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》
2013 年 11 月 7 日,高绪仁参加了 COA-AAOS 肩关节专项培训。受益匪浅,为进一步更好地为肩关节伤病患者提供更好地医疗服务打下了基础。感谢北京积水潭医院肩关节专家姜春岩主任、北医三院肩关节专家崔国庆主任的组织和美国 AAOS (美国骨科医师学会)肩关节专家 WilliamStetson 、 BuddySavoie 、 GuidoMarra 和 ScottPowell 的精彩授课!谢谢!!! AAOS ( American Academy of OrthopaedicSurgeons ,美国骨科医师学会),成立于 1933 年,是为世界上的骨科医师和其他学科医师提供骨与软组织教育的卓越组织。 高绪仁获 2013COA-AAOS 肩关节专项教育培训证书。 COA-AAOS 肩关节综合会场 2013 年11月7日 上午:肩关节骨折、关节炎及关节成形术 时间 专题 演讲人 Comments 8:00-8:10am 欢迎致辞和介绍 William Stetson 肩关节骨折:肱骨近端、锁骨及锁骨远端骨折 (主持人 William Stetson,薛庆云) 8:10-8:30am 肱骨近端骨折:非手术治疗和手术技巧(切开复位内固定/包括关节镜下治疗) Buddy Savoie 20分钟演讲 8:30-8:50am 肱骨近端骨折:如何预防并发症 Chunyan Jiang 20分钟演讲 8:50-9:00am 肱骨近端骨折:手术技巧——半肩关节置换术 vs. 反式全肩关节置换术 Guido Marra 20分钟演讲 9:00-9:20am 锁骨中段及远端骨折:非手术治疗和手术治疗 Scott Powell 20分钟演讲 9:20-10:00am 讨论和病例汇报:Drs. Marra, Powell, Savoie, Stetson, 薛庆云,王蕾 姜春岩 40分钟病例汇报及讨论 10:00-10:20am 茶歇 肩关节炎和肩关节置换术:盂肱关节和肩锁关节(主持人:Scott Powell,王蕾) 10:20-10:40am 盂肱关节炎:诊断、影像学评估和治疗 Guido Marra 20分钟演讲 10:40-11:00am 肩袖病变:诊断、影像学评估和治疗 Buddy Savoie 20分钟演讲 11:00-11:20am 肩关节翻修术:精华与糟粕 Guido Marra 20分钟演讲 11:20-12:00pm 讨论和病例汇报:Drs. Marra, Powell, Savoie, Stetson, 唐康来,王蕾 姜春岩 40分钟病例汇报及讨论 12:00-1:00pm 午餐 下午:肩关节镜——从初级到高级 肩关节镜 I:适应证、入路选择、正常解剖以及肩关节失稳定(主持人:Guido Marra,赵金忠) 1:00-1:20pm 肩关节镜介绍:适应证、体位、手术设备、入路选择、诊断性关节镜检查 William Stetson 20分钟演讲 1:20-1:40pm 多方向失稳定:非手术治疗和手术治疗 Guido Marra 20分钟演讲 1:40-2:00pm 前方失稳定:手术治疗技巧,包括骨性Bankart病变处理 Scott Powell 20分钟演讲 2:00-2:20pm 前方失稳定:关节镜下双排Bankart修复技术 崔国庆 20分钟演讲 2:20-2:40pm 伴有骨缺损的前方失稳定:关节镜技术及小切口Latarjet技术 Buddy Savoie 20分钟演讲 2:40-3:15pm 讨论和病例汇报:Drs. Marra, Powell, Savoie, Stetson,崔国庆,赵金忠,戴雪松 cuiguoqing 35分钟病例汇报及讨论 3:15-3:30pm 茶歇 肩关节镜 II:SLAP损伤和关节镜下肩袖损伤修复的高等技术(主持人:Buddy Savoie,薛庆云) 3:30-3:50pm SLAP损伤:非手术治疗和手术治疗 Scott Powell 20分钟演讲 3:50-4:10pm 撞击和部分层厚肩袖损伤:非手术治疗和手术治疗 William Stetson 20分钟演讲 4:10-4:30pm 肩袖全层损伤:关节镜下修复技术 Buddy Savoie 20分钟演讲 4:30-4:50pm 严重肩袖损伤的关节镜下处理 William Stetson 20分钟演讲 4:50-5:30pm 讨论和病例汇报:Drs. Marra, Powell, Savoie, Stetson, 陈世益,薛庆云,赵金忠 崔国庆 40分钟病例汇报及讨论 COA-AAOS Instructional Course AAOS-Chinese Orthopaedic Association (COA) Comprehensive Shoulder Program Dates 7 November 2013 Location Beijing, China Faculty Dr. William Stetson (Course Director), Dr. Guido Marra, Dr. Scott Powell, Dr. Buddy Savoie November 7 Morning Session: Shoulder Fractures, Arthritis and Arthroplasty Time Session/Topic Faculty 8:00-8:10 AM Welcome and Introductions Dr. William Stetson Shoulder Fractures: Proximal Humerus, Clavicle and Distal Clavicle Fractures (Moderators Dr. William Stetson and Dr. Qingyun Xue) 8:10-8:30 AM Proximal Humerus Fractures: Non-Operative and Operative Techniques (ORIF/including