Lazarus M D, Harryman D T
MCP Hahnemann School of Medicine, Philadelphia, PA, USA.
J Am Acad Orthop Surg. 2000 Mar-Apr;8(2):122-32. doi: 10.5435/00124635-200003000-00006.
Complications of surgery for glenohumeral instability are relatively uncommon. When they occur, salvaging failures and obtaining a stable joint can be awesome challenges. Accurate recognition of the cause of the instability and application of the appropriate surgical technique are critical. Deficiencies of the glenoid concavity, the anterior capsule, or the subscapularis may be present and require correction. Overtightening a shoulder and eliminating its normal laxity should be avoided. Loose or malpositioned hardware about the glenohumeral joint must be recognized as soon as possible and removed. The goal of treatment is to correct the deficient stabilizing mechanisms without altering normal glenohumeral function.
肩肱关节不稳定手术的并发症相对少见。当并发症发生时,挽救手术失败并获得稳定的关节可能是巨大的挑战。准确识别不稳定的原因并应用适当的手术技术至关重要。可能存在肩胛盂凹、前关节囊或肩胛下肌的缺陷,需要进行矫正。应避免过度收紧肩部并消除其正常的松弛度。必须尽快识别并移除肩肱关节周围松动或位置不当的内固定物。治疗的目标是纠正稳定机制的缺陷,同时不改变肩肱关节的正常功能。