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[肩关节复发性前向不稳的开放手术治疗]

[Open surgical treatment of recurrent anterior instability of the shoulder].

作者信息

Bölükbaşi Selçuk, Kanatli Ulunay, Ekin Ahmet, Ozkan Mustafa, Simşek Aykin

机构信息

Gazi Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Beşevler, Anakara.

出版信息

Acta Orthop Traumatol Turc. 2005;39 Suppl 1:48-56.

Abstract

Recurrent anterior gleonohumeral instability is the most frequent joint instability of the body. Because of the complex stability mechanisms and diverse instability patterns of the glenohumeral joint, most cases present with more than one anatomic cause. Thus, the treatment of recurrent anterior instability of the shoulder should be designed to treat these pathologies. Although arthroscopic repair has outweighed the use of open surgical methods especially for the first dislocations, recurrent dislocations still require open repair techniques to overcome capsular laxity accompanying a Bankart lesion.

摘要

复发性前肩肱关节不稳是人体最常见的关节不稳。由于肩肱关节复杂的稳定机制和多样的不稳模式,大多数病例存在不止一种解剖学原因。因此,复发性肩关节前不稳的治疗应针对这些病变进行设计。尽管关节镜修复已超过开放手术方法的应用,特别是对于首次脱位,但复发性脱位仍需要开放修复技术来克服伴随Bankart损伤的关节囊松弛。

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