肱骨大结节骨折席智杰课件

ArthroscopicfixationwithcannulatedscrewsforisolatedgreatertuberosityfracturesZhi-jieXi,MDDepartmentofOrthopaedics,ShanghaiGuanghuaHospitalofIntegratedTraditionalChineseandWesternMedicine,ShanghaiArthroscopicfixationwith1AnatomyThegreatertuberosityastheinsertionofrotatorcuffoncefracture.duetoretractionofrotatorcuff,woulddisplaceposteriororsuprertiorAnatomy2morphologicalclassificationAnavulsionfracturemorphologicalclassification3morphologicalclassificationAsplitfracturemorphologicalclassification4morphologicalclassificationAdepressedfracturmorphologicalclassification5cuanmorphologicalclassificationctfindingsAnartist'srendition(a),anteroposteriorradiograph(b),coronalCTview(c)andaxialCtview(d)ofthedepression-typefracturenthaimpactionofthegGtfragethehumeralheadcuanmorphologicalclassificat6肱骨大结节骨折席智杰课件7AfterdiagnosticevaluationwiththearthroscopeinthestandardposteriorportaA),wedebridethearticular-siderotatorcuffandmalunitedgreatertuberosityintheglenohumeraljoint(B).AccurateAfterdiagnosticevaluationw8Toopentherotatorcuff-attachedmalunitedgreatertuberosityWeopentherotatorcuff-attacnledrmalunitedgreatertuberusingashaverasafull-thicknessrotatorcufftearundercsubacromialarthroscopicvision(A,B).ThesuperiordisplaceToopentherotatorcuff-atta9SutureanchorsareplacedatthearticularmarginSutureanChoRsarepratedarcualmargintocreatemedialrow(A,B).Asuturestrandfromeachanchorinthemediatrowisretrieved.ThePushLockanchorisadvancedintothepilotSutureanchorsareplacedatt10肱骨大结节骨折席智杰课件11肱骨大结节骨折席智杰课件12肱骨大结节骨折席智杰课件13肱骨大结节骨折席智杰课件14肱骨大结节骨折席智杰课件15肱骨大结节骨折席智杰课件16肱骨大结节骨折席智杰课件17肱骨大结节骨折席智杰课件18肱骨大结节骨折席智杰课件19肱骨大结节骨折席智杰课件20肱骨大结节骨折席智杰课件21肱骨大结节骨折席智杰课件22肱骨大结节骨折席智杰课件23肱骨大结节骨折席智杰课件24肱骨大结节骨折席智杰课件25肱骨大结节骨折席智杰课件26肱骨大结节骨折席智杰课件27肱骨大结节骨折席智杰课件28肱骨大结节骨折席智杰课件29肱骨大结节骨折席智杰课件30肱骨大结节骨折席智杰课件31肱骨大结节骨折席智杰课件32肱骨大结节骨折席智杰课件33肱骨大结节骨折席智杰课件34肱骨大结节骨折席智杰课件35肱骨大结节骨折席智杰课件36肱骨大结节骨折席智杰课件37肱骨大结节骨折席智杰课件38肱骨大结节骨折席智杰课件39肱骨大结节骨折席智杰课件40肱骨大结节骨折席智杰课件41肱骨大结节骨折席智杰课件42肱骨大结节骨折席智杰课件43肱骨大结节骨折席智杰课件44肱骨大结节骨折席智杰课件45肱骨大结节骨折席智杰课件46肱骨大结节骨折席智杰课件47肱骨大结节骨折席智杰课件48ArthroscopicfixationwithcannulatedscrewsforisolatedgreatertuberosityfracturesZhi-jieXi,MDDepartmentofOrthopaedics,ShanghaiGuanghuaHospitalofIntegratedTraditionalChineseandWesternMedicine,ShanghaiArthroscopicfixationwith49AnatomyThegreatertuberosityastheinsertionofrotatorcuffoncefracture.duetoretractionofrotatorcuff,woulddisplaceposteriororsuprertiorAnatomy50morphologicalclassificationAnavulsionfracturemorphologicalclassification51morphologicalclassificationAsplitfracturemorphologicalclassification52morphologicalclassificationAdepressedfracturmorphologicalclassification53cuanmorphologicalclassificationctfindingsAnartist'srendition(a),anteroposteriorradiograph(b),coronalCTview(c)andaxialCtview(d)ofthedepression-typefracturenthaimpactionofthegGtfragethehumeralheadcuanmorphologicalclassificat54肱骨大结节骨折席智杰课件55AfterdiagnosticevaluationwiththearthroscopeinthestandardposteriorportaA),wedebridethearticular-siderotatorcuffandmalunitedgreatertuberosityintheglenohumeraljoint(B).AccurateAfterdiagnosticevaluationw56Toopentherotatorcuff-attachedmalunitedgreatertuberosityWeopentherotatorcuff-attacnledrmalunitedgreatertuberusingashaverasafull-thicknessrotatorcufftearundercsubacromialarthroscopicvision(A,B).ThesuperiordisplaceToopentherotatorcuff-atta57SutureanchorsareplacedatthearticularmarginSutureanChoRsarepratedarcualmargintocreatemedialrow(A,B).Asuturestrandfromeachanchorinthemediatrowisretrieved.ThePushLockanchorisadvancedintothepilotSutureanchorsareplacedatt58肱骨大结节骨折席智杰课件59肱骨大结节骨折席智杰课件60肱骨大结节骨折席智杰课件61肱骨大结节骨折席智杰课件62肱骨大结节骨折席智杰课件63肱骨大结节骨折席智杰课件64肱骨大结节骨折席智杰课件65肱骨大结节骨折席智杰课件66肱骨大结节骨折席智杰课件67肱骨大结节骨折席智杰课件68肱骨大结节骨折席智杰课件69肱骨大结节骨折席智杰课件70肱骨大结节骨折席智杰课件71肱骨大结节骨折席智杰课件72肱骨大结节骨折席智杰课件73肱骨大结节骨折席智杰课件74肱骨大结节骨折席智杰课件75肱骨大结节骨折席智杰课件76肱骨大结节骨折席智杰课件77肱骨大结节骨折席智杰课件78肱骨大结节骨折席智杰课件79肱骨大结节骨折席智杰课件80肱骨大结节骨折席智杰课件81肱骨大结节骨折席