Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan,
Curr Rev Musculoskelet Med. 2013 Mar;6(1):88-94. doi: 10.1007/s12178-012-9154-7.
Bone loss is commonly observed in shoulders with anterior instability. The Latarjet procedure is commonly performed when a glenoid bony defect exists that is greater than 25 % of the glenoid width or when the risk of recurrent instability is higher (i.e., collision-sport athletes). Hill-Sachs lesions need to be assessed as well. For the purpose of assessing the bipolar lesions, the glenoid track concept is useful. A Hill-Sachs lesion that is located more medially than the medial margin of the glenoid track is defined as an engaging Hill-Sachs lesion. A potential treatment for such a condition is remplissage, but this procedure also decreases range of motion. Thus, its application in overhead athletes needs to be carefully considered.
肩部前向不稳定通常会导致骨量丢失。当肩盂骨缺损大于肩盂宽度的 25%，或存在复发性不稳定风险较高（如碰撞运动运动员）时，通常会进行 Latarjet 手术。还需要评估 Hill-Sachs 病变。为了评估双极病变，使用关节盂轨迹概念很有用。位于关节盂轨迹内侧缘内侧的 Hill-Sachs 病变被定义为啮合性 Hill-Sachs 病变。对于这种情况的一种潜在治疗方法是填充，但该手术也会降低活动范围。因此，在需要进行头顶运动的运动员中应用需要仔细考虑。
