Rook R T, Savoie F H, Field L D
Mississippi Sports Medicine and Orthopaedic Center, Jackson, USA.
Clin Orthop Relat Res. 2001 Sep(390):52-8. doi: 10.1097/00003086-200109000-00008.
Among the many causes of shoulder instability are traumatic capsular injury associated with the Bankart lesion and capsular laxity as seen in multidirectional instability. Previously, open surgical procedures were the most commonly accepted surgical treatment of these disorders. However, because of the foresight of surgeons such as Richard Caspari, arthroscopy rapidly is becoming the surgical treatment of choice. Current studies have shown a 97% satisfactory outcome of arthroscopic Bankart repair. Similarly, the arthroscopic treatment of multidirectional instability has produced a 93% satisfactory outcome. These results parallel the gold standard open surgical techniques of the past and subsequently have led to a change in the treatment of shoulder instability.
肩部不稳定的众多原因中，包括与Bankart损伤相关的创伤性关节囊损伤以及多向不稳定中所见的关节囊松弛。以前，开放手术是这些疾病最常被接受的手术治疗方法。然而，由于理查德·卡斯帕里等外科医生的先见之明，关节镜检查正迅速成为首选的手术治疗方法。目前的研究表明，关节镜下Bankart修复的满意度为97%。同样，关节镜治疗多向不稳定的满意度为93%。这些结果与过去的金标准开放手术技术相当，随后导致了肩部不稳定治疗方法的改变。
