimus dorsi around the humerus ••L. Neyton (France) 肱骨周围背阔肌 L. Neyton（法国） Full @ latissimus dorsi ••L. Lafosse (France) 完全肩关节镜下背阔肌转位 L. Lafosse（法国） Full @ LD + T Major •• V. Jermolajevas (Lithuania) 完全肩关节镜下背阔肌转位+大圆肌转位 V. Jermolajevas（立陶宛） L Trapezius transfer assisted by arthroscopy ••G. Athwal (Canada) 关节镜辅助下下背阔肌转位 G. Athwal（加拿大） L Trapezius transfer ••JD. Werthel (France) 下背阔肌转位 JD. Werthel（法国） 08h30-09h30: Mini Battle 08：30-09：30 小辩论 When and Why do you Prefer? 您更喜欢哪种方法？什么时候？为什么？ Debridement •• G. Porcellini (Italy) 清理术 G. Porcellini（意大利） Superior capsular reconstruction •• D. Dines (USA) 上关节囊重建 D. Dines（美国） SCR - Does the graft really heals? •• M. Scheibel (Switzerland / Germany) 上关节囊重建---移植物会真正愈合么？ M. Scheibel （瑞士/德国） Discussion 讨论 Partial repair with BR (Biceps Rerouting) Technique •• YS. Kim (Korea) 肩袖部分修复联合运用肱二头肌长头腱（二头肌长头腱转道）技术 YS. Kim（韩国） Balloon •• J. Agneskirchner (Germany) 球囊技术 J. Agneskirchner（德国） Latissimus dorsi +/- partial repair •• J. Kany (France) 背阔肌转位+/-肩袖部分修复 J. Kany（法国） Lower trapezius transfer •• Ph. Valenti (France) 下斜方肌转位 Ph. Valenti（法国） RTSA •• E. Calvo (Spain) 反式人工肩关节置换手术 E. Calvo（西班牙） 09h30-10h30: Presentations 09：30-10:30 演讲 Complex Situations! Clinical Cases Presentations! 复杂的情况！临床病例演讲！ How to manage a lack of external rotation •• M. Zumstein (Switzerland) 如何处理外旋不行的情况？ M. Zumstein（瑞士） How to manage lack of internal rotation •• D. Dines (USA) 如何处理内旋不行的情况？D. Dines（美国） How to manage a lack of external rotation and forward elevation •• P. Denard (USA) 如何处理外旋及前举不行的情况？P. Denard（美国） How to manage AP and PS irreparable cuff tear •• B. Elhassan (USA) 如何处理前后及后上不可修复性肩袖撕裂？B. Elhassan（美国） LD versus LT versus SCR in terms of outcomes •• E. Wagner (USA) 背阔肌转位、下斜方肌转位、上关节囊重建的临床效果比较 E. Wagner（美国） Rotator cuff tear and instability: how do you manage? •• H. Sugaya (Japan) 肩袖撕裂和肩关节不稳：您怎么处理？ H. Sugaya (日本) 10h30-11h00: Coffee break 10:30-11:00 会间休息 11h00-11h30: Lecture B. Elhassan (USA) 11:00-11:30 讲座 B. Elhassan（美国） Anatomy, clinical examination and surgical implication of the scapulothoracic muscles 肩胛胸壁肌肉的解剖、临床检查和手术适应症 11h30-12h30: Live Surgery 11:30-12:30 现场手术转播 RTSA + Epicospo 反式人工肩关节置换手术+ L’Episcopo肌腱转位 12h30-14h00: Lunch Industry Workshops 12:30-14:00：午餐及操作工作坊 14h00-15h00: Presentations 14:00-15:00 演讲 Rotator Cuff Retear 主题：肩袖再撕裂 Factors affecting outcome after structural failure of repaired rotator cuff tears •• J. Keener (USA) 肩袖撕裂修复后再撕裂疗效的影响因素 J. Keener（美国） Why do RC repairs fail? Place of conservative treatment •• A. Lädermann (Switzerland) 为什么肩袖撕裂修复会失败？保守治疗的地位 A. Lädermann（瑞士） Results of a new repair with medialization •• YS. Kim (Korea) 足印区内移再修复的效果 YS. Kim（韩国） Results of a patch augmentation •• J. Leuzinger (Switzerland) 补片加强的临床效果 J. Leuzinger（瑞士） Results of a tendon transfer with or without partial repair •• Ph. Valenti (France) 肌腱转位+/_肩袖部分修复的临床效果 Ph. Valenti（法国） Indication and Results of SCR and in the discussion to compare SCR versus LD transfer •• R. Delaney (Ireland) 上关节囊重建的适应症和临床疗效 比较上关节囊重建和背阔肌转位的讨论 R. Delaney（爱尔兰） 15h00-15h30: Relive Surgery (Tips and tricks) 15:00-15:30 手术录像回放（技巧和窍门） Rotator Cuff Tear and Pseudo Paralytic Shoulder 肩袖撕裂和肩关节假性麻痹 RSA + Episcopo •• Ch. Bou Khalil (France, Lebanon) 反式肩关节置换+L’Episcopo肌腱转位 Ch. Bou Khalil（法国 黎巴嫩） RSA + LD transfer isolated •• L. Neyton (France) 反式肩关节置换+背阔肌肌腱转位 L. Neyton（法国） RSA + Pectoralis major transfer for deltoid palsy •• Ph. Valenti (France) 反式肩关节置换+胸大肌肌腱转位治疗三角肌麻痹的情况 Ph. Valenti（法国） 15h30-16h00: Presentations 15:30-16:00 演讲 Indications and Clinical Results 适应症和临床疗效 Indications and results of isolated LD Transfer (PM sparing approach) •• P. Boileau (France) 单独的背阔肌转位的适应症和临床疗效（不伤胸大肌的办法）P. Boileau（法国） Indications and long term results of Episcopo + RTSA •• Ph. Valenti (France) Episcopo+反式人工肩关节置换手术的适应症和长期临床疗效 Ph. Valenti（法国） Pectoralis major transfer combined with RTSA in deltoid palsy •• B. Elhassan (USA) 三角肌麻痹患者胸大肌转位联合反式人工肩关节置换手术 B. Elhassan（美国） RTSA and PM vers for SSC deficiency •• Ph. Valenti (France) 反式人工肩关节置换手术联合胸大肌转位治疗肩胛下肌功能缺失的患者 Ph. Valenti（法国） 16h00-16h30: Coffee break 16:00-16；30 会间休息 16h30-17h00: Video Demonstrations (Tips and Tricks) 16:30-17:00 手术录像播放（技巧和窍门） Scapulo Thoracic Dysfunction 肩胛胸壁功能不良 Serratus anterior palsy: PM Transfer •• J.D. Werthel (France) 前锯肌麻痹：胸大肌转位 J.D. Werthel（法国) Trapezius palsy: Triple transfer (modified Eden Lange) •• B. Elhassen (USA) 斜方肌麻痹：三头肌转位（改良的Eden Lange手术）B. Elhassen（美国） Scapulo thoracic fusion •• G. Athwal (Canada) 肩胛胸壁融合手术 G. Athwal （加拿大） Scapulo Thoracic fusion: new material •• J.-D. Werthel (France) 肩胛胸壁融合手术 ：新材料 J.-D. Werthel（法国） 17h00: Interactive Cases Discussion 17:00 互动式病例讨论 Moderator: A. Castagna (Italy) 主持人：A. Castagna（意大利） Speakers: V. Jermolajevas (Lithuania), B. Elhassen (USA), G. Athwal (Canada), L. Lafosse (France) 演讲人： V. Jermolajevas （立陶宛），B. Elhassen（美国），G. Athwal（加拿大），L. Lafosse（法国） 3 cases of complex reconstruction 3个复杂的重建病例 17h30: Closing Meeting 17:30 会议结束。 “借问肩痛去哪里，路人遥指高绪仁”。如果您有任何关于肩关节的问题，欢迎您登录高绪仁好大夫在线网站进行咨询！网址链接 https://gaoxurendr.haodf.com/ 谢谢！ 高绪仁 副主任医师、副教授、医学博士/博士后、骨科关节病方向硕士研究生导师 徐州医科大学附属医院骨科高绪仁膝肩髋关节医疗组 徐州医科大学附属医院骨科关节外科膝肩髋关节人工关节置换与关节镜手术品牌专家 关键词：肩袖损伤 法国巴黎肩关节研讨会 高绪仁 江苏省 徐州医科大学附属医院 徐医附院 徐州二院 骨科 肩关节 关节外科 肩关节疼痛 肩膀疼 肩痛不等于肩周炎肩周炎 冻结肩 肩关节粘连 肩袖损伤 肱二头肌长头腱 炎症 损伤 撕裂 肩关节镜微创手术 反式人工肩关节及置换手术 听高绪仁讲肩关节那些事儿
江苏省徐州市肩关节疼痛肩袖损伤的患者问： 高主任您好！我肩关节抬不起来半年了，是不是瘫痪了？怎么办？ 上图：2017年10月3日周二，高绪仁在徐州医科大学附属医院骨科膝肩髋关节专家门诊为肩关节疼痛肩袖损伤的患者进行规范化体格检查、病情评估。 徐州医科大学附属医院（暨徐医附院、徐州二院）骨科关节外科膝、肩、髋关节手术与康复专家、副主任医师、副教授、医学博士、肩关节疼痛方向博士后高绪仁回答： 您好！ 在我的膝肩髋关节专家门诊，经常会遇到肩关节抬不起来的患者。 有的患者就会问：“我的胳膊是不是真的瘫痪了？怎么办？” 对于这一类型的患者，经常问的几个问题，我小结如下，以帮助更多的患者更加清晰的认识自己的病情，从而更好地指导治疗。 1、什么是胳膊抬不起来的真性瘫痪？ 如果患者由于出现脑梗塞、脑血栓、臂丛神经损伤等等这一类神经损伤、神经病变，从而出现胳膊抬不起来的现象，我们称之为真性瘫痪。 如果您经上肢肌电图等相关检查，没有发现神经损伤或神经病变，那么您就不是真性瘫痪。 2、什么是上肢Pseudoparalysis？ Pseudoparalysis可译为假性瘫痪或假性麻痹。对于上肢而言指的是上肢的肌肉无力，不能进行正常的功能活动，但是神经是正常的，不是真正的瘫痪。假性意味着该患者不是真正的神经性瘫痪。 3、既往把肩关节假性瘫痪怎么定义的？ 以前，一般把肩关节肩袖撕裂后上肢不能主动抬到90度称之为肩关节假性瘫痪。 4、肩关节假性瘫痪的患者一般需要怎么治疗？ 可以选择肩袖损伤修复、肩关节上关节囊重建或人工反式肩 关节置换 手术。 5、肩关节假性瘫痪定义有问题么？ 2017年10月，美国犹他大学医学院骨科肩关节专家Robert T. Burks医生和Robert Z. Tashjian医生提出，如果仅仅把上肢抬不到90度高度就成为肩关节假性瘫痪是不精确的，容易引起混淆。 我仔细研读了美国犹他大学医学院骨科肩关节专家Robert T. Burks医生和Robert Z. Tashjian医生2017年下半年在美国关节镜杂志发表的研究论文，进一步提高了对肩关节假性瘫痪的认知。 我们现在对肩关节假性瘫痪的概念要进一步精确化。 精确化定义什么是肩关节假性瘫痪后，有利于我们选择肩袖损伤修复手术、肩袖损伤上关节囊重建手术还是人工反式肩 关节置换 手术。 6、Robert T. Burks医生和Robert Z. Tashjian医生提出的肩关节假性瘫痪的定义是什么？ Robert T. Burks医生和Robert Z. Tashjian医生提出的肩关节假性瘫痪的定义主要包括4个方面。 第一、上肢盂肱关节主动上举抬不起来的范围为45度以下。注意：不是到90度。 第二、患者的的肩关节症状应该是慢慢发生的。即患者的肩关节症状是非急性创伤导致的。 第三、肩袖撕裂范围是巨大的。 第四、肩袖要有至少2度到3度的脂肪浸润。 7、下面两个人都是肩关节假性瘫痪么？有两个人，第一个人，如果他滑雪摔倒，肩关节受到创伤，然后出现上肢抬不起来；第二个人，70岁，具有巨大肩袖撕裂，并且撕裂的肩袖明显回缩，并且肩袖存在III度和IV度的脂肪浸润，不能上抬胳膊6个月了。 按照美国犹他大学Robert T. Burks医生和Robert Z. Tashjian医生提出的最新肩关节假性瘫痪的定义，第二个病人是肩关节假性瘫痪，而第一个病人不是假性瘫痪。 第一个病人只是巨大的肩袖撕裂，可以修复并获得还不错的效果。 第二个病人是肩关节假性瘫痪，可以进行反式肩 关节置换 手术。 8、进一步认识肩关节假性瘫痪有什么意义？ 有利于同行交流、有利于加深对肩关节的认识、有利于更好地选择合适的治疗策略。 参考文献 1.Robert T. Burks, Robert Z. Tashjian.Should We Have a Better Definition of Pseudoparalysis in Patients With Rotator Cuff Tears?DOI: http://dx.doi.org/10.1016/j.arthro.2017.07.024 2.Denard, P.J., Ladermann, A., Brady, P.C. et al. Pseudoparalysis from a massive rotator cuff tear is reliably reversed with an arthroscopic rotator cuff repair in patients without preoperative glenohumeral arthritis. Am J Sports Med. 2015; 43: 2373–2378 3.Dornan, G.J., Katthagen, J.C., Tahal, D.S. et al. Cost-effectiveness of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty for the treatment of massive rotator cuff tears in patients with pseudoparalysis and nonarthritic shoulders. Arthroscopy. 2017; 33: 716–725 4.Mulieri, P., Dunning, P., Klein, S., Pupell, D., and Frankle, M. Reverse shoulder arthroplasty for the treatment of irreparable rotator cuff tears without glenohumeral arthritis. J Bone Joint Surg Am. 2010; 92: 2544–2556 5.Ek, E.T., Neukom, L., Catanzaro, S., and Gerber, C. Reverse total shoulder arthroplasty for massive irreparable rotator cuff tears in patients younger than 65 years old: Results after five to fifteen years. J Shoulder Elbow Surg. 2013; 22: 1199–1208 6.Werner, C.M., Steinmann, P.A., Glibart, M., and Gerber, C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III Reverse-Ball-and-Socket total shoulder prosthesis. J Bone Joint Surg Am. 2005; 87: 1476–1486 7.Greene, W.B. and Heckman, J.D. The shoulder. in: W.B. Greene, J.D. Heckman (Eds.) The clinical measurement of joint motion. Ed 1. American Academy of Orthopaedic Surgeons, Rosemont, IL; 1994: 15–26 8.Florschutz, A.V., Lane, P.D., and Crosby, L.A. Infection after primary anatomic versus primary reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2015; 24: 1296–1301 9.Werthel, J.D., Hatta, T., Schoch, B., Cofield, R., Sperling, J.W., and Elhassan, B.T. Is previous nonarthroplasty surgery a risk factor for periprosthetic infection in primary shoulder arthroplasty?. J Shoulder Elbow Surg. 2017; 26: 635–640 10.Boileau, P., Melis, B., Duperron, D., Moineau, G., Rumian, A.P., and Han, Y. Revision surgery of reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2013; 22: 1359–1370 11.Black, E.M., Roberts, S.M., Siegel, E., Yannopoulos, P., Higgins, L.D., and Warner, J.J. Reverse shoulder arthroplasty as salvage for failed prior arthroplasty in patients 65 years of age or younger. J Shoulder Elbow Surg. 2014; 23: 1036–1042 12.Kibler, W.B. Value on the front end: Making the effective diagnosis for optimal treatment. Arthroscopy. 2017; 33: 493–495 13.Mihata, T., Lee, T.Q., Wantanabe, C. et al. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013; 29: 459–479 14.Burkhart, S.S., Barth, J.R., Richards, D.P., Zlatkin, M.B., and Larsen, M. Arthroscopic repair of massive rotator cuff tears with stage 3 and 4 fatty degeneration. Arthroscopy. 2007; 23: 347–354 关键词:江苏省 徐州医科大学附属医院 徐医附院 徐州二院 骨科 关节外科 高绪仁 肩关节疼痛 肩周炎 冻结肩 肩 关节粘连 肩袖损伤 肱二头肌长头腱 炎症 损伤 撕裂 肩关节镜微创手术 臂丛神经损伤 肩袖损伤 假性瘫痪 假性麻痹
最近，江苏省徐州医科大学附属医院骨科关节外科高绪仁膝肩髋关节医疗团队收治了大量髋关节周围骨折的老年患者。老年髋部骨折最常见的是股骨颈骨折和转子间骨折。我们常采用人工髋关节置换的方法或内固定的方法帮助患者重新恢复行走的能力。 但是，如何做好老年患者髋关节周围骨量的评估？如何减少因髋部骨量减少引起的并发生是一个重要的话题。 江苏省徐州医科大学附属医院骨科关节外科高绪仁膝肩髋关节医疗团队2016年10月25日周三的团队分享会的主题是：《老年人髋关节周围骨质会发生什么变化？如何做好老年人髋部骨折的骨质评估？》。 PLoS One. 2016 Oct 24;11(10):e0164949. doi: 10.1371/journal.pone.0164949. eCollection 2016. Reconsideration of the Effects of Age on Proximal Femur Structure: Implications for Joint Replacement and Hip Fracture. Khoo BC 1, 2, 3 , Brown JK 4 , Prince RL 3, 5 . Author information 1 Medical Technology Physics, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. 2 School of Physics, University of Western Australia, Perth, Western Australia, Australia. 3 School of Medicine and Pharmacology, University of Western Australia, Perth, Western Australia, Australia. 4 Mindways Software Inc., Austin, Texas, United States of America. 5 Department of Endocrinology Diabetes, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. Abstract OBJECTIVES: In recent years quantitative computed tomography (QCT) has allowed precise non-invasive, three dimensional, in vivo measurement of hip structure in large numbers of individuals. The effects of ageing on proximal femur structure are reported and implications for the prevention of hip prosthesis loosening and hip fracture considered. DESIGN, SETTING AND PARTICIPANTS: An observational cross-sectional study of proximal femur QCT in 719 unselected female European descent aged 20 to 89 years recruited from US and Australian populations. MAIN OUTCOMES MEASURES: QCT scans were obtained using software that separates cortical and cancellous bone by a thresholding technique. Voxel based mineral volume and mass was computed for the integral (external), cancellous and cortical compartments of 1 mm wide sections through the femoral neck (FN), trochanter (TR) and intertrochanter (IT) regions. RESULTS: Over the adult life span total integral volumes at the FN, TR and IT sites expand linearly by between 18 and 37% at the same time as bone mass decreased by 22 to 25% resulting in massive reductions in true volumetric BMD (vBMD) of 40 to 50%. Cancellous volume expansion was larger at 65 to 79% at the three sites. Between the ages of 65 and 75 the average increase in cancellous volume at the IT site was 3.74 cm3 (12.1%). Voxel determined FN cortical volume decreased linearly by 43%, as did cortical bone mass so that vBMD did not change substantially. TR and IT cortical volumes decreased 54 and 28% respectively, small reductions in TR and IT cortical vBMD also occurred. CONCLUSIONS: Large endosteal expansion in the area in which hip replacement stem placement occurs may contribute to loosening. Regarding the propensity to hip fracture, periosteal expansion contributes to increased resistance to bending but cortical thinning contributes to loss of bone to resistance to bending forces. Understanding individual hip structure may contribute to individualisation of risk and subsequent targeting of management using pharmaceutical agents. PMID: 27776156 DOI: 10.1371/journal.pone.0164949
高绪仁于2016年9月1日08:00至17:00参加了美国AAHKS举办的人工髋膝关节置换手术技术、手术理念专题学习培训班。 American Association of Hip and Knee Surgeons (AAHKS) 隶属于美国骨科学会（AAOS），自成立之初，便一直引领北美髋膝外科学术的发展方向。本次美国髋膝关节医师学会人工髋膝关节置换专题学习班由世界著名的髋膝外科专家，William J. Maloney教授带领AAHKS讲师团队4位美国一流的人工膝关节置换与人工髋关节置换手术专家从髋关节到膝关节，从初次置换到人工关节翻修，理论结合实践为我们带来了丰富的知识和先进的髋膝外科理念。 课程中大师全程指导我们如何捕获细节、掌握技巧，使我们进一步规范了自身技术并提高了水平。 上图：本次课程主席、美国髋膝关节医师学会、美国斯坦福大学医学院骨科教授、人工膝关节及人工髋关节置换手术专家William J. Maloney教授（左）为徐州医科大学附属医院骨科、徐州二院骨科膝肩髋关节关节镜、关节置换手术专家高绪仁（右）颁发课程学习证书。 上图：本次课程主席、美国髋膝关节医师学会、美国斯坦福大学医学院骨科教授、人工膝关节及人工髋关节置换手术专家William J. Maloney教授（左）为徐州医科大学附属医院骨科、徐州二院骨科膝肩髋关节关节镜、关节置换手术专家高绪仁（右）颁发课程学习证书。 江苏省 徐州医科大学 徐州医科大学附属医院 徐州二院骨科 徐州二院骨科专家门诊 预约 挂号 高绪仁 关节置换专家 人工全髋关节置换手术 人工膝关节表面置换手术 人工关节翻修手术
2015 年 12 月 8 日周二高绪仁膝肩髋关节医疗团队在《江苏肩关节爱好者微信群》中要和我们 409 位肩关节爱好者分享的一篇文章是美国托马斯杰斐逊大学 Rothman 骨科研究所 的 Luke Austin 在 2015 年 6 月的 The American Journal of Sports Medicine 杂志上发表的一篇文章《 Sleepdisturbance associated with rotator cuff tear: correction with arthroscopicrotator cuff repair. 》。 相关内容将在《江苏肩关节爱好者微信群》中今晚解读。敬请期待！敬请参与讨论！ Am J Sports Med. 2015 Jun;43(6):1455-9. doi: 10.1177/0363546515572769. Epub 2015 Mar 16. Sleep disturbance associated with rotator cuff tear : correction with arthroscopic rotator cuff repair. Austin L 1 , Pepe M 2 , Tucker B 2 , Ong A 2 , Nugent R 2 , Eck B 2 , Tjoumakaris F 2 . Author information Abstract BACKGROUND: Sleep disturbance is a common complaint of patients with a rotator cuff tear . Inadequate and restless sleep , along with pain, is often a driving symptom for patients to proceed with rotator cuff repair. To date, no studies have examined sleep disturbance in patients undergoing rotator cuff repair, and there is no evidence that surgery improves sleep disturbance . HYPOTHESIS: Sleep disturbance is prevalent in patients with a symptomatic rotator cuff tear , and sleep disturbance improves after arthroscopic rotator cuff repair. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 56 patients undergoing arthroscopic rotator cuff repair for full-thickness tears were enrolled in a prospective study. Patients were surveyed preoperatively and postoperatively at intervals of 2, 6, 12, 18, and 24 weeks. Patient outcomes were scored using the Pittsburgh Sleep Quality Index (PSQI), Simple Shoulder Test (SST), visual analog scale for pain (VAS), and single assessment numeric evaluation (SANE). Demographic and surgical factors were also collected for analysis. RESULTS: Preoperative PSQI scores indicative of sleep disturbance were reported in 89% of patients. After surgery, a statistically significant improvement in PSQI was achieved at 3 months (P = .0012; 91% follow-up) and continued through 6 months (P = .0179; 93% follow-up). Six months after surgery, only 38% of patients continued to have sleep disturbance . Multivariable linear regression of all surgical and demographic factors versus PSQI was performed and demonstrated that preoperative and prolonged postoperative narcotic use negatively affected sleep . CONCLUSION: Sleep disturbance is common in patients undergoing rotator cuff repair. After surgery, sleep disturbance improves to levels comparable with those of the general public. Preoperative and prolonged postoperative use of narcotic pain medication negatively affects sleep .