arthroscopic Tx) Dr. Buddy Savoie 8:30-8:50 AM Proximal Humerus Fractures: How to Prevent Complications Dr. Chunyan Jiang 8:50-9:00 AM Proximal Humerus Fractures: Operative Techniques-Hemiarthroplasty vs. Reverse Total Shoulder Dr. Guido Marra 9:00- 9:20 AM Mid and Distal Clavicle Fractures: Non-Operative and Operative Management Dr. Scott Powell 9:20- 10:00 AM Discussion and Case Presentation: Drs. Marra, Powell, Savoie, Stetson, Quingyun Xue, Lei Wang (Cases provided by COA Faculty) Dr. Chunyan Jiang 10:00-10:20 AM Coffee Break Shoulder Arthritis and Arthroplasty: Glenohumeral Joint and Acromioclavicular Joint (Moderators Dr. Scott Powell and Dr. Lei Wang) 10:20-10:40 AM Glenohumeral Joint Arthritis: Diagnosis, Radiographic Evaluation and Treatment Dr. Guido Marra 10:40-11:00 AM Rotator Cuff Arthroplasty: Diagnosis, Radiographic Evaluation and Treatment Dr. Buddy Savoie 11:00-11:20 AM Revision Arthroplasty: Pearls and Pitfalls Dr. Guido Marra 11:20AM-12:00PM Discussion and Case Presentations: Drs. Marra, Powell, Savoie, Stetson, Kanglai Tang, Lei Wang Dr. Chunyan Jiang 12:00-1:00 PM Lunch Afternoon Session: Shoulder Arthroscopy- Beginning to Advanced Shoulder Arthroscopy I: Indications, Portal Placement, Normal Anatomy, and Instability (Moderators Dr. Guido Marra and Dr. Jinzhong Zhao) 1:00-1:20 PM Introduction to Shoulder Arthroscopy: Indications, Positioning, Set-up, Portal Placement, Diagnostic Arthroscopy Dr. William Stetson 1:20-1:40 PM Multidirectional Instability: Non-Operative and Operative Management Dr. Guido Marra 1:40-2:00 PM Anterior Instability: Technique of Operative Management Including Bony Bankart Lesions Dr. Scott Powell 2:00-2:20 PM Anterior Instability: Arthroscopic Technique of Double Row Bankart Repair Dr. Guoqing Cui 2:20-2:40 PM Anterior Instability with Bone Loss: Arthroscopic and Mini-Open Latarjet Dr. Buddy Savoie 2:40-3:15 PM Discussion and Case Presentation: Drs. Marra, Powell, Savoie, Stetson, Guoqing Cui, Jinzhong Zhao, Xuesong Dai Dr. Guoqing Cui 3:15-3:30 PM Coffee Break Shoulder Arthroscopy II: Advanced Techniques for SLAP Lesions and Arthroscopic Rotator Cuff Repair (Dr. Buddy Savoie and Dr. Qingyun Xue) 3:30-3:50 PM SLAP Tears: Non-Operative and Operative Management Dr. Scott Powell 3:50-4:10 PM Imingement and Partial Thickness Rotator Cuff Tears: Non-Operative and Operative Management Dr. William Stetson 4:10-4:30 PM Full Thickness Rotator Cuff Tears: Arthroscopic Techniques of Repair Dr. Buddy Savoie 4:30-4:50 PM Arthroscpic Management of Massive Rotator Cuff Tears Dr. William Stetson 4:50-5:30 PM Discussion and Case Presentation: Drs. Marra, Powell, Savoie, Stetson, Shiyi Chen, Qingyun Xue, Jinzhong Zhao Dr. Guoqing Cui
