Habermeyer P, Magosch P, Lichtenberg S
ATOS-Klinik, Heidelberg.
Orthopade. 2004 Jul;33(7):847-72; quiz 873. doi: 10.1007/s00132-004-0687-3.
Shoulder instability includes different degrees of instability from painful hyperlaxity to subluxation to dislocation. Different classifications of shoulder instability have been created in order to facilitate decision making for treatment. None of these, however, has gained acceptance. Subject to the indications, shoulder instability can be treated conservatively or surgically after repositioning the acute dislocation. A survey of arthroscopic and open stabilization procedures and their results are given in relation to the indications.
肩部不稳定包括从疼痛性过度松弛到半脱位再到脱位的不同程度的不稳定。为便于治疗决策,已创建了不同的肩部不稳定分类方法。然而,这些分类方法均未得到广泛认可。根据具体指征,肩部不稳定在急性脱位复位后可采用保守治疗或手术治疗。本文结合指征对关节镜和开放稳定手术及其结果进行了综述。