2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 主要研讨了在人工膝关节表面置换手术中：哪些因素影响术后刀口渗出？ 通过这篇人工膝关节表面置换文献的研究，进一步加深了对人工膝关节表面置换手术如何减少刀口渗出的理解。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 上图：2015年9月26日，江苏高绪仁膝肩髋关节医疗团队进行了人工膝关节表面置换Journal Club活动。本次活动主要研讨了英国布里斯托Yeovil District Hospital医院的一篇文献《人工膝关节表面置换手术：哪些因素影响术后刀口渗出？》。 江苏省 徐州市 徐州医学院 徐州医学院附属医院骨科 徐州二院骨科 高绪仁 膝关节 肩关节 人工膝关节置换手术 total knee arthroplasty TKA total knee replacement TKR Journal Club
2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 主要研讨了在人工全髋关节置换手术中：采用传统聚乙烯或者交联聚乙烯有何不同。作者研究发现：交联聚乙烯比传统聚乙烯能明显减少磨损。 通过这篇人工全髋关节置换的研究，进一步加深了对人工髋关节摩擦界面材料选择的理解。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 上图： 2015年9月19日，江苏高绪仁膝肩髋关节医疗团队进行了人工全髋关节置换Journal Club活动。本次活动主要研讨了意大利英苏布里亚大学骨科的一项研究《Conventional Versus Cross-Linked Polyethylene for Total Hip Arthroplasty》。 江苏省 徐州市 徐州医学院 徐州医学院附属医院骨科 徐州二院骨科 高绪仁 膝关节 肩关节 髋关节 Journal Club 膝关节镜手术 肩关节镜手术 髋关节镜手术 人工膝关节置换手术 人工髋关节置换手术 人工肩关节置换手术
高绪仁膝肩关节手术研究所研讨会：《如何选择肩关节镜手术病人？》 Xuren GAO knee and shoulder surgery institute seminar: principles of patient selection for shoulder arthroscopy . 2015年6月30日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会。 On 30th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college,Jiangsu province ,China. 本次研讨会的主题：如何选择肩关节镜手术病人？ The main topic of this seminar was principles of patient selection for shoulder arthroscopy . 通过此次研讨会，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所进一步理清了当今世界肩关节镜微创手术的适应症。为今后工作的开展进一步明确了方向，为打造国际知名的膝肩关节手术品牌团队进一步奠定了基础。 Through the shoulder arthroscopy seminar, Jiangsu Xuren GAO knee and shoulder surgery institute knew more about how to choose patients suitable for shoulder arthroscopy. This seminar guided our direction and would lay the foundations for developing a world known shoulder surgery institute. 上图：2015年6月30日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《如何选择肩关节镜手术病人？》。 Figure: On 30th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of principles of patient selection for shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college, Jiangsu province ,China . 上图：2015年6月30日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《如何选择肩关节镜手术病人？》。 Figure: On 30th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of principles of patient selection for shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college, Jiangsu province ,China . 上图：2015年6月30日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《如何选择肩关节镜手术病人？》。 Figure: On 30th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of principles of patient selection for shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college, Jiangsu province ,China . 上图：2015年6月30日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《如何选择肩关节镜手术病人？》。 Figure: On 30th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of principles of patient selection for shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college, Jiangsu province ,China . 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 高绪仁 高绪仁骨科膝肩关节手术团队 高绪仁膝肩关节手术研究所 肩关节镜 肩袖损伤 肩关节镜 微创手术 肩袖撕裂 肩关节镜手术：过去、现在和将来 如何选择肩关节镜手术病人
高绪仁膝肩关节手术研究所研讨会：《肩关节镜手术：过去、现在和将来》 Xuren GAO knee and shoulder surgery institute seminar: Shoulder arthroscopy: the past, present and future directions. 2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会。 On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of shoulder arthroscopy in department of orthopaedics, the affiliated hospital of Xuzhou medical college，Jiangsu province ,China. 本次研讨会的主题：肩关节镜手术：过去、现在和将来。 The main topic of this seminar was Shoulder arthroscopy: the past, present and future directions. 通过此次研讨会，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所进一步理清了当今世界肩关节镜微创手术发展的过去、现在和将来。为今后工作的开展进一步明确了方向，为打造国际知名的膝肩关节手术品牌团队进一步奠定了基础。 Through the shoulder arthroscopy seminar, Jiangsu Xuren GAO knee and shoulder surgery institute knew more about the past, present and future directions of shoulder arthroscopy. This seminar guided our direction and would lay the foundations for developing a world known shoulder surgery institute. 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college, Jiangsu province ,China . 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college , Jiangsu province ,China . 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college , Jiangsu province ,China . 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college , Jiangsu province ,China . 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college , Jiangsu province ,China . 上图：2015年6月29日，江苏高绪仁膝肩关节手术团队、江苏高绪仁膝肩关节手术研究所在江苏徐州医学院附属医院（徐医附院、徐州二院）骨科九楼北区骨科医生办公室举办研讨会:《肩关节镜手术：过去、现在和将来》。 Figure: On 29th June 2015,Jiangsu Xuren GAO knee and shoulder surgery institute held the seminar of Shoulder arthroscopy: the past, present and future directions in department of orthopaedics, the affiliated hospital of Xuzhou medical college , Jiangsu province ,China . 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 高绪仁 高绪仁骨科膝肩关节手术团队 高绪仁膝肩关节手术研究所 肩关节镜 肩袖损伤 肩关节镜 微创手术 肩袖撕裂 肩关节镜手术：过去、现在和将来
2015年6月18日周四18：30-20:30江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）运动医学膝肩关节手术专家高绪仁副主任医师、副教授在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 演讲获得肩袖损伤过的患者、肩袖损伤准备手术的患者及广大康复科医生的积极参与和互动。 广大康复科医生纷纷表示受益匪浅。 Dr. Xuren GAO ( Knee and shoulder surgery specialist, associate professor, Department of orthopedics, the affiliated hospital of Xuzhou medical college) gave a lecture in Department of rehabilitation , the affiliated hospital of Xuzhou medical college on 18th June 2015. The title of the lecture was: The diagnosis, treatment and rehabilitation of rotator cuff tears, how I make it? The patients who had got arthroscopic rotator cuff repair , the patients who would have arthroscopic rotator cuff repair and doctors from Department of rehabilitation , the affiliated hospital of Xuzhou medical college took part in the communication actively. Everybody who took part in the lecture expressed that they had benefited a lot from this lecture. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 上图：高绪仁在江苏省徐州医学院附属医院康复科做演讲《肩袖损伤的诊断、治疗和康复：我是怎么做的？》 Figure ： Dr. Xuren GAO is sharing his experience of the diagnosis, treatment and rehabilitation of rotator cuff tears in Department of rehabilitation , the affiliated hospital of Xuzhou medical college. 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 肩关节疼痛 肩袖损伤 高绪仁国际膝肩关节研究所 康复科 肩袖损伤的诊断、治疗和康复：我是怎么做的？
徐州淮海经济区关节镜朋友圈活动 江苏高绪仁膝肩关节手术研究所学术分享会活动 Jiangsu Xuren GAO knee and shoulder surgery institute 时间： Time： 2015年6月17日周三下午14：30-17:30 14:30-17:30 Wednesday 17th June 2015 地点： Venue： 江苏徐州淮海西路99号徐州医学院附属医院 12号楼9楼北区骨科示教室 The classroom,north part,Department of orthopaedics,9th floor,12th building,the affiliated hospital of Xuzhou medical college,No. 99 Huaihai west road,Xuzhou,Jiangsu province,China 讲座：高绪仁 副主任医师 副教授 Topic: Dr. Xuren GAO Associate professor 《如何采用背阔肌转位治疗不可修复性肩袖撕裂？》 How to use latissimus dorsi transfer to treat irrepairable rotator cuff tears? 网站： http://gaoxurendr.haodf.com/ Website: http://gaoxurendr.haodf.com/ 免费提供：咖啡、茶水。 For free: Coffee and tea. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 上图：江苏高绪仁膝肩关节手术研究所、江苏徐州医学院附属医院骨科（徐医附院骨科、徐州二院骨科）高绪仁膝肩关节手术团队举办20150617背阔肌转位治疗不可修复性肩袖撕裂研讨会。 Figure： Jiangsu Xuren GAO knee and shoulder surgery institue held the seminar of latissimus dorsi transfer for the treatment of irrepairable rotator cuff tears. 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 肩关节疼痛 肩袖损伤 Journal Club 高绪仁国际膝肩关节研究所 背阔肌转位 Latissimus dorsi transfer
徐州淮海经济区关节镜朋友圈活动 江苏高绪仁膝肩关节手术研究所学术分享会活动 Jiangsu Xuren GAO knee and shoulder surgery institute 时间： Time： 2015年6月17日周三下午14：30-17:30 14:30-17:30 Wednesday 17th June 2015 地点： Venue： 江苏徐州淮海西路99号徐州医学院附属医院 12号楼9楼北区骨科示教室 The classroom,north part,Department of orthopaedics,9th floor,12th building,the affiliated hospital of Xuzhou medical college,No. 99 Huaihai west road,Xuzhou,Jiangsu province,China 讲座：高绪仁 副主任医师 副教授 Topic: Dr. Xuren GAO Associate professor 《如何采用背阔肌转位治疗不可修复性肩袖撕裂？》 How to use latissimus dorsi transfer to treat irrepairable rotator cuff tears? 网站： http://gaoxurendr.haodf.com/ Website: http://gaoxurendr.haodf.com/ 免费提供：咖啡、茶水。 For free: Coffee and tea. 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 肩关节疼痛 肩袖损伤 Journal Club 高绪仁国际膝肩关节研究所 背阔肌转位 Latissimus dorsi transfer
2015年5月22日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club成功举办。 本次肩关节Journal Club主要研讨文章： Int J Shoulder Surg. 2015 Apr-Jun;9(2):43-6. doi: 10.4103/0973-6042.154756. The accuracy of subacromial grind test in diagnosis of supraspinatus rotator cuff tears. Sawalha S 1 , Fischer J 2 . Author information Abstract PURPOSE: The aim of this study is to assess the accuracy of a simple clinical test (subacromial grind test) in diagnosing supraspinatus tendon tears. PATIENTS AND METHODS: The test is considered positive if palpable crepitus or grinding is detected on passive internal and external rotation of the shoulder while abducted in the scapular plane. Data were collected prospectively on 47 patients undergoing shoulder arthroscopy, and the results of the test and arthroscopy compared. RESULTS: During arthroscopy, 17 patients had full thickness (FT) tears of supraspinatus tendon and 10 had partial thickness tears. For any supraspinatus tear, the sensitivity of the test was 63%, specificity 95%, positive predictive value 94%, negative predictive value 66% and overall accuracy 79%. For FT tears, the sensitivity was 82%, specificity 87%, positive predictive value 78%, negative predictive value 90% and overall accuracy 85%. CONCLUSION: We found that this is a useful single test for diagnosing FT supraspinatus tears. LEVEL OF EVIDENCE: Level IV diagnostic study. KEYWORDS: Grind; physical examination; shoulder; supraspinatus tendon; tear PMID: 25937713 PMCID: PMC4410470 Free PMC Article 上图：江苏高绪仁膝肩关节手术团队、高绪仁国际膝肩关节研究所举办20150522肩关节疼痛肩袖损伤国际临床经验Journal Club。 上图：江苏高绪仁膝肩关节手术团队、高绪仁国际膝肩关节研究所举办20150522肩关节疼痛肩袖损伤国际临床经验Journal Club。 上图：江苏高绪仁膝肩关节手术团队、高绪仁国际膝肩关节研究所举办20150522肩关节疼痛肩袖损伤国际临床经验Journal Club。 上图：江苏高绪仁膝肩关节手术团队、高绪仁国际膝肩关节研究所举办20150522肩关节疼痛肩袖损伤国际临床经验Journal Club。 上图：江苏高绪仁膝肩关节手术团队、高绪仁国际膝肩关节研究所举办20150522肩关节疼痛肩袖损伤国际临床经验Journal Club。 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 肩关节疼痛 肩袖损伤 Journal Club 高绪仁国际膝肩关节研究所
2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club成功举办。 本次肩关节Journal Club主要研讨文章： See comment in PubMed Commons below Arthrosc Tech. 2015 Jan 5;4(1):e7-e11. doi: 10.1016/j.eats.2014.09.009. eCollection 2015. Circumferential rotator cuff repair with the n+4 portal, subclavian portal, and high posteromedial portal. Nord KD 1 , Khan MW 1 , Wright GB 1 , Taylor JB 1 . Author information 1 Sports Orthopedics Spine, Jackson, Tennessee, U.S.A. Abstract Passing suture during a rotator cuff repair requires proper orientation and purchase of the rotator cuff tendon. Our technique uses a new portal to improve access to the supraspinatus and infraspinatus and uses additional portals for a circumferential repair of the tear, thereby restoring the footprint. Using a penetrating suture passer through the anterior, posterior, and superomedial portals allows 270° of coverage. The lateral anchors complete the circumferential repair. Sutures from the medial anchors are passed in a retrograde fashion using 3 small incisions with no cannula. A spinal needle is used to localize the orientation of each portal. The N+4 portal is the workhorse portal, allowing access to the supraspinatus and infraspinatus. The suture retriever enters the trapezius 5 cm from the medial border of the acromion and 1 cm anterior to the spine of the scapula. It enters the subacromial space on top of the supraspinatus. This provides protection to the suprascapular nerve in the supraspinatus fossa. The cuff is lifted with a grasper to allow perpendicular passage of suture. The suture is retrieved for tying. The tissue purchase and location of suture placement help restore the footprint of the supraspinatus and infraspinatus. Additional sutures are passed anteriorly through the subclavian portal and posteriorly through the high posteromedial portal. The repair is completed with lateral-row anchors as needed. 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 上图： 2015年5月21日，江苏高绪仁膝肩关节手术团队肩袖损伤国际临床经验Journal Club。 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 Journal Club 高绪仁国际膝肩关节研究所
2015年5月20日，江苏高绪仁膝肩关节手术团队肩袖损伤Journal Club成功举办。 本次肩关节Journal Club主要研讨文章： See comment in PubMed Commons below Arthroscopy. 2013 Aug;29(8):1283-91. doi: 10.1016/j.arthro.2013.05.024. One- stage arthroscopic repair of rotator cuff tears with shoulder stiffness. Ho WP 1 , Huang CH , Chiu CC , Lee CH , Chen CH , Leu TH , Chuang TY . Author information 1 Department of Orthopedic Surgery, Taipei Medical University-Wan Fang Hospital, Taipei, Taiwan. Abstract PURPOSE: The purpose of this study is to describe a 1-stage treatment with concomitant arthroscopic capsular release and rotator cuff repair and present clinical outcomes with a minimum follow-up of 2 years. METHODS: Arthroscopic rotator cuff repair was performed in 211 consecutive patients. Forty-three patients had severe concomitant shoulder stiffness at the time of the repair. In the stiffness group, 1-stage arthroscopic capsular release and rotator cuff repair were performed. Preoperative mean passive forward flexion was 124°, whereas external rotation at the side was 309°. All patients were evaluated at a minimum 2-year follow-up, which included a visual analog scale score for pain, tests of muscle power and range of motion, the Constant score, and the modified American Shoulder and Elbow Surgeons shoulder evaluation form and modified University of California, Los Angeles scores. RESULTS: The mean visual analog scale score during motion at the last follow-up was 1.5 in the stiffness group and 1.3 in the non-stiffness group. In the stiffness group, forward flexion was 175° whereas external rotation at the side was 60° postoperatively; shoulder motion improved (P .001) and was comparable with that of the contralateral side. Other functional outcome instruments showed no statistical difference between the 2 groups. CONCLUSIONS: In this study, 1-stage treatment of patients with rotator cuff tears and shoulder stiffness was performed by arthroscopic capsular release and cuff repair, and overall satisfactory results were achieved in selected patients. The results of the stiffness group in this study were statistically the same as those in the non-stiffness group. LEVEL OF EVIDENCE: Level III, retrospective comparative study. 江苏省 徐州市 徐州医学院附属医院骨科 徐医附院骨科 徐州二院骨科 高绪仁膝肩关节手术团队 Journal Club 高绪仁国际膝肩关节研究所
20150124江苏高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 本期主题：肱二头肌长头腱起点部分起于肩袖的异常情况 2015年1月24日，江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行了20150124高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。。 本次研讨的论文题目是： 1.Anomalous biceps origin from the rotator cuff. 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肱二头肌长头腱起点部分起于肩袖的异常情况的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肱二头肌长头腱起点异常引起的肩关节疼痛、活动受限的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4292321/ Anomalous biceps origin from the rotator cuff Samik Banerjee and Vipul R Patel 1 Author information ► Copyright and License information ► Go to: Abstract Variations in the origin of the long head of biceps tendon (LHBT) have been described in literature; however, its clinical significance remains uncertain. We describe in this report, the history, physical examination and the arthroscopic findings in a patient who had an anomalous origin of the LHBT from the rotator cuff, resulting in restriction of range of motion. This anomalous origin of the long head of biceps tendon causing capsular contracture and restriction of movements leading to secondary internal impingement, has not been extensively reported in the literature. Shoulder arthroscopists should be aware that, although, an uncommon clinical condition, the aberrant congenital origin of the LHBT from the rotator cuff can rarely become pathologic in middle age and lead to shoulder dysfunction. In such cases, release of the anomalous band may be required, along with the treatment of other concomitant intraarticular pathologies in the glenohumeral joint. Keywords: Anomalous, biceps, impingement, rotator cuff MeSH terms: Abstract Variations in the origin of the long head of biceps tendon (LHBT) have been described in literature; however, its clinical significance remains uncertain. We describe in this report, the history, physical examination and the arthroscopic findings in a patient who had an anomalous origin of the LHBT from the rotator cuff, resulting in restriction of range of motion. This anomalous origin of the long head of biceps tendon causing capsular contracture and restriction of movements leading to secondary internal impingement, has not been extensively reported in the literature. Shoulder arthroscopists should be aware that, although, an uncommon clinical condition, the aberrant congenital origin of the LHBT from the rotator cuff can rarely become pathologic in middle age and lead to shoulder dysfunction. In such cases, release of the anomalous band may be required, along with the treatment of other concomitant intraarticular pathologies in the glenohumeral joint. Keywords: Anomalous, biceps, impingement, rotator cuff MeSH terms: Shoulder impingement syndrome, rotator cuff, tendons 上图：江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行20150124高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行20150124高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行20150124高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150118江苏高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 本期主题： 膝关节前交叉韧带损伤重建: ACL个体化 必要or 不必要？ 2015年1月18日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150118高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是： 1.The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction 2.Individualized Anatomic Anterior Cruciate Ligament Reconstruction. 3.Individualized Anterior Cruciate Ligament Surgery A Prospective Study Comparing Anatomic Single- and Double-Bundle Reconstruction 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr.Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对膝关节镜下前交叉韧带损伤个性哈重建的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展膝关节镜下前交叉韧带损伤个性化重建技术的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的膝关节前交叉韧带损伤、膝关节后交叉韧带损伤、膝关节半月板损伤、膝关节前交叉韧带胫骨结节撕脱骨折、膝关节后交叉韧带胫骨结节撕脱骨折、膝关节内侧副韧带损伤、膝关节后外侧角损伤、膝关节多发韧带损伤、膝关节髌骨不稳、膝关节滑膜疾病提供中国乃至世界第一流的膝关节镜微创手术服务更进一步打下了基础。 原文链接： 1 http://www.ncbi.nlm.nih.gov/pubmed/23740328 Knee Surg Sports Traumatol Arthrosc. 