2012年现在美国的三天(周五、周六、周日)肩关节镜培训班(学习班)都在教什么? 江苏省徐州医学院附属医院骨科 关节镜、膝肩肘踝关节外科、运动创伤方向 高绪仁 总结 美国北美关节镜学会肩关节镜 培训班(学习班) 教程 Shoulder 美国肩关节镜学习班教程 Learning Objectives 学习目标 Following this activity the participant will be able to identify and employ the indications for surgery and the principles of surgical techniques in order to improve competence and skill in preforming arthroscopic procedures in the shoulder including: 进行完本肩关节镜培训教程的学习之后,学员将能够识别并运用肩关节镜手术的适应症、肩关节镜手术技术的基本原则,将提高进行肩关节镜 手术的能力和技术。具体培训内容包括: Diagnostic arthroscopy of the glenohumeral joint and subacromial space. 盂肱关节和肩峰下间隙的关节镜探查诊断 Normal intra-articular structures, pathology and anatomic variations. 肩关节内正常的结构、病理变化和解剖变异 Knot tying techniques. 肩关节镜手术打结技术 Indications and techniques for SLAP repair. SLAP 修复的适应症和具体技术 Subacromial decompression and A-C joint resection. 肩峰下减压和肩锁关节切除技术 Stabilization techniques for both anterior and posterior instability repairs, labral repair, capsular plication and interval closure. 肩关节稳定手术技术:肩关节前向不稳的修复、肩关节后向不稳的修复、肩关节盂唇损伤的修复、关节囊皱缩及重叠缝合。 Arthroscopic remplissage technique. 关节镜下remplissage技术 Insertional anatomy and tear patterns associated with rotator cuff injuries. 肩袖附着点的解剖、肩袖损伤的撕裂类型 Various techniques for single and double row repair. 肩袖单排修复和双排修复的不同技术 Pathology of the biceps tendon and indications for tenotomy and tenodesis. 肱二头肌肌腱的病理,肱二头肌切断术和固定术 Subscapularis repair. 肩胛下肌损伤修复 Introduction to advanced shoulder procedures including the Laterjet procedure and arthroscopic release of the suprascapular nerve. 高级肩关节手术介绍:Laterjet手术和关节镜下冈上神经松解术 Participants will be partnered depending on skill level. At the end of the course, the participant will dissect the specimen to review the anatomy and evaluate the procedures performed. 根据学员的不通水平将学员分组。在培训课程结束的时候,学员可以将尸体标本进行解剖来进一步明确肩关节的相关解剖结构并评价手术的情 况。 Schedules 肩关节镜 培训班(学习班) 课程时间表 Friday Evening: 6:00 pm-9:00 pm 周五晚上:晚上6:00到晚上9:00 Lectures 讲座 Overview of Positioning of Shoulder Arthroscopy and Proper Portal Placement Techniques 肩关节镜手术时的体位、肩关节镜合适入路制作的技术 Arthroscopic Anterior Bankart Repair 关节镜下修复前方Bankart损伤 Posterior Instability Repair 肩关节后向不稳定的修复 MDI/Arthroscopic Management 肩关节多向不稳的肩关节镜处理 SLAP Repair Indications and Techniques SLAP损伤修复的适应症和技术 Interval Closure When, Why and Where 肩关节Interval闭合:什么时候、为什么、在什么位置? The Continuum of Traumatic Shoulder Instability 创伤性肩关节不稳的治疗 Knot Tying Lab and ALEX Dry Model Lab 在打结模拟训练器上练习肩关节镜打结训练 Saturday: 7:00 am - 5:00 pm 星期六:早上7:00至下午5:00 Lectures 讲座 Patterns of Rotator Cuff Tears 肩袖撕裂的类型 PASTA Tears When and How to Repair PASTA撕裂:什么时候修复,如何修复? Single