Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 2: Operative considerations and treatment of various c
11 hours ago
- #orthopedic guidelines
- #shoulder surgery
- #subacromial pain syndrome
- 荷兰骨科协会更新的肩峰下疼痛综合征(SAPS)治疗指南，重点关注手术治疗方案
- 主要针对的病理情况：冈上肌肌腱撕裂、肱二头肌肌腱病变及钙化性肌腱炎
- 建议非创伤性冈上肌撕裂首选运动康复治疗，若3-6个月无改善再考虑手术
- 明确反对对健康肌腱实施肱二头肌肌腱切断/固定术，除非在肩袖修复术中必需
- 推荐通过MRI详细评估撕裂程度及患者个体化因素
- 钙化性肌腱炎首选穿刺抽吸治疗，仅持续性大块钙化灶考虑手术
- 术后制动时间不应超过3周
- 采用AGREE和GRADE方法建立的多学科循证诊疗体系