Engel Thomas, Hepp Pierre, Osterhoff Georg, Josten Christoph
Department of Trauma and Reconstructive Surgery, University of Leipzig, Liebigstrasse 20, Leipzig, Germany.
Arch Orthop Trauma Surg. 2009 Aug;129(8):1103-7. doi: 10.1007/s00402-009-0840-x. Epub 2009 Feb 24.
Traumatic posterior dislocation of the shoulder is frequently associated with an osteochondral defect on the anterior articular surface of the humeral head (so-called reverse Hill-Sachs lesion). Possible treatment options are either filling or elevation of the osseous defect. Previously, an open technique has been described using a bioabsorbable interference screw. On the basis of a 64-year-old patient presenting with a reverse Hill-Sachs lesion after epileptic seizure, we describe an arthroscopic technique in which the defect is reconstructed under arthroscopic and fluoroscopic control and supported by a bioabsorbable interference screw.
创伤性肩关节后脱位常伴有肱骨头前关节面的骨软骨缺损（所谓的反 Hill-Sachs 损伤）。可能的治疗选择是填充或抬高骨缺损。此前，已描述了一种使用生物可吸收加压螺钉的开放技术。基于一名 64 岁癫痫发作后出现反 Hill-Sachs 损伤的患者，我们描述了一种关节镜技术，即在关节镜和透视控制下重建缺损，并由生物可吸收加压螺钉支撑。
