Paul J, Vogt S, Tischer T, Imhoff A B
Poliklinik für Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
Orthopade. 2009 Jan;38(1):31-5. doi: 10.1007/s00132-008-1352-z.
Traumatic antero-inferior dislocation of the shoulder is a common injury among the young athletic population. The incidence of reluxation after conservative treatment in young patients is up to 80%. Arthroscopic antero-inferior shoulder stabilization has become the gold standard in recent years due to technical and material improvement. The recurrence rate after arthroscopic and open surgery is similar (approximately 6.5%), but morbidity after arthroscopic surgery is less. The authors of this paper advise the use of suture anchors for refixation of the capsulolabral complex. An antero-inferior approach is used for ideal positioning of the anchors on the glenoid rim and lesions of the superior biceps tendon or other co-morbidities can be addressed at the same time. In conclusion arthroscopic shoulder stabilization is an appropriate treatment for antero-inferior shoulder dislocation.
创伤性肩关节前下脱位在年轻运动员群体中是一种常见损伤。年轻患者保守治疗后复发率高达80%。近年来，由于技术和材料的改进，关节镜下肩关节前下稳定术已成为金标准。关节镜手术和开放手术后的复发率相似（约6.5%），但关节镜手术后的发病率较低。本文作者建议使用缝合锚钉重新固定关节囊盂唇复合体。采用前下入路可将锚钉理想地置于肩胛盂边缘，同时可处理肱二头肌长头肌腱上方的损伤或其他合并症。总之，关节镜下肩关节稳定术是治疗肩关节前下脱位的一种合适方法。