2014 May;22(5):979-86. doi: 10.1007/s00167-013-2562-4. Epub 2013 Jun 6. The concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction . Hofbauer M 1 , Muller B , Murawski CD , van Eck CF , Fu FH . Author information Abstract PURPOSE: To describe the concept of individualized anatomic anterior cruciate ligament (ACL) reconstruction . METHODS: The PubMed/Medline database was searched using keywords pertaining to ACL reconstruction . Relevant articles were reviewed in order to summarize important concepts of individualized surgery in ACL reconstruction . Surgical experiences with case examples are also highlighted. RESULTS: Individualized ACL surgery allows for the customization of surgery to each individual patient. Accounting for graft selection and other characteristics such as anatomy, lifestyle and activity preferences may provide the patient with the best potential for a successful outcome. The surgeon should be comfortable with a variety of graft harvests and surgical techniques when practicing individualized surgery. CONCLUSION: Individualized anatomic ACL reconstruction is founded on the objective evaluation of functional anatomy and individual characteristics, thereby restoring the ACL as closely as possible to the native anatomy and function. The adoption and subsequent use of individualized surgery may facilitate improved clinical as well as objective outcomes, particularly in the long term. LEVEL OF EVIDENCE: V. 2 http://www.ncbi.nlm.nih.gov/pubmed/23766970 Arthrosc Tech. 2012 Mar 3;1(1):e23-9. doi: 10.1016/j.eats.2011.12.004. Print 2012 Sep. Individualized anatomic anterior cruciate ligament reconstruction . Rabuck SJ 1 , Middleton KK , Maeda S , Fujimaki Y , Muller B , Araujo PH , Fu FH . Author information Abstract Arthroscopic anterior cruciate ligament reconstruction (ACL-R) is a technique that continues to evolve. Good results have been established with respect to reducing anteroposterior laxity. However, these results have come into question because nonanatomic techniques have been ineffective at restoring knee kinematics and raised concerns that abnormal kinematics may impact long-term knee health. Anatomic ACL-R attempts to closely reproduce the patient's individual anatomic characteristics. Measurements of the patient's anatomy help determine graft choice and whether anatomic reconstruction should be performed with a single- or double-bundle technique. The bony landmarks and insertions of the anterior cruciate ligament (ACL) are preserved to assist with anatomic placement of both tibial and femoral tunnels. An anatomic single- or double-bundle reconstruction is performed with a goal of reproducing the characteristics of the native ACL. Long-term outcomes for anatomic ACL reconstruction are unknown. By individualizing ACL-R, we strive to reproduce the patient's native anatomy and restore knee kinematics to improve patient outcomes. 3 Am J Sports Med. 2012 Aug;40(8):1781-8. doi: 10.1177/0363546512446928. Epub 2012 May 16. Individualized anterior cruciate ligament surgery : a prospective study comparing anatomic single - and double-bundle reconstruction . Hussein M 1 , van Eck CF , Cretnik A , Dinevski D , Fu FH . Author information Abstract BACKGROUND: Reconstruction of the anterior cruciate ligament (ACL) has become a commonly performed procedure. However, biomechanical studies have demonstrated that conventional single -bundle ACL reconstruction techniques are only successful in limiting anterior tibial translation but less effective for restoring rotatory laxity. PURPOSE: This study aimed to compare the results of single - and double-bundle ACL reconstruction using an anatomic technique, individualized based on the patient's native ACL size. The authors hypothesized that there would be no difference between the results of anatomic single -bundle (ASB) and anatomic double-bundle (ADB) reconstruction when the surgical technique is individualized . STUDY DESIGN: Cohort study ; Level of evidence, 2. METHODS: Depending on intraoperative measurements of the ACL insertion site size, patients were selected for either ASB (n = 32) or ADB (n = 69) ACL reconstruction . In all groups, hamstring tendons autograft was used with suspensory fixation on the femoral side and bioabsorbable interference screw fixation on the tibial side. The outcomes were evaluated by an independent blinded observer using the Lysholm score, subjective International Knee Documentation Committee (IKDC) form, KT-1000 arthrometer for anteroposterior stability, and pivot-shift test for rotational stability. The average follow-up was 30 months (range, 26-34 months). There were no statistically significant differences in the baseline demographics of the 2 groups. RESULTS: There was no significant difference between the ADB and ASB groups for Lysholm score (93.9 vs 93.5), subjective IKDC score (93.3 vs 93.1), anterior tibial translation (1.5- vs 1.6-mm side-to-side difference), and pivot shift (92% vs 90% with negative pivot-shift examination). CONCLUSION: Anatomic double-bundle reconstruction is not superior to anatomic single -bundle reconstruction when an individualized ACL reconstruction technique is used. 2015年1月17日周六 膝关节前交叉韧带损伤重建：Single bundle or double bundle? 2015年1月18日周日 膝关节前交叉韧带损伤重建: ACL个体化 必要or 不必要？ 2015年1月19日周一 膝关节前交叉韧带损伤重建：保残重建 or 不保残重建？ 2015年1月20日周二 膝关节后交叉韧带损伤重建：前入路 or 后入路？ 2015年1月21日周三 膝关节后交叉韧带损伤重建：移植物的选择 自体肌腱or异体肌腱？ 2015年1月22日周四 膝关节后交叉韧带损伤重建： 胫骨侧固定物：单重固定or双重固定？ 2015年1月23日周五 膝关节前、后交叉韧带损伤重建后康复：使用支具or不使用支具？用多久？ 膝关节交叉韧带损伤重建后康复：激进 or 保守？ 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150118高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150117高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 本期主题：膝关节前交叉韧带损伤重建：Single bundle or double bundle? 2015年1月17日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150117高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的两篇论文题目是： 1.Single- Versus Double-bundle Anterior Cruciate Ligament Reconstruction. 2.Current concepts in anatomic single- and double-bundle anterior cruciate ligament reconstruction . 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr.Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对膝关节镜下前交叉韧带损伤单束重建与双束重建的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展膝关节镜下前交叉韧带损伤解剖重建技术的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的膝关节前交叉韧带损伤、膝关节后交叉韧带损伤、膝关节半月板损伤、膝关节前交叉韧带胫骨结节撕脱骨折、膝关节后交叉韧带胫骨结节撕脱骨折、膝关节内侧副韧带损伤、膝关节后外侧角损伤、膝关节多发韧带损伤、膝关节髌骨不稳、膝关节滑膜疾病提供中国乃至世界第一流的膝关节镜微创手术服务更进一步打下了基础。 原文链接： Clin Orthop Relat Res. 2013 Feb;471(2):363-7. doi: 10.1007/s11999-012-2737-1. Single - versus double - bundle anterior cruciate ligament reconstruction. Marx RG 1 . Author information Phys Sportsmed. 2011 May;39(2):140-8. doi: 10.3810/psm.2011.05.1905. Current concepts in anatomic single - and double - bundle anterior cruciate ligament reconstruction. van Eck C 1 , Working Z , Fu F . Author information Abstract An anterior cruciate ligament ( ACL ) tear is one of the most common orthopedic sport injuries. The ACL consists of 2 functional bundles-the anteromedial and posterolateral-which are named for the position of their insertion sites on the tibia. Anatomic ACL reconstruction can be defined as the restoration of the ACL to its native dimensions, collagen orientation, and insertion sites. Some biomechanical studies have demonstrated that anatomic ACL reconstruction can restore knee motion significantly similar to that of the normal knee, as compared with traditional, nonanatomic single - bundle procedures. In vivo kinematic studies have also shown that nonanatomic single - bundle reconstruction fails to restore normal dynamic knee stability in all cases. Accurate restoration of knee kinematics with anatomic ACL reconstruction is critical to protect against the possibility that nonatomic surgical technique could result in early osteoarthritis, which is common in patients who sustain ACL tears. Surgical techniques for ACL reconstruction vary, and if different aspects of the surgery are compared for superiority (eg, single - vs double - bundle techniques), it is necessary that both procedures meet criteria to be designated as anatomic. By emphasizing the importance of restoring the native anatomy of the knee, surgeons can give their patients the best chance at restoration of joint function and preservation of long-term knee health. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150117高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 2015年1月17日周六 膝关节前交叉韧带损伤重建：Single bundle or double bundle? 2015年1月18日周日 膝关节前交叉韧带损伤重建: ACL个体化 必要or 不必要？ 2015年1月19日周一 膝关节前交叉韧带损伤重建：保残重建 or 不保残重建？ 2015年1月20日周二 膝关节后交叉韧带损伤重建：前入路 or 后入路？ 2015年1月21日周三 膝关节后交叉韧带损伤重建：移植物的选择 自体肌腱or异体肌腱？ 2015年1月22日周四 膝关节后交叉韧带损伤重建： 胫骨侧固定物：单重固定or双重固定？ 2015年1月23日周五 膝关节前、后交叉韧带损伤重建后康复：使用支具or不使用支具？用多久？ 膝关节交叉韧带损伤重建后康复：激进 or 保守？ 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150116高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月16日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150116高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Advances in biology and mechanics of rotator cuff repair. 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜下肩袖撕裂修复愈合的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下肩袖撕裂修复的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肱骨大结节撕脱骨折、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： Knee Surg Sports Traumatol Arthrosc. 2015 Jan 9. Advances in biology and mechanics of rotator cuff repair . Lorbach O 1 , Baums MH , Kostuj T , Pauly S , Scheibel M , Carr A , Zargar N , Saccomanno MF , Milano G . Author information 1 Department of Orthopaedic Surgery, Saarland University, Homburg, Germany. Abstract High initial fixation strength, mechanical stability and biological healing of the tendon-to-bone interface are the main goals after rotator cuff repair surgery. Advances in the understanding of rotator cuff biology and biomechanics as well as improvements in surgical techniques have led to the development of new strategies that may allow a tendon-to-bone interface healing process, rather than the formation of a fibrovascular scar tissue. Although single-row repair remains the most cost-effective technique to address a rotator cuff tear, some biological intervention has been recently introduced to improve tissue healing and clinical outcome of rotator cuff repair . Animal models are critical to ensure safety and efficacy of new treatment strategies; however, although rat shoulders as well as sheep and goats are considered the most appropriate models for studying rotator cuff pathology, no one of them can fully reproduce the human condition. Emerging therapies involve growth factors, stem cells and tissue engineering. Experimental application of growth factors and platelet-rich plasma demonstrated promising results, but has not yet been transferred into standardized clinical practice. Although preclinical animal studies showed promising results on the efficacy of enhanced biological approaches, application of these techniques in human rotator cuff repairs is still very limited. Randomized controlled clinical trials and post-marketing surveillance are needed to clearly prove the clinical efficacy and define proper indications for the use of combined biological approaches. The following review article outlines the state of the art of rotator cuff repair and the use of growth factors, scaffolds and stem cells therapy, providing future directions to improve tendon healing after rotator cuff repair . Level of evidence Expert opinion, Level V. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150116高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150116高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150116高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150115高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月15日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150115高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是： Arthroscopic Suture Bridge Repair Technique for Full Thickness Rotator Cuff Tear. 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜下肩袖撕裂修复Suture Bridge技术的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下肩袖撕裂修复Suture Bridge技术的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肱骨大结节撕脱骨折、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/20514268 Clin Orthop Surg. 2010 Jun;2(2):105-11. doi: 10.4055/cios.2010.2.2.105. Epub 2010 May 4. Arthroscopic suture bridge repair technique for full thickness rotator cuff tear. Yi JW 1 , Cho NS , Cho SH , Rhee YG . Author information Abstract BACKGROUND: The purpose of our study is to evaluate the clinical results of arthroscopic suture bridge repair for patients with rotator cuff tears. METHODS: Between January 2007 and July 2007, fifty-one shoulders underwent arthroscopic suture bridge repair for full thickness rotator cuff tears. The average age at the time of surgery was 57.1 years old, and the mean follow-up period was 15.4 months. RESULTS: At the last follow-up, the pain at rest improved from 2.2 preoperatively to 0.23 postoperatively and the pain during motion improved from 6.3 preoperatively to 1.8 postoperatively (p 0.001 and p 0.001, respectively). The range of active forward flexion improved from 138.4 degrees to 154.6 degrees , and the muscle power improved from 4.9 kg to 6.0 kg (p = 0.04 and 0.019, respectively). The clinical results showed no significant difference according to the preoperative tear size and the extent of fatty degeneration, but imaging study showed a statistical relation between retear and fatty degeneration. The average Constant score improved from 73.2 to 83.79, and the average University of California at Los Angeles score changed from 18.2 to 29.6 with 7 excellent, 41 good and 3 poor results (p 0.001 and p = 0.003, respectively). CONCLUSIONS: The arthroscopic suture bridge repair technique for rotator cuff tears may be an operative method for which a patient can expect to achieve clinical improvement regardless of the preoperative tear size and the extent of fatty degeneration. KEYWORDS: Arthroscopy; Rotator cuff; Shoulder; Suture bridge repair technique 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150115高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150115高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150115高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150115高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节镜下肩袖撕裂修复Suture Bridge技术 肩关节疼痛 手术治疗 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150113高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月13日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150113高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是： 1.Arthroscopic Fixation for Displaced Greater Tuberosity Fracture Using the Suture-Bridge Technique 2.Arthroscopic Double-Row Suture Anchor Fixation of Minimally Displaced Greater Tuberosity Fractures. 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr.Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜下肱骨大结节撕脱骨折修复的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节 肱骨大结节撕脱骨折损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肱骨大结节撕脱骨折、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： 1 http://www.ncbi.nlm.nih.gov/pubmed/18182211 Arthroscopy. 2008 Jan;24(1):120.e1-3. doi: 10.1016/j.arthro.2007.05.003. Epub 2007 Aug 2. Arthroscopic fixation for displaced greater tuberosity fracture using the suture-bridge technique . Kim KC 1 , Rhee KJ , Shin HD , Kim YM . Author information Abstract With the described technique , two bioabsorbable suture anchors are inserted to create a medial row through the intact cuff for fixation of the fragment of the greater tuberosity . The medial row is repaired with a sliding knot. After confirmation of the fracture site, pilot holes for a PushLock anchor (Arthrex, Naples, FL) are prepared directly in line with the medial anchors and approximately 5 to 10 mm distal to the lateral edge of the fragment of the greater tuberosity . A suture strand from each anchor in the medial row is retrieved. Both suture strands are threaded through the PushLock eyelet on the distal end of the driver. The anchor is advanced completely into the pilot hole. These steps are repeated for a second anchor. If a dog-ear deformity is observed at the margin after complete reduction of the greater tuberosity , a stitch is made by use of a suture hook and one strand of the uncut suture from the lateral row of the joint via the modified suture-bridge technique . Arthroscopic reduction and internal fixation of displaced greater tuberosity fractures with the suture-bridge technique described by us provide adequate fixation with improvement of the pressurized contact area of the fracture and can be used as an additional modality of arthroscopic treatment. 2 http://www.ncbi.nlm.nih.gov/pubmed/17916486 Arthroscopy. 2007 Oct;23(10):1133.e1-4. Epub 2007 Mar 23. Arthroscopic double-row suture anchor fixation of minimally displaced greater tuberosity fractures . Ji JH 1 , Kim WY , Ra KH . Author information Abstract In cases of displaced greater tuberosity fractures , treatments by arthroscopic -assisted reduction and percutaneous screw fixation have been reported. However, in cases in which there is a comminuted fracture or a minimally displaced fracture combined with concomitant lesions such as rotator cuff tear or labral pathology, it is difficult to reduce the fracture and to treat other pathologies by use of a percutaneous screw. Recently, many surgeons have used the double-row repair method in rotator cuff repair, which provides a tendon- bone interface better suited for biologic healing and restoring normal anatomy. In accordance with this method, we used the arthroscopic technique of double-row suture anchor fixation for a minimally displaced greater tuberosity fracture without additional incision. Initially, debridement was performed on the fracture surface by use of a shaver, and the medial-row anchor was inserted through the anterior portal or the intact cuff. Two lateral-row anchors were inserted just anterior and posterior to the lower margin of the fractured fragment under C-arm guidance. The medial-row sutures and lateral-row sutures were then placed. Arthroscopic double-row suture anchor fixation of a displaced greater tuberosity fracture restores the original footprint of the rotator cuff and normal tendon- bone interface of the displaced greater tuberosity fracture . 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150113高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肱骨大结节撕脱骨折 肩关节疼痛 手术治疗 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150112高绪仁膝肩关节 尖端手术国际临床经验 SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月12日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150112高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Does the literature confirm superior clinical results in radiographically healed rotator cuffs after rotator cuff repair?. 通过此次高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩袖损伤关节镜下修复后肩袖愈合的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节肩袖损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/20206051 Arthroscopy. 