Cuéllar Ricardo, Ruiz-Ibán Miguel Angel, Cuéllar Adrián
Deparment of Traumatology and Orthopaedic Surgery of Universitary Donostia Hospital San Sebastián, Spain.
Departaments of Traumatology and Orthopaedic Surgery of the Universitary Ramon and Cajal Hospital Madrid, Spain.
Open Orthop J. 2017 Aug 31;11:919-933. doi: 10.2174/1874325001711010919. eCollection 2017.
To review the anatomy of the shoulder joint and of the physiology of glenohumeral stability is essential to manage correctly shoulder instability.
It was reviewed a large number of recently published research studies related to the shoulder instability that received a higher Level of Evidence grade.
It is reviewed the bony anatomy, the anatomy and function of the ligaments that act on this joint, the physiology and physiopathology of glenohumeral instability and the therapeutic implications of the injured structures.
This knowledge allows the surgeon to evaluate the possible causes of instability, to assess which are the structures that must be reconstructed and to decide which surgical technique must be performed.
回顾肩关节解剖结构以及盂肱关节稳定性的生理机制对于正确处理肩关节不稳至关重要。
回顾了大量近期发表的与肩关节不稳相关且证据等级较高的研究。
回顾了骨骼解剖结构、作用于该关节的韧带的解剖结构及功能、盂肱关节不稳的生理及病理生理机制以及损伤结构的治疗意义。
这些知识使外科医生能够评估不稳的可能原因，确定必须重建的结构，并决定应采用哪种手术技术。
