Department of Orthopaedic Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Clin Sports Med. 2013 Oct;32(4):781-96. doi: 10.1016/j.csm.2013.07.011. Epub 2013 Aug 20.
Historically, posterior shoulder instability has been a challenging problem for contact athletes and orthopedic surgeons alike. A complete understanding of the normal shoulder anatomy and biomechanics and the pathoanatomy responsible for the instability is necessary for a successful clinical outcome. In addition, the surgeon must be familiar with the diagnostic imaging and physical examination maneuvers required for the correct diagnosis without missing any other concurrent abnormalities. This understanding will allow orthopedists to plan and execute the appropriate management, whether this may involve conservative or surgical intervention. The goal should always be to correct the abnormality and have the patient return to play with full strength and no recurrent instability.
从历史上看，肩后不稳定一直是接触运动员和骨科医生共同面临的难题。为了获得成功的临床结果，必须充分了解正常肩部解剖结构和生物力学以及导致不稳定的病理解剖结构。此外，外科医生必须熟悉正确诊断所需的诊断影像学和体格检查操作，以免遗漏任何其他并发异常。这种理解将使矫形外科医生能够规划和执行适当的治疗，无论是保守治疗还是手术干预。目标始终应该是纠正异常，使患者恢复完全力量，且不再复发不稳定。
