骨科手术早知道021：肩关节撞击症手术治疗(SHOULDERIMPINGEMENTSURGERY)

　　Overview（概述）

　　This outpatient procedure relieves pain by decompressing the tight space around the rotator tendon of the shoulder joint. The surgeon removes the bursa and trims back the acromion bone to allow for normal pain-free motion. In most cases, this procedure is performed arthroscopically.

　　本门诊手术通过对肩关节内肩袖周围的狭小的空间进行减压来缓解疼痛。外科医生清除滑囊并修除一部分肩峰骨，使肩关节可以正常活动而不产生疼痛。在大多数病例，本手术在关节镜下施行。

　　Incisions Made（切开皮肤）

　　The surgeon creates three small incisions in the shoulder to access the joint.

　　外科医生在肩膀上作3个小切口以进入关节。

　　Fluid Pumped into Joint（在关节内泵入液体）

　　A thin metal tube is inserted in one incision. Fluid is pumped through the tube and into the joint. This expands the joint, giving the surgeon a clear view and room to work.

　　通过其中一个切口，插入一根细的金属管。通过这个管子，将液体入关节，这样可以扩张关节，使外科医生可以清晰地观察并有足够的空间进行手术。

　　Arthroscope Inserted（插入关节镜）

　　An arthroscope, which contains a light and a small video camera, is inserted into another incision. This gives the surgeon a clear view of the joint and the hooked acromion.

　　带有光源和小摄像头的关节镜通过另一切口插入。外科医生通过它可以清晰地观察关节和钩状的肩峰。

　　Swollen Tissue Removed（去除肿胀组织）

　　With the video images from the arthroscope as a guide, the surgeon inserts surgical instruments through the third incision. The swollen bursa tissue is removed.

　　在关节镜图像的引导下，外科医生通过第三个切口插入手术器械，将肿胀的滑囊组织清除。

　　Ligament Cut（切除韧带）

　　Another surgical tool is inserted to cut away the impinging coracoacromial ligament.

　　插入另一个手术工具将引起撞击的喙肩韧带切除。

　　Bone Shaved Away（削除骨）

　　The hooked portion of the acromion bone is shaved away, opening up the space above the supraspinatus tendon.

　　将肩峰的钩状部分削除，扩大冈上肌腱上方的空间。

　　End of Procedure（手术结束）

　　After the joint is drained and the instruments removed, the incisions are closed using stitches or tape. The shoulder is bandaged, and within a few days, physical therapy will begin to help restore the shoulder to its full function.

　　在排尽关节液体，去除手术器械后，缝合或用胶带关闭切口。肩膀用绷带包扎。在一段时间后，进行物理治疗，帮助恢复肩关节全部功能。

　　（胡佰文    译）