Cameron Kenneth L, Mauntel Timothy C, Owens Brett D
*Keller Army Hospital, United States Military Academy, West Point, NY †Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD ‡Brown University Alpert Medical School, Providence, RI.
Sports Med Arthrosc Rev. 2017 Sep;25(3):144-149. doi: 10.1097/JSA.0000000000000155.
Acute traumatic glenohumeral joint instability is common within the general population and endemic in young athletes and physically active populations. Individuals who experience acute traumatic glenohumeral joint instability events are at high risk of recurrent injury. In addition, glenohumeral joint instability results in substantial short-term and long-term consequences, including significant time loss from activity, degenerative joint changes, and reduced quality of life. This review provides an overview of the epidemiology of glenohumeral joint instability, reviews the modifiable and nonmodifiable risk factors for glenohumeral joint instability identified in the literature, and discusses the need for developing and implementing effective multilevel strategies for the primary, secondary, and tertiary prevention of glenohumeral joint instability and the long-term consequences associated with injury.
急性创伤性肩肱关节不稳在普通人群中很常见，在年轻运动员和体力活动较多的人群中更为普遍。经历过急性创伤性肩肱关节不稳事件的个体有再次受伤的高风险。此外，肩肱关节不稳会导致大量短期和长期后果，包括活动时间大幅减少、关节退变以及生活质量下降。本综述概述了肩肱关节不稳的流行病学，回顾了文献中确定的肩肱关节不稳的可改变和不可改变的风险因素，并讨论了制定和实施有效的多层次策略以对肩肱关节不稳及其相关损伤的长期后果进行一级、二级和三级预防的必要性。