Row Repair 肩袖损伤的单排修复 Double Row Repair 肩袖损伤的双排修复 Subscapularis Repair Bursal and Articular 肩胛下肌的修复:关节囊和关节 Dealing with the Massive Rotator Cuff Tear: Releases and Partial Repairs 处理肩袖巨大撕裂:松解和部分修复 Biceps Pathology Indications for Tenotomy or Tenodesis 肱二头肌腱病理,肱二头肌腱切断术和肱二头肌腱固定术的适应症 Arthroscopic AC Joint Resection 关节镜下肩锁关节切除术 Indications and Technique for Subacromial Decompression 肩峰下减压的适应症和技术 Cadaver Lab 尸体操作练习 Diagnostic Arthroscopy 肩关节镜诊断性探查手术 Anterior Reconstruction with Bankart Repair 肩关节前方重建修复Bankart损伤 Posterior Labral Repair 肩关节后盂唇损伤修复 SLAP Repair Two Anchor SLAP 损伤 2锚钉技术 Remplissage Technique Remplissage技术 Biceps Tenotomy/Tenodesis 肱二头肌肌腱切断术、肱二头肌肌腱固定术 Subacromial Decompression AC Joint Resection 肩峰下减压、肩锁关节切除术 Creation of Rotator Cuff Tear 肩袖损伤的修复 Rotator Cuff Repair Using Single Row Technique 肩袖损伤修复:单排技术 Understand and Complete Double Row Rotator Cuff Technique and Transosseus Equivalent 理解并完成:肩袖损伤的双排修复技术、经骨技术 Subscapularis Repair 肩胛下肌修复技术 Saturday Evening 星期六晚上 Refreshments and Roundtable Discussion with Faculty 聚餐、和讲师团成员进行圆桌讨论 Sunday: 7:00 am - 12:30 pm 星期天:早上7:00到中午12:30 Lectures 讲座 Arthroscopic AC Joint Reconstruction 关节镜下肩锁关节重建 Dealing with Bone Loss and Instability Including the Laterjet procedure 处理肩关节的骨缺损和不稳(包括Laterjet手术技术) Indications and Technique for Suprascapular Nerve Release 冈上神经松解的适应症和技术 Capsular release for adhesive capsulitis 粘连性关节囊炎(冻结肩、狭义的肩周炎)关节囊松解术 Cadaver Lab 尸体操作训练 Complete Rotator Cuff Repairs 完成肩袖撕裂的修复 Suprascapular Nerve Release 松解肩胛上神经 AC Joint Reconstruction 肩锁关节重建 Open AC Joint Reconstruction 肩锁关节切开重建手术 Laterjet Reconstruction Laterjet重建手术 Gross Dissection of Shoulder Specimen 肩关节尸体标本的大体解剖 江苏省徐州医学院附属医院骨科 关节镜、膝肩肘踝关节外科、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、踝关节问题,更是给其带来希望、未来和新生!
美国达拉斯的运动医学与肩关节专家Michael Khazzam等在2011年的Journal of Shoulder and Elbow Surgery(肩肘关节外科学杂志)上撰文,总结了肱二头肌长头腱的解剖及相关损伤的诊断与治疗。 文中称,肱二头肌长头腱的损伤或疾病可与其它的肩关节损伤或疾病同时存在。到目前为止,肱二头肌长头腱的功能仍旧没有完全阐明清楚。但是,明显的是肱二头肌长头腱是关节疼痛和功能障碍的重要病原。 在该文中,作者系统回顾了肱二头肌长头腱相关的解剖,相关疾病或损伤的病理生理、分类、诊断、和治疗。作者还回顾了相关的文献以帮助我们今后对肱二头肌长头腱损伤或疾病的患者进行治疗决断。 全文链接: http://www.ksfortho.com/assets/files/disorders-long-head-biceps.pdf Disorders of the long head of biceps tendon Michael Khazzam, MD, Michael S. George, MD, R. Sean Churchill, MD,John E. Kuhn, MD UT Southwestern Medical Center, Sports Medicine Shoulder Service, Dallas, TX, USA KSF Orthopaedic Center, Houston, TX, USA Aurora Advanced Healthcare, Milwaukee, WI, USA Vanderbilt Sports Medicine Shoulder Center, Nashville, TN, USA 江苏省徐州医学院附属医院骨科 关节镜、 膝关节外科、 骨科运动创伤 方向 高绪仁 编译 高绪仁:每天以解决膝、肩关节问题为乐:) 每天努力提高自己的技术和服务水平 不仅仅是解决其膝、肩关节问题,更是给其带来希望、未来和新生!