Yates Jonathan Brian, Choudhry Muhammad Naghman, Waseem Mohammad
Blackpool Teaching Hospitals NHS Foundation Trust Ringgold standard institution - Trauma and Orthopaedics Blackpool, Blackpool, United Kingdom of Great Britain and Northern Ireland, UK.
Open Orthop J. 2017 Nov 10;11:1245-1257. doi: 10.2174/1874325001711011245. eCollection 2017.
Defects to the articular surface of the humeral head have been known to be associated with shoulder dislocation since the 19 century. It wasn't until 1934 that the first description of the ubiquitous compression fracture of the posterolateral humeral head that occurs with traumatic anterior instability appeared. From 1940, this defect became referred to as a Hill-Sachs lesion after the investigators who reported the condition. The significance of, and therefore treatment of, these and other such bony defects around the shoulder joint has been hotly debated.
We reviewed the available current literature to determine and report on the most up to date concepts and treatment techniques being used to manage bony defects of the shoulder.
Numerous surgical options have been proposed to manage bony defects of the shoulder, including a variety of defect-filling procedures, with good outcomes. However, the small numbers and diversity of case mix makes for difficult comparisons.
We are currently developing a greater appreciation of how both the humeral and glenoid defects interact and therefore should be assessed and addressed simultaneously in order to improve patient outcomes. More research and collaboration is needed to determine the optimal method of assessing and managing these patients.
自19世纪以来，已知肱骨头关节面的缺损与肩关节脱位有关。直到1934年，才首次描述了外伤性前向不稳定时出现的肱骨头后外侧普遍存在的压缩性骨折。从1940年起，在报告该病症的研究人员之后，这种缺损被称为希尔-萨克斯损伤。围绕肩关节的这些以及其他此类骨缺损的意义及治疗方法一直存在激烈争论。
我们回顾了现有文献，以确定并报告用于处理肩部骨缺损的最新概念和治疗技术。
已经提出了多种手术选择来处理肩部骨缺损，包括各种缺损填充手术，效果良好。然而，病例数量少且病例组合多样，难以进行比较。
我们目前越来越认识到肱骨头和肩胛盂缺损之间的相互作用，因此应该同时进行评估和处理，以改善患者预后。需要更多的研究和合作来确定评估和管理这些患者的最佳方法。