2010 Mar;26(3):393-403. doi: 10.1016/j.arthro.2009.07.023. Epub 2010 Jan 15. Does the literature confirm superior clinical results in radiographically healed rotator cuffs after rotator cuff repair? Slabaugh MA 1 , Nho SJ , Grumet RC , Wilson JB , Seroyer ST , Frank RM , Romeo AA , Provencher MT , Verma NN . Author information Abstract PURPOSE: Because recurrent or persistent defects in the rotator cuff after repair are common, we sought to clarify the correlation between structural integrity of the rotator cuff and clinical outcomes through a systematic review of relevant studies. METHODS: Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and the Cochrane Central Register of Controlled Trials were searched for all literature published from January 1966 to December 2008 that used the key words shoulder, rotator cuff, rotator cuff tear, rotator cuff repair, arthroscopic, integrity, healed, magnetic resonance imaging (MRI), computed tomography arthrography (CTA), and ultrasound. The inclusion criteria were studies (Levels I to IV) that reported outcomes after arthroscopic rotator cuff repair in healed and nonhealed repairs based on ultrasound, CTA, and/or MRI. Exclusionary criteria were studies that included open repair or subscapularis repair and studies that did not define outcomes based on healed versus nonhealed but rather used another variable (i.e., repair technique). Data were abstracted from the studies including patient demographics, tear characteristics, surgical procedure, rehabilitation, strength, range of motion, clinical scoring systems, and imaging studies. RESULTS: Thirteen studies were included in the final analysis: 5 used ultrasound, 4 used MRI, 2 used CTA, and 2 used combined CTA/MRI for diagnosis of a recurrent tear. Statistical improvement in patients who had an intact cuff at follow-up was seen in Constant scores in 6 of 9 studies; in University of California, Los Angeles scores in 1 of 2 studies; in American Shoulder and Elbow Surgeons scores in 0 of 3 studies; and in Simple Shoulder Test scores in 0 of 2 studies. Increased range of motion in forward elevation was seen in 2 of 5 studies and increased strength in forward elevation in 5 of 8 studies. CONCLUSIONS: The results suggest that some important differences in clinical outcomes likely exist between patients with healed and nonhealed rotator cuff repairs. Further study is needed to conclusively define this difference and identify other important prognostic factors related to clinical outcomes. LEVEL OF EVIDENCE: Level IV, systematic review. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150112高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150112高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩袖损伤 修复 愈合 肩关节疼痛 手术治疗 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150110高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月10日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150110高绪仁膝肩关节尖端手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Surgical options for patients with shoulder pain. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节疼痛的各种原因及相应手术策略的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节疼痛的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳、肩关节复发性脱位、肩锁关节疾病提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/20357791 Nat Rev Rheumatol. 2010 Apr;6(4):217-26. doi: 10.1038/nrrheum.2010.25. Surgical options for patients with shoulder pain. Chaudhury S 1 , Gwilym SE , Moser J , Carr AJ . Author information Abstract Shoulder pain is a common musculoskeletal complaint in the community, which can arise from diverse causes. Regardless of the cause, mild cases can often be effectively treated conservatively, with options including rest, physiotherapy, pain relief and glucocorticoid injections. If conservative strategies fail after a 3-6 month period then surgery might be considered. Generally, the proportion of patients with shoulder pain who require surgery is small. When surgery is considered, a clear diagnosis and structural information from imaging are required. The indications for surgery, and success rate, depend on the specific diagnosis as well as on the individual clinical presentation. Evidence from case series suggest that surgical interventions for shoulder pain are effective when used appropriately. This article outlines the surgical management of the most common painful conditions that affect the shoulder, including impingement, rotator cuff tear, frozen shoulder, osteoarthritis, rheumatoid arthritis and calcific tendonitis. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150110高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150110高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150110高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150110高绪仁膝肩关节镜手术国际临床经验SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节国际临床经验SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节疼痛 手术治疗 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150109高绪仁膝肩关节高精尖手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月9日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150109高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Shoulder pain. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节疼痛的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节疼痛的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000 万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/21543907 Adv Emerg Nurs J. 2011 Apr-Jun;33(2):114-26. doi: 10.1097/TME.0b013e318217c983. Shoulder pain. Ramponi DR 1 . Author information Abstract Shoulder pain is a frequent complaint encountered in the emergency setting. A brief review of shoulder anatomy and physical examination sets the foundation for evaluation of shoulder pain. Considerations of patient's age are helpful to predict injuries. Fractured clavicles are often seen in traumatic injuries in children and young adults, whereas fractures of the humeral head are more often seen in the elderly from traumatic injuries. Shoulder dislocations are more common in teens to fourth decade. This article reviews specific acute injuries, chronic conditions, and radiologic considerations of patients with shoulder complaints encountered in emergency settings. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150109高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150109高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150109高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150109高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150109高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节疼痛 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage 我们除了认真地、执着地努力把我们的每一台膝、肩关节手术都打造成经典手术之外，我们还通过每天研究国际化的临床经验，不断提高我们的技术、理念和服务水平。因为我们坚信，这样比只顾埋头看病成长的更快、做的更好、从而会为我们的膝、肩关节患者带来更多的收益！------江苏省徐州医学院附属医院骨科高绪仁膝肩关节镜手术团队
20150108高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月8日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150108高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Rotator cuff disease. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩袖损伤、肩袖疾病的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩袖损伤、肩袖疾病的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/25560729 Ann Intern Med. 2015 Jan 6;162(1):ITC1. doi: 10.7326/AITC201501060. Rotator cuff disease. Whittle S , Buchbinder R . Abstract This issue provides a clinical overview of Rotator Cuff Disease focusing on prevention, diagnosis, treatment, practice improvement, and patient information. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including ACP Smart Medicine and MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic from these primary sources in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance of science writers and physician writers. Editorial consultants from ACP Smart Medicine and MKSAP provide expert review of the content. Readers who are interested in these primary resources for more detail can consult http://smartmedicine.acponline.org, http://mksap.acponline.org, and other resources referenced in each issue of In the Clinic. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150108高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150108高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150108高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150108高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩袖疾病 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20150106高绪仁反式肩关节置换SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月6日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150106高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：A History of Reverse Total Shoulder Arthroplasty. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对反式肩关节置换手术（Reverse Total Shoulder Arthroplasty）的的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展不可修复性肩袖损伤反式肩关节置换手术的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/21213090 Clin Orthop Relat Res. 2011 Sep;469(9):2432-9. doi: 10.1007/s11999-010-1733-6. A history of reverse total shoulder arthroplasty. Flatow EL 1 , Harrison AK . Author information Abstract BACKGROUND: Management of the cuff-deficient arthritic shoulder has long been challenging. Early unconstrained shoulder arthroplasty systems were associated with high complication and implant failure rates. The evolution toward the modern reverse shoulder arthroplasty includes many variables of constrained shoulder arthroplasty designs. QUESTIONS/PURPOSES: This review explores the development of reverse shoulder arthroplasty, specifically describing (1) the evolution of reverse shoulder arthroplasty designs, (2) the biomechanical variations in the evolution of this arthroplasty, and (3) the current issues relevant to reverse shoulder arthroplasty today. METHODS: Using a PubMed search, the literature was explored for articles addressing reverse shoulder arthroplasty, focusing on those papers with historical context. RESULTS: Results of the early designs were apparently poor, although they were not subjected to rigorous clinical research and usually reported only in secondary literature. We identified a trend of glenoid component failure in the early reverse designs. This trend was recognized and reported by authors as the reverse shoulder evolved. Authors reported greater pain relief and better function in reverse shoulder arthroplasty with the fundamental change of Grammont's design (moving the center of rotation medially and distally). However, current reports suggest lingering concerns and challenges with today's designs. CONCLUSIONS: The history of reverse shoulder arthroplasty involves the designs of many forward-thinking surgeons. Many of these highly constrained systems failed, although more recent designs have demonstrated improved longevity and implant performance. Reverse shoulder arthroplasty requires ongoing study, with challenges and controversies remaining around present-day designs. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150106高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150106高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150106高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 反式肩关节置换手术 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20150105高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月5日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150105高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肩袖损伤与肩峰形态之间的关系的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜微创手术治疗退变性肩袖损伤和创伤性肩袖损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/25547273 Knee Surg Sports Traumatol Arthrosc. 2014 Dec 30. Differences in acromial morphology of shoulders in patients with degenerative and traumatic supraspinatus tendon tears. Balke M 1 , Liem D , Greshake O , Hoeher J , Bouillon B , Banerjee M . Author information Abstract PURPOSE: Distinct characteristics of acromial morphology seem to be one factor for the development of degenerative supraspinatus tendon tears. Thus, it is questionable whether patients with traumatic tendon tears also present these parameters. The hypothesis of the present study was that the acromial morphology of patients with degenerative supraspinatus tendon tears differs from patients with traumatic tears. METHODS: One hundred and thirty-six patients that were treated by arthroscopic rotator cuff repair from 2010 to 2013 were included in this study. Seventy-two patients had degenerative (group 1), and 64 had traumatic (group 2) supraspinatus tendon tears. On preoperative radiographs the Bigliani type, acromial slope, acromiohumeral (AH) distance, lateral acromial angle (LAA), acromion index (AI), and critical shoulder angle (CSA) were measured. Medians of these parameters as well as of age of both groups were compared using the t test. RESULTS: The percentaged distribution of the Bigliani type differed (group 1 vs. 2: type 1: 18/38, type 2: 56/55, type 3: 26/8). All parameters showed significant differences between degenerative and traumatic tears. Slope: 21.2° (SD 7.6°) versus 19.2° (SD 7.9°, p = 0.026), AH distance: 8.4 mm (SD 2.3 mm) versus 9.9 mm (SD 1.9 mm, p = 0.0006), LAA: 77.0° (SD 4.0°) versus 82.5° (SD 4.7°, p 0.0001), AI: 0.77 (SD 0.07) versus 0.73 (0.06, p = 0.0239), and CSA: 36.8° (SD 3.6°) versus 35.3° (SD 2.9°, p = 0.007). An LAA 70° or an AH distance of 5 mm only occurred in degenerative tears. Patients with degenerative tears were significantly older (60 vs. 54 years). CONCLUSIONS: The hypothesis that the acromial morphology of patients with degenerative supraspinatus tendon tears differs from patients with traumatic tears was confirmed. Shoulders with degenerative tears show a narrower subacromial space and a larger lateral extension as well as a steeper angulation of the acromion than with traumatic tears. Thus, the results of this study support the theory of external impingement as a cause for degenerative rotator cuff tears. LEVEL OF EVIDENCE: IV. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20150105高绪仁膝肩关节镜手术 SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20150105高绪仁膝肩关节镜手术 SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研 读会 Dr. Xuren GAO knee Shoulder Journal Club 肩峰形态 肩袖损伤 MRI 磁 共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节 损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关 节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏 省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20150104高绪仁膝肩关节镜手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月4日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150104高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Isolated Pulmonary Embolism following Shoulder Arthroscopy. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜微创手术肺栓塞的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜微创手术肺栓塞的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： Isolated Pulmonary Embolism following Shoulder Arthroscopy. Case Rep Orthop. 2014;2014:279082. doi: 10.1155/2014/279082. Epub 2014 Dec 7. Isolated Pulmonary Embolism following Shoulder Arthroscopy. Goldhaber NH 1 , Lee CS 1 . Author information Abstract Pulmonary embolism (PE) following shoulder arthroscopy is a rare complication. We present a unique case report of a 43-year-old right-hand dominant female who developed a PE 41 days postoperatively with no associated upper or lower extremity DVT. The patient had minimal preoperative and intraoperative risk factors. Additionally, she had no thromboembolic symptoms postoperatively until 41 days following surgery when she developed sudden right-hand swelling, labored breathing, and abdominal pain. A stat pulmonary computed tomography (CT) angiogram of the chest revealed an acute PE in the right lower lobe, and subsequent extremity ultrasounds showed no upper or lower extremity deep vein thrombosis. After a thorough review of the literature, we present the first documented isolated PE following shoulder arthroscopy. Although rare, sudden development of an isolated PE is possible, and symptoms such as sudden hand swelling, trouble breathing, and systemic symptoms should be evaluated aggressively with a pulmonary CT angiogram given the fact that an extremity ultrasound may be negative for deep vein thrombosis. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150104高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150104高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150104高绪仁膝肩关节镜手术SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肺栓塞 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20150102高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月2日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150102高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Shoulder arthroscopy positioning: lateral decubitus versus beach chair. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜微创手术体位的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术治疗肩袖损伤、肩关节疼痛的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/19664509 Arthroscopy. 2009 Aug;25(8):891-6. doi: 10.1016/j.arthro.2008.10.003. Epub 2008 Nov 28. Shoulder arthroscopy positioning: lateral decubitus versus beach chair. Peruto CM 1 , Ciccotti MG , Cohen SB . Author information Abstract Since the introduction of the beach chair position for shoulder arthroscopy, orthopaedic surgeons have debated whether the beach chair or lateral decubitus is superior. Most surgeons use the same patient position to perform all of their arthroscopic shoulder procedures, regardless of the pathology. Each position has its advantages and disadvantages. The evidence regarding the efficiency, efficacy, and risks of the lateral decubitus and the beach chair positions for shoulder arthroscopy does not show one position to be superior. This review presents a comparison of these positions with regard to setup, surgical visualization, access, and patient risk. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150102高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150102高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150102高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150102高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节镜手术体位肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20150101高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2015年1月1日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20150101高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是： Monitoring of progression of nonsurgically treated rotator cuff tears by magnetic resonance imaging. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肩袖损伤发展变化在磁共振上的影像学表现的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术治疗肩袖损伤、肩关节疼痛的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国乃至世界第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/25542221 J Orthop Sci. 2014 Dec 27. Monitoring of progression of nonsurgically treated rotator cuff tears by magnetic resonance imaging. Nakamura Y 1 , Yokoya S , Mochizuki Y , Harada Y , Kikugawa K , Ochi M . Author information Abstract BACKGROUND: Nonsurgically treated rotator cuff tears sometimes become irreparable in the lead up to surgical repair. The purposes of our study were to identify predictive factors in the progression of tear size, and determine the changes in tear location. METHODS: Eighty shoulders from 71 patients (mean age 69.4 years) diagnosed with rotator cuff tears by MRI were treated nonsurgically. MRI was repeated after more than 1 year of initial diagnosis. Tear size was measured from the edge of the tear to the lateral aspect of the greater tuberosity. Tears were classified into 5 groups based on tear size and 4 groups based on tear location. Changes in tear size and location were examined. RESULTS: The mean follow-up period was 22.3 months. The average progression of tear size was 5 mm during follow-up, averaging 3 mm per year. Tears that were initially 1 or ≥4 cm were unlikely to progress in tear size. On the other hand, 1- to 2-cm tears on the initial MRI exhibited the greatest progression in tear size, followed by 2- to 3-cm tears. Furthermore, 62.5 % of localized tears in the posterior of the superior facet spread anteriorly, whereas 88.9 % of localized tears in the anterior of the superior facet did not change. CONCLUSIONS: Medium-sized tears are at high risk of tear progression. In contrast, there is little risk of early development of irreparable damage in partial tear or small full-thickness tears. In addition, typical tears may start in the posterior of the superior facet, and subsequently spread anteriorly. Our present findings may serve as a useful reference in determining the treatment course for rotator cuff tears. LEVEL OF EVIDENCE: Level IV, Case Series, Prognosis Study. