Levine William N, Rieger Kenneth, McCluskey George M
Department of Orthopaedic Surgery, Columbia Presbyterian Medical Center, New York, New York, USA.
Instr Course Lect. 2005;54:87-96.
In the late 1980s and early 1990s, several advances in arthroscopic shoulder stabilization procedures were made. However, these early techniques were associated with higher failure rates compared with the traditional open procedures and therefore were not widely disseminated throughout the orthopaedic community. Because of improved understanding in anatomy and pathology in conjunction with dramatic technologic advances, the past decade has demonstrated significant improvement in the arthroscopic management of the unstable shoulder Evolution of arthroscopic techniques over the past 5 years to more closely resemble open procedures has led to clinical outcomes previously seen only with open procedures. Arthroscopy is becoming an attractive treatment option for an increasing number of orthopaedic surgeons.
在20世纪80年代末和90年代初，关节镜下肩关节稳定手术取得了几项进展。然而，与传统的开放手术相比，这些早期技术的失败率更高，因此并未在整个骨科领域广泛传播。由于对解剖学和病理学的认识有所提高，再加上技术的巨大进步，在过去十年中，关节镜下不稳定肩关节的治疗有了显著改善。过去5年关节镜技术向更接近开放手术的方向发展，带来了以前只有开放手术才能取得的临床效果。关节镜检查正成为越来越多骨科医生青睐的治疗选择。
