Advanced Spine & Orthopaedic Specialists, Overland Park, Kansas 66211, USA.
Arthroscopy. 2010 Oct;26(10):1404-8. doi: 10.1016/j.arthro.2010.03.018.
Traumatic anterior shoulder instability has been well documented to have associated lesions such as a Bankart tear, humeral avulsion of the glenohumeral ligament (HAGL), Hill-Sachs lesion, fracture, and nerve injury. To our knowledge, the combined Bankart and HAGL injury in a single acute anterior shoulder dislocation has not yet been reported. We describe a traumatic first-time anterior-inferior shoulder dislocation in a professional basketball player with a combined Bankart and HAGL lesion. The patient underwent arthroscopic Bankart repair followed by open repair of the HAGL lesion with an open capsular shift reconstruction. At 3 years' follow-up, the patient had returned to an elite level of play, with an excellent outcome.
创伤性前肩不稳定已被充分证实与相关损伤有关,如 Bankart 撕裂、肱骨头撕脱性盂肱上韧带(HAGL)、Hill-Sachs 损伤、骨折和神经损伤。据我们所知,在单次急性前肩脱位中同时发生 Bankart 和 HAGL 损伤尚未见报道。我们描述了一位职业篮球运动员首次创伤性前下肩脱位,合并 Bankart 和 HAGL 损伤。患者接受了关节镜下 Bankart 修复术,然后进行了 HAGL 损伤的开放性修复,采用开放性囊袋移位重建术。3 年随访时,患者已恢复到精英运动水平,取得了优异的结果。