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150101高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20150101高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩袖损伤 MRI 磁共振检查 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medicalcollege,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141231高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月31日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141231高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Isolated avulsion fracture of the lesser tuberosity of the humerus. A case report. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肱骨小结节撕脱骨折的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术治疗肩关节肱骨小结节撕脱骨折的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/3769259 Clin Orthop Relat Res. 1986 Oct;(211):215-8. Isolated avulsion fracture of the lesser tuberosity of the humerus. A case report. Shibuya S , Ogawa K . Abstract An extremely rare isolated avulsion fracture of the lesser tuberosity, not complicated with other proximal humeral fractures or posterior shoulder dislocations, occurred in a 12-year-old girl. The avulsion fracture of the upper part of the lesser tuberosity appears to have been caused by hyperextension and hyperexternal rotation of the shoulder. In this position, the coracohumeral ligament, superior glenohumeral ligament, and subscapularis tendon could have pulled out the upper part of the lesser tuberosity. She gained full recovery of left shoulder function after three months of conservative treatment, although follow-up roentgenograms show nonunion of the fracture. An isolated avulsion fracture of the lesser tuberosity is extremely rare. Only 12 cases, none in children, have been found in the literature since Hartigan's report in 1895. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141231高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141231高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肱骨小结节撕脱骨折 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141230高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月30日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141230高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：The effect of biceps adhesions on glenohumeral range of motion: a cadaveric study. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肱二头肌长头腱解剖的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术治疗肩关节疼痛、粘连、损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/22999852 J Shoulder Elbow Surg. 2013 May;22(5):658-65. doi: 10.1016/j.jse.2012.07.003. Epub 2012 Sep 21. The effect of biceps adhesions on glenohumeral range of motion: a cadaveric study. McGahan PJ 1 , Patel H , Dickinson E , Leasure J , Montgomery W 3rd . Author information Abstract BACKGROUND: Previous studies have demonstrated that the humerus slides along the long head of the biceps tendon (LHBT). Blocking this motion may result in decreased glenohumeral (GH) range of motion (ROM). The goal of the study was to characterize the excursion of the LHBT and measure the effect of biceps adhesions on GH ROM. MATERIALS AND METHODS: A custom biomechanical testing setup was used to measure the excursion of the LHBT and rotation of the humerus at 0°, 15°, 30°, 60°, and 90° of GH abduction in the scapular plane. An in situ biceps tenodesis with the biceps anchor still intact, thus simulating biceps adhesions, was sequentially performed in 2 positions: 0° abduction and maximum external rotation, followed by 0° abduction and maximum internal rotation. The effect of tenodesis on ROM was measured. RESULTS: There was an average excursion of 19.4 ± 5.4 mm of the LHBT as the humerus was taken through ROM in the scapular plane. Tenodesis in 0° abduction and maximum internal rotation resulted in a significant decrease in GH external rotation of 47.3° ± 12.2° (P = .007) with the arm in 0° abduction. CONCLUSIONS: Tenodesis in maximum internal rotation limited rotation significantly, such that in situ tenodesis without proximal tenotomy should not be performed. Furthermore, in situations where the biceps is at risk for scarring, such as proximal humeral fractures, shoulder arthroplasty, and the stiff shoulder, the biomechanical consequence of biceps adhesions may be similar to in situ tenodesis and may limit ROM and clinical outcomes. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141230高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141230高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肱二头肌长头腱 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expertspeciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141229高绪仁膝肩关节尖端手术SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月29日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141229高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Clinical Anatomy of the Elbow and Shoulder. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜下肩关节内部解剖的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术治疗肩关节疼痛、损伤的相关诊断、治疗、科研进一步打下了良好的基础。对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国第一流的肩关节镜微创手术服务更进一步打下了基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/23219686 Reumatol Clin. 2012 Dec-2013 Jan;8 Suppl 2:13-24. doi: 10.1016/j.reuma.2012.10.009. Epub 2012 Dec 7. Clinical anatomy of the elbow and shoulder. Villaseñor-Ovies P 1 , Vargas A , Chiapas-Gasca K , Canoso JJ , Hernández-Díaz C , Saavedra Má , Navarro-Zarza JE , Kalish RA . Author information Abstract The elbow patients herein discussed feature common soft tissue conditions such as tennis elbow, golfers' elbow and olecranon bursitis. Relevant anatomical structures for these conditions can easily be identified and demonstrated by cross examination by instructors and participants. Patients usually present rotator cuff tendinopathy, frozen shoulder, axillary neuropathy and suprascapular neuropathy. The structures involved in tendinopathy and frozen shoulder can be easily identified and demonstrated under normal conditions. The axillary and the suprascapular nerves have surface landmarks but cannot be palpated. In neuropathy however, physical findings in both neuropathies are pathognomonic and will be discussed. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141229高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141229高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141229高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节解剖学 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expertspeciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141227高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月27日，江苏徐州高绪仁膝肩关节镜手术团队在杭州回徐州的高铁上进行了20141227高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Management of complications after rotator cuff surgery. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩袖损伤修复的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下肩袖损伤修复手术及术后指导的相关诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/25532916 See comment in PubMed Commons below Curr Rev Musculoskelet Med. 2014 Dec 23. Management of complications after rotator cuff surgery. Parada SA 1 , Dilisio MF , Kennedy CD . Author information 1 Department of Orthopaedics, Eisenhower Army Medical Center, Uniformed Services University of the Health Sciences, 300 E. Hospital Road, Fort Gordon, GA, 30905, USA, Stephen.a.parada@gmail.com. Abstract Rotator cuff repair (RCR) is a common procedure performed by orthopedic surgeons via arthroscopic, open, or mini-open techniques. While this surgery is considered to be of low morbidity, several potential complications can arise either intraoperatively or during the postoperative time period. Some of these complications are related to the surgical approach (arthroscopic or open), while others are patient dependent. Many of these complications can be managed through nonoperative means; however, early recognition and timely treatment is essential in limiting the long-term sequela and improving patient outcome. There are several different ways to classify complications after RCR repair: timing, severity, preventability, whether or not the pathology is intra- or extra-articular, and the type of treatment necessary. It is essential that the surgeon is cognizant of the etiology contributing to the failed RCR surgery in order to provide timely and proper management 上图：江苏徐州高绪仁膝肩关节镜手术团队在杭州回徐州的高铁上进行20141227高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在杭州回徐州的高铁上进行20141227高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在杭州回徐州的高铁上进行20141227高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在杭州回徐州的高铁上进行20141227高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩袖损伤 并发症 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141226高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2 014年12月26日，江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行了20141226高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Complications after arthroscopic labral repair for shoulder instability. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强 了对肩关节复发性脱位肩关节不稳肩关节镜下微创手术修复的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节复发性脱位肩关节不稳肩 关节镜下微创手术的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://link.springer.com/article/10.1007%2Fs12178-014-9248-5 Complications after arthroscopic labral repair for shoulder instability Keisuke Matsuki , Hiroyuki Sugaya Abstract Arthroscopic labral repair is a widely performed and safe technique for anterior or posterior shoulder instability; however, complications have been reported in the literature. Postoperative injection of local anesthetic via an intra-articular pain pump should be avoided to prevent chondrolysis of the glenohumeral joint. Postoperative stiffness of the shoulder can be treated with physiotherapy, and a surgical treatment is indicated in shoulders that failed a conservative treatment. Although nerve injury is relatively rare, the axillary nerve should be given careful attention. Recurrent shoulder instability is the most common complication after labral repair, but most reported rates of recurrent instability after arthroscopic Bankart repair are less than 10 %. Augmentations, such as rotator interval closure and Hill-Sachs remplissage, have a potential to reduce the rate of recurrence. A better understanding of these possible complications, including their pathology and treatment, is essential for optimization of outcomes after arthroscopic labral repair. 上图：江苏徐州高绪仁膝肩关节镜手术团队在浙江杭州进行20141226高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在 浙江杭州 进行20141226高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在 浙江杭州 进行20141226高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肩关节复发性脱位 肩关节不稳 肩关节镜下微创手术修复 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141225高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月25日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141224高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是：Subpectoral biceps tenodesis: an anatomic study and evaluation of at-risk structures. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对胸大肌下固定肱二头肌长头腱 治疗肱二头肌长头腱损伤与疾病的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术肱二头肌长头腱固定术治疗肱二头肌长头腱损伤与疾病的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/22984127 Am J Sports Med. 2012 Oct;40(10):2337-41. Epub 2012 Sep 13. Subpectoral biceps tenodesis: an anatomic study and evaluation of at-risk structures. Dickens JF 1 , Kilcoyne KG , Tintle SM , Giuliani J , Schaefer RA , Rue JP . Author information Abstract BACKGROUND: The neurovascular structures of the proximal arm may be at risk for iatrogenic injury during open subpectoral biceps tenodesis (OSPBT). PURPOSE: To define the anatomic relationships and at-risk structures during OSPBT and to quantify the effect of arm rotation on the position of the musculocutaneous nerve. STUDY DESIGN: Descriptive laboratory study. METHODS: The OSPBT approach was performed in 17 unembalmed cadaveric upper extremities. The tenodesis site was inferior to the bicipital groove and positioned so the musculotendinous portion of the long head of the biceps rested at the inferior border of the pectoralis major. A meticulous dissection identified the brachial artery, deep brachial artery, cephalic vein, brachial vein, medial brachial cutaneous nerve, medial antebrachial cutaneous nerve, intercostal brachial cutaneous nerve, musculocutaneous nerve, axillary nerve, median nerve, and radial nerve. Superficial structures were measured from the superior and inferior aspects of the incision, and deep structures were measured from the tenodesis site and nearest retractor. The musculocutaneous nerve was measured with the arm in neutral, internal, and external rotation. RESULTS: The musculocutaneous nerve was 10.1 mm (range, 6-18 mm) medial to the tenodesis location and 2.9 mm (range, 1-6 mm) medial to the medially placed retractor in neutral arm position. The radial nerve and deep brachial artery were 7.4 mm (range, 2-12 mm) and 5.7 mm (range, 1-10 mm) deep to the medially placed retractor, respectively. With the arm internally rotated to 45°, the musculocutaneous nerve was 8.1 mm from the tenodesis site, compared with 19.4 mm with the arm 45° externally rotated (P = .009). The median nerve, brachial artery, and brachial vein were 2.5 cm from the tenodesis site and nearest retractor during deep dissection. CONCLUSION: The musculocutaneous nerve, radial nerve, and deep brachial artery are within 1 cm of the standard medial retractor. External rotation of the arm moves the musculocutaneous nerve 11.3 mm further away from the tenodesis site compared with the internally rotated position. CLINICAL RELEVANCE: The musculocutaneous nerve, radial nerve, and deep brachial artery course in close proximity to the operative field and are therefore at risk during OSPBT. Limiting the use of medial retraction and placement of the arm in an externally rotated position will minimize neurovascular injury. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141225高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141225高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141225高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 肱二头肌长头腱固定术 肩关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
高绪仁膝肩关节镜手术团队观摩美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演 2014年12月25日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩了世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 美国德克萨斯州休斯敦Gary M. Gartsman教授精湛的手术技术、细致的细节解说获得了高绪仁膝肩关节镜手术团队成员的一致好评。受益匪浅！ 通过对美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复的手术观摩和细节研讨，高绪仁膝肩关节镜手术团队对各种类型肩袖损伤的诊断和治疗水平得到了进一步的提高，对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国第一流的肩关节镜微创手术服务更进一步打下了基础。 感谢世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授的精彩手术演示和到位的解说！ 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩袖损伤修复手术技术表演。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 高绪仁 肩关节损伤 肩关节疼痛 肩关节不稳 肩袖损伤 关节镜 微创手术 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 双排缝合 Suture Bridge 肩袖 中国 美国 肩关节镜专家 世界级 肩关节镜手术专家 美国 德克萨斯州 休斯敦 Gary M. Gartsman 教授 运动医学科 肩 江苏徐州高绪仁膝肩关节镜手术团队
高绪仁膝肩关节镜手术团队观摩美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节不稳肩关节镜手术技术表演 2014年12月24日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩了世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节不稳肩关节镜手术技术。 美国德克萨斯州休斯敦Gary M. Gartsman教授精湛的手术技术、细致的细节解说获得了高绪仁膝肩关节镜手术团队成员的一致好评。受益匪浅！ 通过对美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节不稳肩关节镜手术技术的手术观摩和细节研讨，高绪仁膝肩关节镜手术团队对各种类型肩关节不稳的诊断和治疗水平得到了进一步的提高，对更好地为江苏省徐州市及周边1000万医疗人口的肩关节疼痛、肩袖损伤、肩袖撕裂、肩关节不稳提供中国第一流的肩关节镜微创手术服务更进一步打下了基础。 感谢世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授的精彩手术演示和到位的解说！ 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室观摩世界级肩关节镜手术专家美国德克萨斯州休斯敦Gary M. Gartsman教授肩关节镜下肩关节不稳手术技术表演。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 高绪仁 肩关节损伤 肩关节疼痛 肩关节不稳 肩袖损伤 关节镜 微创手术 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 双排缝合 Suture Bridge 肩袖 中国 美国 肩关节镜专家 世界级 肩关节镜手术专家 美国 德克萨斯州 休斯敦 Gary M. Gartsman 教授 运动医学科 肩 江苏徐州高绪仁膝肩关节镜手术团队
20141224高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月24日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141224高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 本次研讨的论文题目是： Arthroscopic Suture Anchor Tenodesis: Loop-Suture Technique. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren GAO knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节镜下微创手术肱二头肌长头腱固定术治疗肱二头肌长头腱损伤与疾病的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下微创手术肱二头肌长头腱固定术治疗肱二头肌长头腱损伤与疾病的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716208/ Arthrosc Tech. May 2013; 2(2): e105–e110. Published online Mar 29, 2013. doi: 10.1016/j.eats.2012.12.003 PMCID: PMC3716208 Arthroscopic Suture Anchor Tenodesis: Loop-Suture Technique Min Soo Shon , a Kyoung Hwan Koh , b Tae Kang Lim , c Seung Won Lee , d Young Eun Park , d and Jae Chul Yoo d, Author information ► Article notes ► Copyright and License information ► Abstract With advancements in arthroscopic surgery, arthroscopic biceps tenodesis with suture anchor recently has been reported to be a reasonable option for the treatment of biceps pathologies, especially for those that are symptomatic or accompanied by a rotator cuff tear. We introduce our technique of arthroscopic biceps tenodesis with suture anchor that we call the loop-suture technique, which is constructed with 1 loop strand and another sutured strand. This technique can help to improve biceps grip and simultaneously minimize longitudinal splitting of the tendon. In addition, it is relatively simple and can be performed with the use of conventional devices and arthroscopic portals used for rotator cuff repair, without the formation of additional portals or a separate incision for the tenodesis. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐 州二院）新病房大楼九楼北区骨科医生办公室进行20141224高绪仁膝肩关节SCI论 文研读会(Dr. Xuren GAO knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren GAO knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研 读会 Dr. Xuren GAO knee Shoulder Journal Club 肱二头肌长头腱固定术 肩 关节镜手术 巨大肩袖损伤 肩袖巨大撕裂 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手 术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关 节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren GAO Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college,Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage Go to: Abstract
