Provencher Matthew T, Barker Joseph U, Strauss Eric J, Frank Rachel M, Romeo Anthony A, Matsen Frederick A, Cole Brian J
Uniformed Services University of the Health Sciences, Naval Medical Center, San Diego, CA, USA.
Instr Course Lect. 2011;60:137-53.
Treating glenohumeral arthritis in the young adult remains a significant challenge. There are a variety of etiologies that can lead to this condition, and the diagnosis is often not straightforward. With advances in both surgical techniques and biologic options, the treatment algorithm for patients with glenohumeral arthritis is constantly evolving. When nonsurgical treatment fails, there are a variety of possible surgical options, each with potential benefits. It is helpful to review the diagnostic challenges presented by these patients and understand the palliative, reparative, restorative, and reconstructive surgical options and their associated clinical outcomes, which provide a framework for clinical and surgical decision making.
治疗年轻成年人的肩肱关节关节炎仍然是一项重大挑战。有多种病因可导致这种情况,而且诊断往往并非一目了然。随着手术技术和生物治疗选择的进步,肩肱关节关节炎患者的治疗方案也在不断演变。当非手术治疗失败时,有多种可能的手术选择,每种选择都有潜在益处。回顾这些患者所面临的诊断挑战,并了解姑息性、修复性、恢复性和重建性手术选择及其相关临床结果,有助于为临床和手术决策提供一个框架。