Sartori E, Bellando Randone P, Traina G C
Divisione di Ortopedia e Traumatologia, U.S.L. 31 di Ferrara.
Chir Organi Mov. 1990 Jul-Sep;75(3):253-60.
The rare posterior form of instability syndrome of the shoulder is taken into consideration. A diagnostic protocol aimed at revealing posterior slipping of the humeral head following spontaneous movement or with stress is suggested; this involves semiological maneuvers, and the help of radiographs in specific projections and CT scan. As for treatment, the importance of physiatric treatment is emphasized, and surgery advised in young patients who do not benefit from conservative treatment. The authors prefer posterior capsulomyoplasty associated with posterior glenoplasty in forms of the pathology characterized by excessive glenoid retroversion. Finally, 4 personal cases are presented.
考虑到罕见的肩部不稳定综合征的后位形式。建议采用一种诊断方案,旨在揭示肱骨头在自发运动或施加应力后向后滑动的情况;这包括体征检查手法,以及特定投照的X线片和CT扫描的辅助。至于治疗,强调了物理治疗的重要性,对于那些从保守治疗中无获益的年轻患者建议进行手术。对于以肩胛盂过度后倾为特征的病理类型,作者更倾向于采用后关节囊成形术联合后肩胛盂成形术。最后,介绍了4例个人病例。