20141221高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月21日，浙江省人民医院骨科运动医学关节镜专家顾海峰主任和江苏徐州高绪仁膝肩关节镜手术团队部分成员一起在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141221高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 本次研讨的论文题目是：Technical guide and tips on the all-arthroscopic Latarjet procedure. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节复发性脱位肩关节镜下Latarjet手术的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下Latarjet手术治疗复发性肩关节脱位进一步打下了良好的基础。 感谢浙江省人民医院骨科运动医学关节镜专家顾海峰主任不远千里，从浙江杭州赶到江苏徐州传经送宝！感谢顾海峰主任为高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)提出的宝贵的意见和建议。盼望顾海峰主任今后有时间再来我处进行指导工作！ 也欢迎全国各地的膝肩关节专家、医生、同道、朋友来江苏徐州参加高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)！ 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/24817106 Knee Surg Sports Traumatol Arthrosc. 2014 May 10. Technical guide and tips on the all-arthroscopic Latarjet procedure. Rosso C 1 , Bongiorno V , Samitier G , Dumont GD , Szöllösy G , Lafosse L . Author information Abstract Shoulder dislocation and subsequent anterior instability is a common problem in young athletes. The arthroscopic Bankart repair was originally described by Morgan et al. in 1987. The procedure has benefited from many technical advancements over the past 25 years and currently remains the most commonly utilized procedure in the treatment of anterior glenohumeral instability without glenoid bone loss. Capsulolabral repair alone may not be sufficient for treatment of patients with poor capsular tissue quality and significant bony defects. In the presence of chronic anterior glenoid bony defects, a bony reconstruction should be considered. The treatment of anterior shoulder instability with transfer of the coracoid and attached conjoint tendon such as the Latarjet procedure has provided reliable results. The arthroscopic Latarjet procedure was described in 2007 by the senior author, who has now performed the procedure over 450 times. The initial surgical technique has evolved considerably since its introduction, and this article presents a comprehensive update on this demanding but well-defined procedure. This article reviews technical tips to help the surgeon perform the surgery more smoothly, navigate through challenging situations, and avoid potential complications. Level of evidence V. 上图：浙江省人民医院骨科运动医学关节镜专家顾海峰主任和江苏徐州高绪仁膝肩关节镜手术团队部分成员在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141221高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：浙江省人民医院骨科运动医学关节镜专家顾海峰主任和江苏徐州高绪仁膝肩关节镜手术团队部分成员在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141221高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：浙江省人民医院骨科运动医学关节镜专家顾海峰主任和江苏徐州高绪仁膝肩关节镜手术团队部分成员在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141221高绪仁膝肩关节SCI论文研读会 (Dr. Xuren Gao knee Shoulder Journal Club)。 上图：浙江省人民医院骨科运动医学关节镜专家顾海峰主任和江苏徐州高绪仁膝肩关节镜手术团队部分成员在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141221高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao knee shoulder arthroscopy 浙江省人民医院 骨科 运动医学 关节镜专家 顾海峰 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 肩关节镜手术 biceps tendon 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141220高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月20日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 本次研讨的论文题目是：Diagnostic Glenohumeral Arthroscopy Failsto Fully Evaluate the Biceps-Labral Complex. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩关节肱二头肌长头腱解剖的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下肩关节肱二头肌长头腱损伤与疾病的诊断、治疗、科研进一步打下了良好的基础。 原文链接: http://www.ncbi.nlm.nih.gov/pubmed/25498874 Diagnostic Glenohumeral Arthroscopy Fails to Fully Evaluate the Biceps-Labral Complex This work was presented the J. Whit Ewing Resident/Fellow Essay Award—Clinical, at the 2014 Arthroscopy Association of North America Meeting, Hollywood, Florida. Samuel A. Taylor , M.D. , M. Michael Khair , M.D. , Lawrence V. Gulotta , M.D. , Andrew D. Pearle , M.D. , Nikolas J. Baret , Ashley M. Newman , B.S. , Christopher J. Dy , M.D., M.S.P.H. , Stephen J. O'Brien , M.D., M.B.A. Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, U.S.A. Received: April 24, 2014 ; Accepted: October 3, 2014 ; Published Online: December 10, 2014 Purpose The purpose of this study was to define the limits of diagnostic glenohumeral arthroscopy and determine the prevalence and frequency of hidden extra-articular “bicipital tunnel” lesions among chronically symptomatic patients. Methods Eight freshfrozen cadaveric specimens underwent diagnostic glenohumeral arthroscopy with percutaneous tagging of the long head of the biceps tendon (LHBT) during maximal tendon excursion. The percentage of visualized LHBT was calculated relative to the distal margin of subscapularis tendon and the proximal margin of the pectoralis major tendon. Then, a retrospective review of 277 patients who underwent subdeltoid transfer of the LHBT to the conjoint tendon were retrospectively analyzed for lesions of the biceps-labral complex. Lesions were categorized by anatomic location (inside, junctional, or bicipital tunnel). Inside lesions were labral tears. Junctional lesions were LHBT tears visualized during glenohumeral arthroscopy. Bicipital tunnel lesions were extra-articular lesions hidden from view during standard glenohumeral arthroscopy. Results Seventyeight percent of LHBT were visualized relative to the distal margin of the subscapularis tendon and only 55% relative to the proximal margin of the pectoralis major tendon. No portion of the LHBT inferior to the subscapularis tendon was visualized. Forty-seven percent of patients had hidden bicipital tunnel lesions. Scarring was most common and accounted for 48% of all such lesions. Thirty-seven percent of patients had multiple lesion locations. Forty-five percent of patients with junctional lesions also had hidden bicipital tunnel lesions. The only offending lesion was in the bicipital tunnel for 18% of patients. Conclusions Diagnostic glenohumeral arthroscopy fails to fully evaluate the biceps-labral complex because it visualizes only 55% of the LHBT relative to the proximal margin of the pectoralis major tendon and did not identify extra-articular bicipital tunnel lesions present in 47% of chronically symptomatic patients. Level of Evidence Level IV, therapeutic case series and cadaveric study. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141220高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 肩关节镜手术 biceps tendon 肱二头肌长头腱损伤 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr.Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141216高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 2014年12月16日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club) 。 本次研讨的论文题目是：Hill-sachs remplissage: an arthroscopic solution for the engaging hill-sachs lesion. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对复发性肩关节脱位Hill-Sachs损伤remplissage修复手术的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下复发性肩关节脱位Hill-Sachs损伤的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/18514117 Arthroscopy. 2008 Jun;24(6):723-6. doi: 10.1016/j.arthro.2008.03.015. Hill-sachs remplissage: an arthroscopic solution for the engaging hill-sachs lesion Purchase RJ1, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Author information Abstract We present an arthroscopic technique used to treat traumatic shoulder instability in patients with glenoid bone loss and a large Hill-Sachs lesion. The procedure consists of an arthroscopic capsulotenodesis of the posterior capsule and infraspinatus tendon to fill the Hill-Sachs lesion. With the patient in the lateral decubitus position, a posterior portal is established at the lateral aspect of the convexity of the humeral head that is centered over the lesion. After anterior-inferior and anterior-superior portals have been established, the camera is placed in the anterior-superior portal. The Hill-Sachs lesion is freshened with a bur through the posterior portal. A cannula is inserted in the posterior portal through the deltoid but not through the infraspinatus or capsule, and an anchor is placed in the inferior aspect of the humeral lesion. A penetrating grasper is passed through the tendon and posterior capsule, 1 cm inferior to the initial portal entry site to pull 1 suture limb. A second anchor is placed superiorly, and 1 suture limb is similarly passed. The inferior suture is tied first with the knots remaining extra-articular, pulling the infraspinatus and capsule into the lesion. After completion, the Bankart lesion can then be repaired. PMID: 18514117 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141216高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 肩关节镜手术 Subacromial Spacer 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr.Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 中国 江苏 徐州 肩关节镜手术 Hill-sachs remplissage
20141215高绪仁膝肩关节SCI论文研读会 Dr. Xuren GAO knee Shoulder Journal Club 2014年12月15日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 本次研讨的论文题目是：Subacromial Spacer Placement for Protection of Rotator Cuff Repair. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对肩袖修复损伤手术后肩峰下间隙置入Spacer的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展肩关节镜下巨大肩袖撕裂的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/25473615 Arthrosc Tech. 2014 Oct 6;3(5):e605-e609. eCollection 2014. Subacromial Spacer Placement for Protection of Rotator Cuff Repair. Sz?ll?sy G1, Rosso C2, Fogerty S3, Petkin K3, Lafosse L3. Author information Abstract Rotator cuff repairs have a high failure rate proportional to the tear size. Various techniques have been described to improve the repair strength and failure rate. The described surgical technique uses a biodegradable subacromial balloon-shaped spacer (InSpace; OrthoSpace, Caesarea, Israel) that is implanted arthroscopically to protect our tendon repair. We describe the introduction technique and suggest some hints and tricks. The spacer is placed under direct vision in the subacromial space after the rotator cuff repair is finished. Correct placement is verified by moving the arm freely. The subacromial spacer may help to protect the rotator cuff repair by centering the humeral head and reducing friction between suture knots and the acromion. It may also help to flatten dog-ear formations. 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行20141215高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 肩关节镜手术 Subacromial Spacer 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 肩关节镜
20141213高绪仁膝肩关节SCI论文研读会knee Shoulder Journal Club 2014年12月13日，江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行了20141213高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 本次研讨的论文题目是：Arthroscopic repair of small and medium-sized bony Bankart lesions. 通过此次高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)，高绪仁膝肩关节镜手术团队的成员进一步加强了对复发性肩关节脱位骨性Bankart损伤处理的理解，对于指导高绪仁膝肩关节镜手术团队进一步开展复发性肩关节脱位骨性Bankart损伤的诊断、治疗、科研进一步打下了良好的基础。 原文链接： http://www.ncbi.nlm.nih.gov/pubmed/24272455 Am J Sports Med. 2014 Jan;42(1):86-94. doi: 10.1177/0363546513509062. Epub 2013 Nov 22. Arthroscopic repair of small and medium-sized bony Bankart lesions. Kim YK1, Cho SH, Son WS, Moon SH. Author information Abstract BACKGROUND: There has been no study about treatment guidelines for arthroscopic repair according to the size of bony Bankart lesions of less than 25% of the glenoid width. PURPOSE: To evaluate the results of arthroscopic repair for bony Bankart lesions managed with different repair techniques based on their size. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between March 2005 and February 2009, 44 of 52 consecutive patients with bony Bankart lesions with a size of less than 25% of the entire glenoid were managed with an arthroscopic approach. Of those patients, 34 (77%) were available for outcome analysis at a minimum 24 months' follow-up (mean, 34 months; range, 24-60 months). The size of the fragment was measured by computed tomography (CT) and classified as small (12.5% of the inferior glenoid width) and medium(12.5%-25%). Sixteen lesions were classified as small (small group), and 18 were classified as medium (medium group). For small lesions, capsulolabral repair using suture anchors without excision of the bony fragment was performed. Formedium lesions, anatomic reduction and fixation using suture anchors was performed, and the adequacy of reduction was assessed by CT postoperatively. The visual analog scale (VAS) for pain score and modified Rowe score for bony Bankartrepair were compared and the postoperative recurrence rate investigated. RESULTS: One patient from the small group (6.3%) and 1 patient without anatomic reduction of the bony fragment in the medium group (5.6%) experienced traumatic redislocations. The mean VAS score improved from 1.7 preoperatively to 0.5 at final follow-up, and the mean Rowe score improved from 59 to 91 (both P .001). The mean postoperative Rowe scores increased from 58 to 92 in the small group and from 60 to 91 in the medium group (both P .001). Residual joint incongruity measuring ≤2 mm on both axial and coronal scans, which was considered an anatomic reduction, was present in 14 cases (77.8%) in the medium group. In the medium group, the mean postoperative Rowe scores increased from 60 to 95 in cases of anatomic reduction compared with an increase from 56 to 76 in cases of nonanatomic reduction. The Rowe score was statistically correlated with anatomic reduction of medium-sized bony fragments (P = .046). CONCLUSION: In small Bankart lesions, restoration of capsulolabral soft tissue tension alone may be enough, whereas in medium lesions, the osseous architecture of the glenoid should be reconstructed for more functional improvement and less pain. KEYWORDS: anterior instability; arthroscopic surgery; bony Bankart lesion; shoulder 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行 20141212高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行 20141212高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行 20141212高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 上图：江苏徐州高绪仁膝肩关节镜手术团队在徐州医学院附属医院（徐医附院、徐州二院）新病房大楼九楼北区骨科医生办公室进行 20141212高绪仁膝肩关节SCI论文研读会(Dr. Xuren Gao knee Shoulder Journal Club)。 江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 运动医学 关节镜 高绪仁 Dr. Xuren Gao knee shoulder arthroscopy 高绪仁膝肩关节SCI论文研读会 Dr. Xuren Gao knee Shoulder Journal Club 复发性肩关节脱位 骨性Bankart损伤 肩关节损伤 肩关节疼痛 肩袖损伤 关节镜 微创手术 SLAP损伤 肩关节镜微创手术 肩关节镜手术技术 肩关节镜手术 肩袖损伤 肩袖撕裂 Rotator cuff tear Rotator cuff repair 巨大肩袖撕裂 中国 美国 法国 肩关节镜专家 肩关节镜手术专家 运动医学科 肩 教授 江苏徐州高绪仁膝肩关节镜手术团队 江苏省 关节镜 江苏省 骨科 江苏省运动医学 Dr. Xuren Gao Shoulder arthroscopy expert speciliast The affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province, China 美国 肩关节镜 肩锁关节脱位 肩关节镜
江苏徐州高绪仁国际膝肩关节运动损伤关节镜门诊 Dr. Xuren Gao International Knee and Shoulder Sports Medicine Arthroscopy Clinic 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁每周二在徐州医学院附属医院门诊楼二楼骨科第一诊室开办国际膝肩运动损伤关节镜门诊。 Dr. Xuren Gao,specialist of knee and shoulder sports injury,holds Dr. Xuren Gao International Knee and Shoulder Sports Medicine Arthroscopy Clinic in No.1 clinic room of department of orthopedics,the affiliated hospital of Xuzhou medical college, Xuzhou,Jiangsu province，every Tuesday. 已有美国、俄罗斯、英国、德国、法国、日本、澳大利亚、印度、尼泊尔、巴基斯坦、越南、老挝、泰国等等多国膝、肩关节运动损伤患者来我处就医。 A lot of patients with knee and shoulder disorders from the USA, Russia,England, Germany, France, Japan,Australia，India,Pakistan,Nepal,Vietnam,Laos,Thail and orther countries,have come here for hlep about their knee and shoulder disorders. 高绪仁国际膝肩关节运动损伤关节镜门诊深获广大国际友人好评。 Dr. Xuren Gao International Knee and Shoulder Sports Medicine Arthroscopy Clinic has gained good comments from international knee and shoulder patients. 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁在和来自国外的膝、肩关节运动损伤患者进行交流。 Dr. Xuren Gao is communicating with international knee and shoulder patients in his International Knee and Shoulder Sports Medicine Arthroscopy Clinic. 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁在和来自国外的膝、肩关节运动损伤患者进行交流。 Dr. Xuren Gao is communicating with international knee and shoulder patients in his International Knee and Shoulder Sports Medicine Arthroscopy Clinic.
江苏徐州高绪仁肩关节团队举办肩关节复发性脱位Bristow和Latarjet手术研讨会Journal Club 2014年10月25日，江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节关节镜手术团队举办肩关节复发性脱位Bristow和Latarjet手术研讨会。 主要研讨了Bristow手术和Latarjet手术在治疗肩关节复发性脱位中的作用。 经研讨，我们认为，在治疗含有肩胛盂骨缺损的复发性肩关节脱位患者，Latarjet手术比Bristow手术具有更高的稳定性。 Bristow手术治疗肩关节复发性脱位 Latarjet手术治疗肩关节复发性脱位 J Bone Joint Surg Am. 2014 Aug 20;96(16):1340-8. doi: 10.2106/JBJS.M.00627. The Bristow and Latarjet procedures: why these techniques should not be considered synonymous. Giles JW , Degen RM , Johnson JA , Athwal GS . Author information Abstract BACKGROUND: Recurrent shoulder instability is commonly associated with glenoid bone defects. Coracoid transfer procedures, such as the Bristow and Latarjet procedures, are frequently used to address these bone deficiencies. Despite the frequent synonymous labeling of these transfers as the Bristow-Latarjet procedure, their true equivalence has not been demonstrated. Therefore, our purpose was to compare the biomechanical effects of these two procedures. METHODS: Eight cadaveric specimens were tested on a custom shoulder simulator capable of loading nine muscle groups and of accurately orienting the joint throughout shoulder motion. The specimens were tested in the intact state, following Bristow and Latarjet reconstructions of a capsulolabral injury (0% glenoid defect), and following each procedure after creation of 15% and 30% glenoid bone defects. The reconstruction order was randomized. In each condition, joint stiffness (anterior stability) and occurrence of dislocation were assessed in shoulder adduction and abduction with neutral and external rotation. RESULTS: No significant differences (p 0.05) in joint stiffness or stability were found between the Bristow and Latarjet reconstructions for the 0% glenoid defect in any joint position. However, substantially greater joint stiffness occurred following the Latarjet procedure, as compared with the Bristow procedure, for the 15% and 30% glenoid bone-loss conditions in adduction with neutral rotation, adduction with external rotation, and abduction with external rotation (average across the three joint positions: 8.6 ± 4.4 N/mm versus 3.9 ± 1.26.7 N/mm with 15% bone loss and 7.5 ± 4.4 N/mm versus 3.4 ± 1.5 N/mm with 30% bone loss). The Latarjet reconstruction restored the stiffness that had been measured in the intact state in eleven of the twelve tested conditions, whereas the Bristow procedure was successful in only four of the twelve conditions. In addition, during instability testing, three more specimens dislocated following the Bristow reconstruction, compared with the Latarjet procedure, in the 15% defect condition and five more dislocated in the 30% defect condition. CONCLUSIONS: The Bristow and Latarjet procedures are not equivalent in terms of their effects on glenohumeral joint stiffness and stability in cases of glenoid osseous deficiency. CLINICAL RELEVANCE: The Bristow and Latarjet procedures have equivalent stabilizing effects in unstable shoulders with preserved glenoid osseous anatomy. However, the Latarjet procedure confers superior stabilization in the setting of substantial glenoid bone loss. 关键词：江苏省 徐州市 徐州医学院附属医院 徐医附院 徐州二院 骨科 高绪仁 肩关节复发性脱位 肩关节镜 Bristow手术 Latarjet手术 shoulder 肩关节 江苏省徐州高绪仁肩关节手术团队愿景： 立足江苏徐州及周边1000万医疗服务人口， 打造国际知名的肩关节损伤与疾病诊疗世界精英品牌团队。
2014年10月13日，江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学了上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术，并对精彩部分进行了讨论和分析。 受益匪浅！ 感谢 上海市第六人民医院骨科何耀华教授的精彩手术演示。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 江苏省徐州医学院附属医院（徐医附院、徐州二院）骨科运动损伤关节镜专家高绪仁肩关节镜手术团队研学上海六院何耀华教授肩关节镜下Suture Bridge双排缝合修复肩袖撕裂手术技术。 何耀华主任 简历 介绍： 何耀华，男，医学博士,主任医师，教授，博士生导师，肩关节疾病微创手术高级专家。现任中华医学会骨科分会肩肘关节外科协作组委员，上海医学会骨科分会关节镜学组委员，上海医学会运动医学学组委员，美国ISAKOS会员，亚洲环太平洋运动医学会员。1998年于中国医学科学院中国协和医科大学毕业，获骨科专业硕士学位；2009年5月于上海交通大学医学院毕业并获得骨科专业博士学位。自1998年7月起一直在上海市第六人民医院骨科工作，于2001年和2005年先后在德国、韩国学习。在韩国师从著名的肩关节运动医学专家Dr. Kim Seung-Ho，在此受到了系统的肩关节运动医学的培训，对肩关节的微创手术颇有专长。2004年录选为上海交通大学附属第六人民医院青年技术骨干培养对象。2008年于美国纽约特殊外科医院（Hospital for Special Surgery）、纽约大学附属医院（New York University Hospital for Joint Disease）和San Antonio Orthopedic Institute学习，师从世界著名的Dr. Russell F. Warren， Dr. Andrew Rokito和Dr. Stephen S Burkhart。在美国的学习，进一步丰富了肩关节领域的知识，更新了观念，提高了肩关节镜技术水平。目前在国内外已发表学术论文30余篇并参编多部骨科方面专著；参加完成多项医院新技术项目和上海市科委技术项目，其中参加完成的“膝关节稳定性重建的系列研究”获上海市科学技术成果三等奖。国家自然基金2项，在研2项。擅长肩、膝关节运动损伤的诊治，尤其对肩关节疾病的诊治，如肩袖损伤、肩峰撞击征、肩关节脱位、盂唇损伤以及肩周炎(冻结肩)等具有丰富的临床医学经验。目前，肩关节镜手术量在全国已名列前茅，尤擅长巨大肩袖损伤，肩关节多向不稳以及肩关节脱位后造成骨头缺损等复杂肩关节疾病的诊治，且具有独特的诊疗方案。
