Metcalf Michael H, Savoie Felix H, Field Larry D
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, USA.
Instr Course Lect. 2003;52:17-23.
The diagnosis and treatment of posterior or multidirectional instability of the shoulder can be difficult. Normal laxity must be differentiated from pathologic instability. Once clinically diagnosed, there are several likely factors that contribute to pathologic instability. Although many patients with posterior or multidirectional instability of the shoulder respond well to nonsurgical treatment, when surgical intervention is required, the success rate has not been as favourable as that for repairing isolated anterior instability of the shoulder.
肩部后方或多方向不稳定的诊断和治疗可能具有挑战性。必须将正常的松弛与病理性不稳定区分开来。一旦临床诊断明确，有几个因素可能导致病理性不稳定。尽管许多肩部后方或多方向不稳定的患者对非手术治疗反应良好，但当需要进行手术干预时，成功率并不像修复单纯的肩部前方不稳定那样理想。
