Pickett Adam, Svoboda Steven
Keller Army Community Hospital, West Point, NY.
Sports Med Arthrosc Rev. 2017 Sep;25(3):156-162. doi: 10.1097/JSA.0000000000000157.
Anterior shoulder dislocations, subluxations, and recurrent instability of the shoulder joint are common problems usually affecting a young active population. However, it can be a problem for patients up to the late decades in life and can lead to major shoulder arthropathy if left untreated or improperly treated. This article discusses the natural history, pathologic morphologic changes of the shoulder joint associated with anterior instability along with normal anatomic variants. We will also discuss current treatment recommendations and possible causes of the patient with recurrent instability despite prior stabilization procedures.
肩关节前脱位、半脱位及复发性不稳定是常见问题，通常影响年轻活跃人群。然而，在生命后期几十年的患者中也可能出现该问题，若不治疗或治疗不当可导致严重的肩关节病。本文讨论了与前不稳定相关的肩关节自然病史、病理形态学变化以及正常解剖变异。我们还将讨论当前的治疗建议以及尽管之前进行了稳定手术但仍出现复发性不稳定的患者的可能病因。