201407 17 徐州肩关节研究所 Journal Club Xuzhou Shoulder Institute Shoulder Arthroscopy Journal Club 时间： 2014 年 7 月 17 日 18:30-22:00 Time : 18:30-22:00 July 17th 2014 地点：江苏省徐州市淮海西路 99 号徐州医学院附属医院新病房大楼 9 楼北区骨科 徐州肩关节研究所 Place: Department of Orthopaedic Surgery,North District,9th floor,the new in-patient building, the affiliated hospital of Xuzhou Medical College, No.99 Huaihai West Road, Xuzhou, Jiangsu Province, China 主讲：高绪仁 Speaker: Dr. Xuren Gao Xuzhou Shoulder Institute 内容： Topics: 1 Ann Rehabil Med. 2014 Jun;38(3):360-8. doi: 10.5535/arm.2014.38.3.360. Epub 2014 Jun 26. Randomized controlled trial for efficacy of capsular distension for adhesive capsulitis: fluoroscopy-guided anterior versus ultrasonography-guided posterolateral approach . Bae JH 1 , Park YS 1 , Chang HJ 1 , Kim MJ 1 , Park KY 1 , Jin SH 1 , Lee EH 2 . Author information Abstract OBJECTIVE: To find the most effective procedure to treat adhesive capsulitis of the shoulder, we evaluated the clinical effects of an ultrasonographic-guided anterior approach capsular distension and a fluoroscopy-guided posterolateral approach capsular distension. We expected the anterior approach to be better than the posterolateral approach because the rotator interval, a triangular anatomic area in the anterosuperior aspect of the shoulder, which is considered an important component of the pathology of adhesive capsulitis. METHODS: PARTICIPANTS WERE RANDOMLY ASSIGNED TO TWO GROUPS: 27 patients in group A were injected by an anterior approach with 2% lidocaine (5 mL), contrast dye (5 mL), triamcinolone (40 mg), and normal saline (9 mL) under fluoroscopic guidance in the operating room. Twenty-seven patients in group B were injected using a posterolateral approach with 2% lidocaine (5 mL), triamcinolone (40 mg), and normal saline (14 mL) under ultrasonographic guidance. After injection, all patients received physiotherapy four times in the first postoperative week and then two times each week for eight more weeks. Treatment effects were assessed using the shoulder pain and disability index (SPADI), visual numeric scale (VNS), passive range of motion (PROM), hand power (grip and pinch) at baseline and at one week, five and nine weeks after injection. RESULTS: SPADI, VNS, PROM, and hand power improved in one week, five and nine weeks in both groups. Statistically significant differences were not observed in SPADI, VNS, PROM, or hand power between groups. CONCLUSION: Ultrasonography-guided capsular distension by a posterolateral approach has similar effects to fluoroscopy-guided capsular distension by an anterior approach. KEYWORDS: Adhesive capsulitis; Injection 2 Case Rep Orthop. 2014;2014:312968. doi: 10.1155/2014/312968. Epub 2014 Jun 12. Concurrent rotator cuff tear and axillary nerve palsy associated with anterior dislocation of the shoulder and large glenoid rim fracture: a terrible tetrad . Takase F , Inui A , Mifune Y , Muto T , Harada Y , Kokubu T , Kurosaka M . Author information Abstract We present a case of concurrent rotator cuff tear and axillary nerve palsy resulting from anterior dislocation of the shoulder and a large glenoid rim fracture-a terrible tetrad. A 61-year-old woman fell on her right shoulder. Radiographs showed anterior dislocation of the shoulder with a glenoid rim fracture, and an MRI two months after injury revealed a rotator cuff tear. Upon referral to our hospital, physical and electrophysiological examinations revealed axillary nerve palsy. The axillary nerve palsy was incomplete and recovering, and displacement of the glenoid rim fracture was minimal and already united; therefore, we surgically repaired only the rotator cuff tear three months after injury. The patient recovered satisfactorily following the operation. In patients whose axillary nerve palsy is recovering, surgeons should consider operating on rotator cuff tears in an attempt to prevent rotator cuff degeneration. 3 Indian J Anaesth. 2014 May;58(3):309-11. doi: 10.4103/0019-5049.135044. Anaesthetic management of shoulder arthroscopic repair in Parkinson's disease with deep brain stimulator . Gandhi R , Chawla R . Author information Abstract We describe the anaesthetic management of arthroscopic repair for complete rotator cuff tear of shoulder in a 59-year-old female with Parkinson's disease (PD) with deep brain stimulator (DBS) using a combination of general anaesthesia with interscalene approach to brachial plexus block. The DBS consists of implanted electrodes in the brain connected to the implantable pulse generator (IPG) normally placed in the anterior chest wall subcutaneously. It can be programmed externally from a hand-held device placed directly over the battery stimulator unit. In our patient, IPG with its leads was located in close vicinity of the operative site with potential for DBS malfunction. Implications of DBS in a patient with PD for shoulder arthroscopy for anaesthesiologist are discussed along with a brief review of DBS. KEYWORDS: Deep brain stimulator; Parkinson's disease; shoulder arthroscopy 4 Occup Environ Med. 2014 Jun;71 Suppl 1:A94. doi: 10.1136/oemed-2014-102362.293. 0252 Occupation and surgery for subacromial impingement syndrome - a nationwide Danish cohort study . Dalbøge A 1 , Frost P 1 , Hviid Andersen J 2 , Wulff Svendsen S 2 . Author information AbstractOBJECTIVES: Little is known about the time window for accumulation of occupational exposures and shoulder disorders. We aimed to evaluate cumulative occupational shoulder exposures as risk factors for surgery for subacromial impingement syndrome (SIS), and to examine how long the relevant exposure time period is. METHOD: We conducted a nationwide register study of all persons born in Denmark (1933-1977), with at least 5 years of full-time employment (1993-2007). In the follow-up period (2003-2008), first-time events of surgery for SIS were identified. Cumulative exposure estimates for a 10-year period were obtained by linking occupational codes with a job exposure matrix. Exposure estimates were expressed according to the pack-year concept of smoking (e.g. arm-elevation-years). We used logistic regression equivalent to discrete survival analysis with a one year time lag, adjusting for age, sex, region, and calendar year, and compared the ORs for exposure time windows of increasing length. RESULTS: The adjusted OR (ORadjusted) for surgery for SIS reached 2.0 for arm-elevation-years, repetitive-movement-years, and force-years, and the ORadjusted for hand-arm-vibration-years reached 1.5. We found an increase in ORadjusted from 1.0 to 2.1 when expanding the exposure time window from 2 to 10 years back in time. CONCLUSIONS: Our findings suggested that upper arm-elevation, repetitive movements, forceful exertions, and hand-arm-vibration were risk factors for surgery for SIS, and indicated a cumulative exposure effect within a 10 year time span. 5 Occup Environ Med. 2014 Jun;71 Suppl 1:A83. doi: 10.1136/oemed-2014-102362.258. 0178 Quality of life of workers suffering from shoulder pain . Bodin J 1 , Garlantézec R 2 , Descatha A 3 , Ha C 4 , Roquelaure Y 5 . Author information Abstract OBJECTIVES: To compare the quality of life (QoL) in three groups of workers suffering or not from shoulder pain (SP) lasting more than one month during the preceding 12 months. METHOD: Between 2002-2005, 3710 workers were randomly included in a French surveillance system of work-related musculoskeletal disorders. In 2007, 2332 responded to a follow-up questionnaire, 2049 were still active. Workers completed the Nordic Questionnaire to assess SP and the SF-36 for QoL. Three groups were defined according to health status at follow-up: Group 1: workers without SP (men: 87.9%; women: 79.2%) Group 2: workers with SP without neck, elbow and hand/wrist pain lasting more than one month during the preceding 12 months (men: 4.2%; women: 6.0%) Group 3: workers with SP and neck, elbow or hand/wrist pain lasting more than one month during the preceding 12 months (men 7.9%; women 14.8%) The mean scores of SF-36 were compared with Kruskall-Wallis test and post-hoc comparisons were performed. Analyses were stratified by gender. RESULTS: Workers in group 2 had lower scores of physical health compared to workers in group 1, whatever the gender. Workers in group 3 had lower scores of physical and mental health compared to workers in group 1. Two dimensions of mental health in men and the four dimensions of physical health and one dimension of mental health in women had lower scores in group 3 compared to group 2. CONCLUSIONS: Workers with SP and upper-limb pain have poorer QoL compared to workers without SP and workers with SP without upper-limb pain. 6 Occup Environ Med. 2014 Jun;71 Suppl 1:A28. doi: 10.1136/oemed-2014-102362.88. 0215 Acromioclavicular joint degeneration in relation to cumulative occupational mechanical exposures: a magnetic resonance imaging study. Wulff Svendsen S 1 , Gelineck J 2 , Egund N 2 , Frost P 3 . Author information Abstract OBJECTIVES: Little is known about the influence of occupational mechanical shoulder exposures on the development of acromioclavicular joint degeneration. We aimed to evaluate if arm elevation 90(o), force requirements, and repetitive work are associated with acromioclavicular joint degeneration as assessed by magnetic resonance imaging (MRI). METHOD: The study population participated in a study in 2000-2001, where we performed MRI examinations of the right shoulder of 136 right-handed, 40-50 year old men from a historical cohort of machinists, car mechanics, and house painters. In 2011-2012, we re-examined these men. Two radiologists evaluated the images, blinded to exposures status and symptoms. Acromioclavicular joint degeneration was registered in case of subchondral irregularities, joint capsule swelling with adjacent bone marrow oedema and/or subacromial spurs. Cumulative exposures since baseline were obtained by combining self-reported work histories with a job exposure matrix based on expert judgement. We applied multivariable logistic regression adjusted for measured BMI, questionnaire information on smoking, and age. RESULTS: Of the original population, 129 could be invited, and 90 (70%) participated. Their mean age was 55.1 years (SD 2.8, range 50-60). The prevalence of acromioclavicular joint degeneration was 64% against 43% at baseline. Prevalent MRI findings showed a relation to forceful work: OR 4.0 (95% CI 1.3-12.1). Incident MRI findings were also related to forceful work, without reaching significance. Arm elevation and repetitive work were not associated with the outcome. CONCLUSIONS: Forceful work seems to be a risk factor for acromioclavicular joint degeneration as assessed by MRI at 50-60 years of age. 7 Occup Environ Med. 2014 Jun;71 Suppl 1:A114-5. doi: 10.1136/oemed-2014-102362.361. 0405 Influence of fluoride and hard manual labour for prevalence of shoulder pain syndrome in aluminium potrooms . Shirokov V 1 , Gurvich V 1 , Varaksin A 2 , Derstuganova T 1 . Author information Abstract OBJECTIVES: To evaluate relative contribution of hard manual labour, fluorides' influence, co-morbid pathology on the prevalence and incidence of shoulder pain syndrome (SPS). METHOD: One-stage cross-sectional observation of prevalence SPS was investigated. The observed 6094 workers were divided into four groups. The first group was formed by 407 workers of an aluminium plant (elektroliz aluminium), whose professional activity (hard manual labour) is connected the quite big shoulder region loading and fluorides' influence. The 2-nd group consisted of 369 workers with fluorides' influence without manual labour. The 3-rd group consisted of 2078 workers, hard manual labour without influence of bone-seeking toxic factors (metalworker, painters, moulders etc.). The 4-th group - 3240 workers and employees of auxiliary departments not subjected to the influence of unfavourable industrial factors (engineer, command, economists etc.). The observed were divided into four age groups and three working experience groups. RESULTS: In the observed population the prevalence of SPS was 9,6 (95% CI 8,9-10,7), among male - 8,6 (7,8-9,4), among female - 1,9 (10,5-13,5). The highest rates of SPS were aged 40 to 49 years - 11,0 (9,6-12,4) and older than 50 years - 11,9 (10,5-13,3). The highest prevalence index of SPS were registered in the B first group - 32, 9% (workers exposed to toxic effects of fluoride and physical strain), the lowest - in the 3-rd group - 6,9% (without the impact of toxic action). Rate of shoulder pain prevalence is authentically higher among the workers of hard manual labour and under the toxic influence of fluoride. The prevalence of SP in the 3rd group was similar to the index of the 4th group. CONCLUSIONS: The highest RR of SPS progress was observed in the 1st group in the relation to 4th (5,6) and 3rd groups (5,2), at the same time etiological fraction (EF) was 77.5% and 78,7%, it indicates very high influence of labour conditions on prevalence of SPS. Influence without the manual labour index of RR and EF is much higher in the 2nd group, than in 3rd and 4th groups. It's worth noting that the highest prevalence of SPS was found among patients with broncho-pulmonary system diseases - 24,8 (20,1-29,4), it is higher than among patients with neck pain - 23,4 (21,5-25,3). Among the analysed nonmanufactoring data co-morbid pathology of the respiratory system and neck pain increase the risk of the shoulder pain syndrome development. The relative risk of SPS was higher among patients with neck pain (7,0) than with comorbidity of broncho-pulmonary system (2,6). 8 J Shoulder Elbow Surg. 2014 Jul 10. pii: S1058-2746(14)00233-X. doi: 10.1016/j.jse.2014.04.012. Ultrasound elastography-based assessment of the elasticity of the supraspinatus muscle and tendon during muscle contraction. Muraki T 1 , Ishikawa H 2 , Morise S 2 , Yamamoto N 3 , Sano H 3 , Itoi E 3 , Izumi SI 2 . Author information Abstract BACKGROUND: Although elasticity of the supraspinatus muscle and tendon is a useful parameter to represent the conditions of the supraspinatus muscle and tendon, assessment of the elasticity in clinical settings has not been established. The purpose of this study was to determine the elasticity of the supraspinatus muscle belly and tendon under different muscle contraction conditions using ultrasound real-time tissue elastography (RTE). METHODS: Twenty-three healthy individuals participated in this study. Ultrasound RTE was used for elasticity measurements of the muscle belly and tendon of the supraspinatus muscle. The elasticity was defined as the ratio of strain in the tissues to that in an acoustic coupler (reference). A greater ratio indicated that the tissue was softer. Measurements were performed with study subjects in the lateral decubitus position at 10° of shoulder abduction under conditions of (1) no contraction, (2) isometric contraction without a weight, and (3) isometric contraction with a 1-kg weight. RESULTS: The intraclass correlation coefficient (ICC 1,3 ) of 3 measurements under each condition ranged from 0.931 to 0.998, showing high intraobserver reliability. Strain ratios for both the supraspinatus muscle belly and tendon significantly decreased with increases in muscle contraction (P .001). CONCLUSIONS: Ultrasound RTE with the acoustic coupler has the potential to noninvasively detect changes in the elasticity of the supraspinatus muscle belly and tendon that accompany varying levels of muscle contraction in clinical practice. 9 J Shoulder Elbow Surg. 2014 Jul 10. pii: S1058-2746(14)00247-X. doi: 10.1016/j.jse.2014.05.007. Incidence of and risk factors for traumatic anterior shoulder dislocation: an epidemiologic study in high-school rugby players . Kawasaki T 1 , Ota C 2 , Urayama S 3 , Maki N 4 , Nagayama M 5 , Kaketa T 5 , Takazawa Y 5 , Kaneko K 5 . Author information Abstract BACKGROUND: The incidence of reinjuries due to glenohumeral instability and the major risk factors for primary anterior shoulder dislocation in youth rugby players have been unclear. PURPOSE: The purpose of this study was to investigate the incidence, mechanisms, and intrinsic risk factors of shoulder dislocation in elite high-school rugby union teams during the 2012 season. METHODS: A total of 378 male rugby players from 7 high-school teams were investigated by use of self-administered preseason and postseason questionnaires. RESULTS: The prevalence of a history of shoulder dislocation was 14.8%, and there were 21 events of primary shoulder dislocation of the 74 overall shoulder injuries that were sustained during the season (3.2 events per 1000 player-hours of match exposure). During the season, 54.3% of the shoulders with at least one episode of shoulder dislocation had reinjury. This study also indicated that the persistence of glenohumeral instability might affect the player's self-assessed condition, regardless of the incidence during the current season. By a multivariate logistic regression method, a history of shoulder dislocation on the opposite side before the season was found to be a risk factor for contralateral primary shoulder dislocation (odds ratio, 3.56; 95% confidence interval, 1.27-9.97; P = .02). CONCLUSIONS: High-school rugby players with a history of shoulder dislocation are not playing at full capacity and also have a significant rate of reinjury as well as a high risk of dislocating the other shoulder. These findings may be helpful in deciding on the proper treatment of primary anterior shoulder dislocation in young rugby players. 10 J Orthop Traumatol. 2014 Jul 15. Ossifying tendinitis of the rotator cuff after arthroscopic excision of calcium deposits: report of two cases and literature review . Merolla G 1 , Dave AC , Paladini P , Campi F , Porcellini G . Author information Abstract Ossifying tendinitis (OT) is a type of heterotopic ossification, characterized by deposition of hydroxyapatite crystals in a histologic pattern of mature lamellar bone. It is usually associated with surgical intervention or trauma and is more commonly seen in Achilles or distal biceps tendons, and also in the gluteus maximus tendon. To our knowledge, there is no description of OT as a complication of calcifying tendinitis of the rotator cuff. In this report, we describe two cases in which the patients developed an OT of the supraspinatus after arthroscopic removal of calcium deposits. The related literature is reviewed. 11 Arthroscopy. 2014 Jun;30(6):665-72. doi: 10.1016/j.arthro.2014.02.030. Epub 2014 Apr 3. Arthroscopic repair of traumatic isolated subscapularis tendon lesions (Lafosse Type III or IV): a prospective magnetic resonance imaging-controlled case series with 1 year of follow-up . Grueninger P 1 , Nikolic N 2 , Schneider J 1 , Lattmann T 3 , Platz A 3 , Chmiel C 4 , Meier C 5 . Author information Abstract PURPOSE: The purpose of this study was to prospectively assess the efficacy of arthroscopic repair of isolated high-grade subscapularis (SSC) tendon lesions by means of clinical follow-up combined with magnetic resonance imaging investigations. METHODS: Between January 2008 and September 2010, 11 patients (9 men and 2 women; mean age, 45 ± 10 years) with Lafosse type III or IV traumatic isolated SSC tendon lesions underwent arthroscopic repair including tenodesis of the long head of the biceps tendon. All patients were preoperatively assessed by clinical examination (Constant-Murley score ) and contrast-enhanced magnetic resonance arthrography. At 1 year of follow-up, specific clinical SSC tests, the CMS, and the loss of external rotation were evaluated. A native magnetic resonance investigation was performed to assess the structural integrity of the repair. The SSC muscle was compared with its preoperative condition regarding fatty infiltration and size (cross-sectional area). Patient satisfaction was graded from 1 (poor) to 4 (excellent). RESULTS: The mean time interval from trauma to surgery was 3.7 months. A concomitant lesion of the biceps tendon was observed in 10 patients (91%). The mean CMS improved from 44 to 89 points (P .001). The functional tests showed a significant increase in strength (P .05) (belly-press test, 4.8 v 2.9; lift-off test, 4.8 v 2.9). The mean loss of external rotation at 0° of abduction was 10° compared with the contralateral side (P .05). Patient satisfaction was high. Magnetic resonance imaging evaluation showed complete structural integrity of the tendon repair in all studies. The SSC showed a significant decrease in fatty infiltration and increase in the cross-sectional area. CONCLUSIONS: Arthroscopic repair of higher-grade isolated SSC lesions provides reliable tendon healing accompanied by excellent functional results 1 year after surgery. LEVEL OF EVIDENCE: Level IV, prospective therapeutic case series.
