Harmsen Kennard, Huijsmans Polydoor E
Department of Orthopaedics, Haga Hospital, Sportlaan 600, 2566 MJ, The Hague, The Netherlands.
Open Orthop J. 2017 Aug 31;11:934-945. doi: 10.2174/1874325001711010934. eCollection 2017.
Bone defects of the glenoid are often found in patients with traumatic anterior glenohumeral instability. There is no consensus regarding which glenoid defects need to be treated surgically. The aim of this review is to describe the management of glenoid defects in anterior shoulder instability in patients with traumatic anterior glenohumeral instability.
We conducted a review of the literature through a Pubmed search.
The management of glenoid defects in anterior shoulder instability consists of conservative or operative treatment. There is a wide variety in the treatment options. Also, the diagnostics of the presence and size of a glenoid bone defect is still debated on in literature.
Based on the current available literature, we advise to begin management of traumatic anterior shoulder instability combined with glenoid defects with conservative treatment. Operative treatment can be used when the bone fragment consists of a large glenoid surface and the patient is active, or in the case of a chronic defect or recurrent instability.
创伤性前肩肱关节不稳患者常存在肩胛盂骨缺损。对于哪些肩胛盂缺损需要手术治疗尚无共识。本综述的目的是描述创伤性前肩肱关节不稳患者前肩不稳中肩胛盂缺损的处理方法。
我们通过PubMed检索对文献进行了综述。
前肩不稳中肩胛盂缺损的处理包括保守治疗或手术治疗。治疗选择多种多样。此外，肩胛盂骨缺损的存在及大小的诊断在文献中仍存在争议。
基于目前可得的文献，我们建议对创伤性前肩不稳合并肩胛盂缺损的患者首先采用保守治疗。当骨块包含大的肩胛盂表面且患者活动量大时，或存在慢性缺损或复发性不稳的情况下，可采用手术治疗。
