老年患者的肩部不稳定

Shoulder instability in older patients.

作者信息

Paxton E Scott, Dodson Christopher C, Lazarus Mark D

机构信息

Division of Shoulder and Elbow Surgery, Warren Alpert Medical School of Brown University, 2 Dudley Street, Suite 200, Providence, RI 02905, USA.

Department of Orthopedics, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.

出版信息

Orthop Clin North Am. 2014 Jul;45(3):377-85. doi: 10.1016/j.ocl.2014.04.002.

DOI:10.1016/j.ocl.2014.04.002

PMID:24975764

Abstract

Glenohumeral instability has a bimodal age distribution, with most affected patients younger than 40 years, but with a second peak in older patients. Glenohumeral dislocations in older patients often present with complex injury patterns, including rotator cuff tears, fractures, and neurovascular injuries. Glenohumeral instability in patients older than 40 years requires a different approach to treatment. An algorithmic approach aids the surgeon in the stepwise decision-making process necessary to treat this injury pattern.

摘要

肩肱关节不稳具有双峰年龄分布，大多数受影响患者年龄小于40岁，但在老年患者中存在第二个高峰。老年患者的肩肱关节脱位常伴有复杂的损伤模式，包括肩袖撕裂、骨折和神经血管损伤。40岁以上患者的肩肱关节不稳需要不同的治疗方法。一种算法方法有助于外科医生在治疗这种损伤模式所需的逐步决策过程中做出决策。