2014年6月12日周四下午，高绪仁在江苏省徐州市淮海西路99号徐州医学院附属医院新病房大楼九楼北区骨科会议室进行了科内讲座：《肩锁关节脱位 Acromioclavicular dislocation of the shoulder》。 骨科讲座由王业华主任主持，全体在科的医生、护士、进修医生、实习医生、研究生等参加了讲座。 高绪仁就肩锁关节脱位的病因、分类、治疗分别进行了详细地介绍。并且通过全程手术录像播放的形式，向大家展示了如何在肩关节镜下微创手术治疗肩锁关节脱位。 讲座结束后进行了深入地讨论。与会人员纷纷表示受益匪浅。 江苏省徐州医学院附属医院骨科运动损伤关节镜专家高绪仁肩关节外科肩关节镜微创手术系列讲座之：《肩锁关节脱位 Acromioclavicular dislocation of the shoulder》 江苏省徐州医学院附属医院骨科运动损伤关节镜专家高绪仁肩关节外科肩关节镜微创手术系列讲座之：《肩锁关节脱位 Acromioclavicular dislocation of the shoulder》 江苏省徐州医学院附属医院骨科运动损伤关节镜专家高绪仁肩关节外科肩关节镜微创手术系列讲座之：《肩锁关节脱位 Acromioclavicular dislocation of the shoulder》
让我们一起感受肩关节镜微创手术的魅力！！！ 时间：2013年9月1日 19：00-20：00 地点：江苏省徐州市淮海西路99号徐州医学院附属医院新大楼九楼北区骨科医生办公室 主讲人：高绪仁 大夫 参加讨论人员：徐州及周边地区对肩关节运动损伤关节镜微创手术感兴趣的医生、医学生 主讲内容： div id=action-bar Clin Orthop Surg. 2010 Mar; vol. 2(1) pp. 39-46 Arthroscopic repair of combined Bankart and SLAP lesions: operative techniques and clinical results. 肩关节镜微创手术治疗Bankart损伤合并SLAP损伤：手术技术和临床疗效 Cho HL, Lee CK, Hwang TH, Suh KT, Park JW BACKGROUND: To evaluate the clinical results and operation technique of arthroscopic repair of combined Bankart and superior labrum anterior to posterior (SLAP) lesions, all of which had an anterior-inferior Bankart lesion that continued superiorly to include separation of the biceps anchor in the patients presenting recurrent shoulder dislocations. METHODS: From May 2003 to January 2006, we reviewed 15 cases with combined Bankart and SLAP lesions among 62 patients with recurrent shoulder dislocations who underwent arthroscopic repair. The average age at surgery was 24.2 years (range, 16 to 38 years), with an average follow-up period of 15 months (range, 13 to 28 months). During the operation, we repaired the unstable SLAP lesion first with absorbable suture anchors and then also repaired Bankart lesion from the inferior to superior fashion. We analyzed the preoperative and postoperative results by visual analogue scale (VAS) for pain, the range of motion, American Shoulder and Elbow Surgeon (ASES) and Rowe shoulder scoring systems. We compared the results with the isolated Bankart lesion. RESULTS: VAS for pain was decreased from preoperative 4.9 to postoperative 1.9. Mean ASES and Rowe shoulder scores were improved from preoperative 56.4 and 33.7 to postoperative 91.8 and 94.1, respectively. There were no specific complication and no significant limitation of motion more than 10 degree at final follow-up. We found the range of motions after the arthroscopic repair in combined lesions were gained more slowly than in patients with isolated Bankart lesions. CONCLUSIONS: In recurrent dislocation of the shoulder with combined Bankart and SLAP lesion, arthroscopic repair using absorbable suture anchors produced favorable clinical results. Although it has technical difficulty, the concomitant unstable SLAP lesion should be repaired in a manner that stabilizes the glenohumeral joint, as the Bankart lesion can be repaired if the unstable SLAP lesion is repaired first. Affiliation: Department of Orthopaedic Surgery, Good Samsun Hospital, Busan, Korea. PMID: 20191000 | DOI | PMC2824094 Free Full Text (full-text online) Order (Loansome Doc Ordering System)
江苏省徐州医学院附属医院图书馆电子期刊阅览室地址： 新病房综合楼五楼电梯西侧 可供随时使用的电子期刊杂志数据库： 1、外文生物医学期刊数据库 2、万方医学网 3、大医医学搜索数据库 4、清华同方中文期刊数据库 可供查阅的骨科、运动创伤、运动医学、关节镜相关主要外文杂志： No. 缩写刊名 刊名 中文译名 影响因子 1 Arthritis Rheum Arthritis and rheumatism. 关节炎与风湿病 7.866↓ 2 J Bone Miner Res Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. 骨与矿质研究杂志 6.373↓ 3 Semin Arthritis Rheum Seminars in arthritis and rheumatism. 关节炎与风湿病论文集 4.969↑ 4 Arthritis Care Res (Hoboken) Arthritis care research. 关节炎护理与研究 4.851↑ 5 Osteoporos Int Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 国际骨质疏松症 4.580↓ 6 Arthritis Res Ther Arthritis research therapy. 关节炎研究与治疗 4.445↑ 7 Cell Motil Cytoskeleton Cell motility and the cytoskeleton. 细胞运动和细胞骨架 4.194↑ 8 Rheumatology (Oxford) Rheumatology. 风湿病学 4.058↓ 9 Bone Bone. 骨 4.023↓ 10 Osteoarthritis Cartilage Osteoarthritis and cartilage?/ OARS, Osteoarthritis Research Society. 骨关节炎与软骨 3.904↓ 11 Bone Marrow Transplant Bone marrow transplantation. 骨髓移植术 3.746↑ 12 Plast Reconstr Surg Plastic and reconstructive surgery. 整形与改造外科学 3.382↑ 13 Spine J The spine journal : official journal of the North American Spine Society. 脊柱杂志 3.290↑ 14 J Bone Joint Surg Am The Journal of bone and joint surgery. American volume. 骨与关节外科学杂志 3.272↑ 15 Arthroscopy Arthroscopy : the journal of arthroscopic related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 关节镜检法 3.024↓ 16 J Orthop Sports Phys Ther The Journal of orthopaedic and sports physical therapy. 矫形与运动疗法杂志 300↑ 17 J Bone Joint Surg Br The Journal of bone and joint surgery. British volume. 骨与关节外科杂志 2.832↑ 18 J Orthop Res Journal of orthopaedic research : official publication of the Orthopaedic Research Society. 矫形研究杂志 2.811↓ 19 J Shoulder Elbow Surg Journal of shoulder and elbow surgery?/ American Shoulder and Elbow Surgeons ... . 肩与肘外科学杂志 2.747↑ 20 Orthopedics Orthopedics. 矫形学 2.664↑ 21 J Am Acad Orthop Surg The Journal of the American Academy of Orthopaedic Surgeons. 美国矫形外科医师协会志 2.662↑ 22 Cytoskeleton (Hoboken) Cytoskeleton. 细胞骨架 2.657↑ 23 Clin Orthop Relat Res Clinical orthopaedics and related research. 临床矫形学及相关学科研究 2.533↑ 24 J Arthroplasty The Journal of arthroplasty. 关节成形术杂志 2.384↑ 25 Calcif Tissue Int Calcified tissue international. 国际钙化组织研究杂志 2.376↓ 26 Joint Bone Spine Joint, bone, spine : revue du rhumatisme. 关节、骨与脊柱 2.274↓ 27 J Bone Miner Metab Journal of bone and mineral metabolism. 日本骨代谢学会杂志 2.268↑ 28 Knee Surg Sports Traumatol Arthrosc Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 膝外科学、运动创伤学、关节镜检查 2.209↑ 29 Acta Orthop Acta orthopaedica. 矫形外科学报 2.168↑ 30 J Orthop Trauma Journal of orthopaedic trauma. 矫形创伤杂志 2.135↑ 31 Gait Posture Gait posture. 步法与姿势 2.123↓ 32 Arthropod Struct Dev Arthropod structure development. 节肢动物结构与发育 2.122↑ 33 Spine (Phila Pa 1976) Spine. 脊柱 2.078↓ 34 Clin Biomech (Bristol, Avon) Clinical biomechanics. 临床生物力学 2.071↑ 35 Int Orthop International orthopaedics. 国际矫形外科学 2.025↑ 36 J Musculoskelet Neuronal Interact Journal of musculoskeletal neuronal interactions. 肌骨与神经元交互作用杂志 200↑ 37 Eur Spine J European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 欧洲脊柱外科学杂志 1.965↓ 38 Man Ther Manual therapy. 手疗法 1.885↑ 39 Knee The Knee. 膝 1.736↑ 40 J Craniomaxillofac Surg Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 头盖骨、颚骨、脸部外科杂志 1.643↑ 41 BMC Musculoskelet Disord BMC musculoskeletal disorders? 生物医学中心：肌与骨骼病 1.577↓ 42 Skeletal Radiol Skeletal radiology. 骨胳放射学 1.541↑ 43 J Neurosurg Spine Journal of neurosurgery. Spine. 神经外科学杂志：脊柱 1.534↓ 44 J Spinal Disord Tech Journal of spinal disorders techniques. 脊柱病症与治疗方法杂志 1.503↑ 45 Aesthetic Plast Surg Aesthetic plastic surgery. 整形外科学 1.407↑ 46 Arch Orthop Trauma Surg Archives of orthopaedic and trauma surgery. 矫形外科与创伤外科学文献集 1.369↑ 47 J Clin Rheumatol Journal of clinical rheumatology : practical reports on rheumatic musculoskeletal diseases. 临床风湿病学杂志 1.364↑ 48 J Manipulative Physiol Ther Journal of manipulative and physiological therapeutics. 推拿与理疗杂志 1.358↓ 49 J Foot Ankle Res Journal of foot and ankle research? 足踝研究杂志 1.333↑ 50 Ann Plast Surg Annals of plastic surgery. 整形外科学纪事 1.318↑ 51 J Clin Densitom Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry. 临床骨密度测量学杂志 1.295↓ 52 Foot Ankle Int Foot ankle international?/ American Orthopaedic Foot and Ankle Society Swiss Foot and Ankle Society. 足与踝国际杂志 1.218↑ 53 Proc Inst Mech Eng H Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine. 机械工程师学会会报；H辑：工程医学杂志 1.208↑ 54 J Pediatr Orthop Journal of pediatric orthopedics. 儿科矫形外科学杂志 1.156↑ 55 Phys Ther Sport Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine. 运动理疗 1.043↓ 56 Zentralbl Chir Zentralblatt für Chirurgie. 外科学总览 1.023↑ 57 Prosthet Orthot Int Prosthetics and orthotics international. 国际修复学与矫形学 .950↑ 58 Orthop Traumatol Surg Res Orthopaedics traumatology, surgery research : OTSR.? 矫形外科学与创伤学：实践与研究 .943↑ 59 Semin Musculoskelet Radiol Seminars in musculoskeletal radiology. 肌与骨络放射线学论文集 .932↓ 60 J Orthop Sci Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association. 矫形科学杂志 .843↑ 61 Vet Comp Orthop Traumatol Veterinary and comparative orthopaedics and traumatology : V.C.O.T. 兽医和比较矫形外科学及创伤学 .812↓ 62 Hip Int Hip international : the journal of clinical and experimental research on hip pathology and therapy. 国际髋部病理学与疗法临床与实验研究杂志 .763↓ 63 Hand Clin Hand clinics. 手病临床学 .717↓ 64 Foot Ankle Clin Foot and ankle clinics. 脚与踝临床 .709↑ 65 Eklem Hastalik Cerrahisi Eklem hastal?klar? ve cerrahisi = Joint diseases related surgery. 关节病与相关外科 .708↑ 66 Acta Ortopédica Brasileira .698↑ 67 Skull Base Skull base : official journal of North American Skull Base Society ... 颅骨基础 .657↓ 68 Sportverletz Sportschaden Sportverletzung Sportschaden : Organ der Gesellschaft für Orthop?disch-Traumatologische Sportmedizin. 体育运动损伤研究 .612↑ 69 J Back Musculoskelet Rehabil Journal of back and musculoskeletal rehabilitation. 背和肌骨骼康复杂志 .587↑ 70 Iranian journal of arthropod-borne diseases. 伊朗节肢动物传播疾病杂志 .526↓ 71 Z Orthop Unfall Zeitschrift für Orthop?die und Unfallchirurgie. 矫形外科与事故外科学杂志 .522↑ 72 J Foot Ankle Surg The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. 足与踝骨外科学杂志 .516↓ 73 Orthopade Der Orthop?de. 矫形外科医师 .510↓ 74 Indian J Orthop Indian journal of orthopaedics. 印度矫形学杂志 .503↑ 75 Orthop Nurs Orthopaedic nursing?/ National Association of Orthopaedic Nurses. 矫形护理杂志 .471↑ 76 J Pediatr Orthop B Journal of pediatric orthopaedics. Part B. 儿科矫形外科学杂志，B辑 .467↑ 77 Oper Orthop Traumatol Operative Orthop?die und Traumatologie. 手术矫形外科学与创伤学 .459↑ 78 Acta Orthop Belg Acta orthopaedica Belgica. 比利时整形外科学报 .401↑ 79 Acta Orthop Traumatol Turc Acta orthopaedica et traumatologica turcica. 矫形与创伤学报 .337↑ 80 Revista MVZ Córdoba. 延髓科尔多瓦 .074↓ 81 Zhongguo Gu Shang Zhongguo gu shang = China journal of orthopaedics and traumatology. 中国骨伤 82 J Bodyw Mov Ther Journal of bodywork and movement therapies. 身体与运动理疗杂志 83 Foot Ankle Surg Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 足与踝外科学 84 Int Urogynecol J Pelvic Floor Dysfunct International urogynecology journal and pelvic floor dysfunction. 国际泌尿妇科学和骨盆底机能障碍杂志 85 Am J Orthop (Belle Mead NJ) The American journal of orthopedics. 美国矫形外科杂志 86 J Orthop Surg (Hong Kong) Journal of orthopaedic surgery. 矫形外科学杂志 87 COMSIG Rev COMSIG review?/ COMSIG, Chiropractors and Osteopaths Musculo-Skeletal Interest Group. COMSIG评论 88 Facial Plast Surg Clin North Am Facial plastic surgery clinics of North America. 北美面部整形外科临床 89 Bull Hosp Jt Dis Bulletin?/ Hospital for Joint Diseases. 关节病医院通报 90 Foot (Edinb) The Foot. 足 91 Iowa Orthop J The Iowa orthopaedic journal. 爱荷华矫形外科杂志 92 J Spinal Disord Journal of spinal disorders. 脊柱疾病杂志 93 Jt Comm Perspect Joint Commission perspectives. 联合委员会前景 94 Arthritis Care Res Arthritis care and research : the official journal of the Arthritis Health Professions Association. 关节炎护理与研究 95 Chiropr Hist Chiropractic history : the archives and journal of the Association for the History of Chiropractic. 脊椎矫正学史 96 Instr Course Lect Instructional course lectures. 美国矫形外科医师协会：教学课程讲义 97 J Am Osteopath Assoc The Journal of the American Osteopathic Association. 美国骨病学会志 98 Br J Plast Surg British journal of plastic surgery. 英国整形外科杂志 99 Rev Chir Orthop Reparatrice Appar Mot Revue de chirurgie orthopédique et réparatrice de l'appareil moteur. 矫形外科与运动器官修复杂志 100 Z Orthop Ihre Grenzgeb Zeitschrift für Orthop?die und ihre Grenzgebiete. 矫形外科学杂志 101 Open Bone J The Open bone journal? 102 Adv Orthop Advances in orthopedics? 骨科的进展？ 103 Skelet Muscle Skeletal muscle? 骨骼肌 104 Chiropr Man Therap Chiropractic manual therapies? 整脊手法治疗 105 Clin Med Insights Arthritis Musculoskelet Disord Clinical medicine insights. Arthritis and musculoskeletal disorders? 临床医学见解 106 J Osteoporos Journal of osteoporosis? 骨质疏松症杂志 107 J Craniovertebr Junction Spine Journal of craniovertebral junction and spine. 颅颈交界处及脊椎杂志 108 Eur Orthop Traumatol European orthopaedics and traumatology. 109 Orthop Res Rev Orthopedic research and reviews? 110 Orthop Rev (Pavia) Orthopedic reviews? 骨科评论 111 Clin Orthop Surg Clinics in orthopedic surgery. 112 Musculoskelet Surg Musculoskeletal surgery. 肌肉骨骼外科学 113 PM R PM R : the journal of injury, function, and rehabilitation. 物理医疗与康复 114 Sports Med Arthrosc Rehabil Ther Technol Sports medicine, arthroscopy, rehabilitation, therapy technology : SMARTT.? 运动医学，关节镜检查，康复，治疗，和技术 115 Open Orthop J The open orthopaedics journal? 开放整形外科杂志 116 Foot Ankle Spec Foot ankle specialist. 足踝医生 117 Foot ankle journal? 118 Jt Meet Abstr Am Dairy Sci Assoc Joint meeting abstracts?/ American Dairy Science Association American Society of Animal Science. 119 Arch Osteoporos Archives of osteoporosis? 骨质疏松症文献集 120 Curr Rev Musculoskelet Med Current reviews in musculoskeletal medicine? 肌与骨骼医学近期评论 121 Asian Spine J Asian spine journal. 亚洲脊柱杂志 122 J Child Orthop Journal of children's orthopaedics. 儿童矫形学杂志 123 Bull NYU Hosp Jt Dis Bulletin of the NYU hospital for joint diseases. 纽约大学关节病医院通报 124 Strategies Trauma Limb Reconstr Strategies in trauma and limb reconstruction? 创伤与肢体重建策略 125 Osteopath Med Prim Care Osteopathic medicine and primary care? 骨病医学与初级护理 126 Scoliosis Scoliosis? 脊柱侧凸 127 Clin Cases Miner Bone Metab Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases. 128 Chiropr Osteopat Chiropractic osteopathy? 脊骨及骨病 129 Head Face Med Head face medicine? 130 Acta Orthop Suppl Acta orthopaedica. Supplementum. 矫形外科学报增刊 131 Ortop Traumatol Rehabil Ortopedia, traumatologia, rehabilitacja. 矫形、创伤与康复 132 Jt Comm J Qual Patient Saf Joint Commission journal on quality and patient safety?/ Joint Commission Resources. 联委会质量与病人安全杂志 133 J Surg Orthop Adv Journal of surgical orthopaedic advances. 矫形外科进展杂志 134 Acta Ortop Mex Acta ortopédica mexicana. 美国老年药物疗法杂志 135 Musculoskeletal Care Musculoskeletal care. 肌骨保健 136 Curr Osteoporos Rep Current osteoporosis reports. 近期骨质疏松症报告 137 Sentinel Event Alert Sentinel event alert?/ Joint Commission on Accreditation of Healthcare Organizations. 重大事件通报：医疗卫生机构认证联合委员会 138 J Knee Surg The journal of knee surgery. 膝外科学杂志 139 J Orthop Traumatol Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology. 矫形学和创伤学杂志 140 Arthritis Res Arthritis research. 关节炎研究 141 Acta Chir Orthop Traumatol Cech Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca. 外科矫形学报 142 Chir Organi Mov La Chirurgia degli organi di movimento. 运动器官外科学 143 Acta Orthop Scand Acta orthopaedica Scandinavica. 斯堪的纳维亚矫形学报 144 Orthop Clin North Am The Orthopedic clinics of North America. 北美矫形科临床 145 Cirugía Plástica Ibero-Americana 伊比利亚-拉丁美洲矫形外科学 146 University of Pennsylvania Orthopaedic Journal 147 Orthopedics Traumatology 148 Spinal Surgery 149 The Journal of Japanese Society of Lumbar Spine Disorders 150 The Journal of the Chugoku-Shikoku Orthopaedic Association 151 Coluna/Columna 152 American Academy of Orthopaedic Surgeons Bulletin 153 Bone and Tissue Regeneration Insights 154 Dynamic Chiropractic 155 Internet Journal of Orthopedic Surgery 整形外科学网络杂志 156 Internet Journal of Plastic Surgery 整形外科学网络杂志 157 Internet Journal of Spine Surgery 158 Revista de Osteoporosis y Metabolismo Mineral 159 Journal of Orthopaedics 160 Pamphlet by: Natl Inst. of Arthritis and Musculoskeletal Skin Diseases 161 Revista Brasileira de Ortopedia 162 Revista Cubana de Ortopedia y Traumatología 163 Surgical Cosmetic Dermatology 江苏省徐州医学院附属医院骨科 关节镜、膝肩肘踝腕髋关节外科、骨科运动创伤方向 高绪仁 高绪仁：每天以解决膝、肩、肘、踝、腕、髋关节问题为乐：） 每天努力提高自己的技术和服务水平 不仅仅是解决其膝、肩、肘、踝、腕、髋关节问题，更是给其带来希望、未来和新生！
Mark Bowen, MD (Northwestern Orthopaedic Institute, Chicago). Mark Bowen医生 美国芝加哥西北骨科研究所 Mark Bowen医生的专业兴趣集中在：关节镜手术、肩关节创伤、肩关节肩袖损伤、人工全肩关节置换、膝关节创伤、人工全膝关节置换、膝关节前交叉韧带重建手术、膝关节半月板损伤手术。他担任芝加哥熊队 （橄榄球）、 芝加哥黑鹰队（美国（AHL）冰球大联盟的传统强队）、 芝加哥小熊队（芝加哥北部深受欢迎的棒球队）和纽约巨人队（橄榄球）的队医。Mark Bowen医生在纽约康奈尔大学医学院获得医学学位，在纽约特种外科医院完成住院医师培训。Mark Bowen医生在纽约特种外科医院完成肩关节和运动医学的进修。除了临床工作外，Mark Bowen医生担任西北大学骨科临床副教授，并经常参加美国骨科医师学会讲师团的讲学活动。Mark Bowen医生还是美国骨科医师学会委员。 Mark Bowen医生在北岸大学医疗系统(Northshore University Health System) 骨科网站上的介绍链接： http://www.northwesternorthopaedicinstitute.com/mark-bowen.html 67位美国最著名的肩关节专家名单链接 http://www.beckersorthopedicandspine.com/lists/item/8988-65-outstanding-shoulder-surgeons-and-specialists 江苏省徐州医学院附属医院骨科 关节镜、膝肩肘关节外科、骨科运动创伤方向 高绪仁 高绪仁：每天以解决膝、肩、肘关节问题为乐：） 每天努力提高自己的技术和服务水平 不仅仅是解决其膝、肩、肘关节问题，更是给其带来希望、未来和新生！
苏州医工所是由中国科学院、江苏省人民政府、苏州市人民政府三方共同出资建设的国家级科研机构。受中国科学院委托， 中科院长春光机所负责筹建和管理运行。 ——面向国际生物医学工程科技前沿，面向国家生物医学战略需求，面向地方经济、社会与企业发展与需求。 ——建成特色鲜明、国际一流的生物医学工程技术创新型研究基地、促进成果产业化的基地、人才培养基地。 研究领域 激光诊断治疗技术 临床检验分析技术 生物医学影像技术 医用电子技术 人工器官与医用材料 生物试剂 christian louboutin cathay peep toe slingbacks sale christian louboutin sandals christian louboutin sandals christian louboutin pumps yves saint laurent pumps/a christian louboutin hot red pumps christian louboutin classics peep toe pumps moncler coats moncler pants christian louboutin boots christian louboutin shoes christian louboutin shoes christian louboutin boots moncler women jackets coach juicy couture pet clothes juicy couture shoes juicy couture sale yves saint laurent pumps yves saint laurent sandals christian louboutin boots christian louboutin shoes christian louboutin shoes christian louboutin boots christian louboutin pumps christian louboutin sandals christian louboutin pumps christian louboutin black suede yopi pumps christian louboutin blue green pumps moncler moncler jacket juicy couture sale yves saint laurent tribtoo rock-leather boots blown ysl pumps coach handbags abercrombie abercrombie outlet 劉德華 成立公司 苏州长光华医生物医学工程有限公司 ——以临床检验仪器为主要业务 苏州医工半导体光源技术有限公司 ——以大功率LED为主要业务 苏州生物医学工程技术成果转化有限公司/中心 ——创新成果转化的机制和模式，加速推进医工所科技成果的转移转化 五个高端设备 1、新型流式细胞仪 2、半导体激光治疗仪 3、纳秒级钬激光碎石系统 4、乳腺癌早期诊断扫描仪 5、实时三维成像系统 科研项目进展 1.长脉冲绿激光血管病变治疗仪 2.全自动血型配血系统 3.LED落射照明荧光显微镜 4.小型化学发光免疫分析仪 5.新型快速半自动生化分析仪 6.洗板机（为多功能酶标仪配套）
11月26日—27日，2011首届中国白酒学术研讨会在江苏省无锡市召开，本次会议由江南大学、江苏省酒类行业协会、江苏洋河酒厂股份有限公司、江苏今世缘酒业股份有限公司主办，江南大学生物工程学院酿酒科学与酶技术研究中心承办。我和导师张文学、实验室吴正云老师一同参加了会议，本次会议共有150人出席，是中国白酒领域规模较大、学术水平较高的一次盛会。 本次研讨会旨在聚焦中国白酒现代化和国际化等热点，覆盖了白酒微生物学与固态发酵机理、白酒风味化学与感官品尝、白酒制造的现代化与国际化策略等内容。美国加州大学 James A. Kennedy 教授、日本鹿儿岛大学鲛岛吉广教授、中国酿酒工业协会理事长王延才、江南大学副校长徐岩、五粮液集团股份有限公司副总经理彭智辅、贵州茅台酒厂股份有限公司总工杨代勇等国内外嘉宾作了专题报告。
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