Dumont Guillaume D, Golijanin Petar, Provencher Matthew T
Department of Orthopaedic Surgery and Sports Medicine, University of South Carolina School of Medicine, 2 Medical Park, Suite 404, Columbia, SC 29203, USA.
Sports Medicine Service, Massachusetts General Hospital, 175 Cambridge Street, Suite 400, Boston, MA 02114, USA.
Clin Sports Med. 2014 Oct;33(4):707-20. doi: 10.1016/j.csm.2014.06.006. Epub 2014 Sep 22.
Shoulder instability is common in military populations, and this demographic represents individuals at high risk for recurrence. Surgical management is often indicated, especially in high-demand young individuals, and provides a predictable return to military duties. Accurate recognition of glenoid bone loss and other associated anatomic lesions is of importance for appropriate selection between arthroscopic capsulolabral repair and bony reconstruction procedures. A thorough understanding of underlying pathology, diagnostic testing, and available treatment options provides for optimal care of the unstable shoulder.
肩部不稳定在军人中很常见，而且这一群体的个体复发风险很高。通常需要进行手术治疗，尤其是对于需求较高的年轻个体，手术能让他们可预测地重返军事任务。准确识别肩胛盂骨缺损和其他相关解剖病变对于在关节镜下关节囊盂唇修复和骨重建手术之间进行恰当选择至关重要。深入了解潜在病理、诊断测试和可用的治疗方案有助于为不稳定肩部提供最佳治疗。
