Steinbeck J, Witt K-A, Marquardt B
Orthopädische Praxis/Praxisklinik, Münster, Deutschland.
Orthopade. 2009 Jan;38(1):36-40. doi: 10.1007/s00132-008-1353-y.
The treatment of traumatic anterior glenohumeral instability has been a topic of debate over the last couple of decades. However, a consensus exists regarding the necessity of an individualized treatment plan based on the type and degree of instability and the patient's functional demands. Various open and arthroscopic techniques are among the currently used surgical procedures. Open reconstruction of the capsulolabral complex had been considered the treatment of choice for many years, but the latest results for arthroscopic anterior shoulder stabilization demonstrate its increasing use. The current literature suggests that with the introduction of suture anchors, it is possible to mirror the principles of open anterior shoulder stabilization and thus combine the general advantages of arthroscopic surgery with a low recurrence rate.
在过去几十年里，创伤性肩关节前向不稳的治疗一直是一个备受争议的话题。然而，对于根据不稳的类型和程度以及患者的功能需求制定个体化治疗方案的必要性，人们已达成共识。目前使用的外科手术方法包括各种开放手术和关节镜手术。多年来，关节囊盂唇复合体的开放重建一直被视为首选治疗方法，但关节镜下肩关节前路稳定术的最新结果表明其应用越来越广泛。当前文献表明，随着缝合锚钉的引入，有可能借鉴开放肩关节前路稳定术的原则，从而将关节镜手术的总体优势与低复发率相结合。
