Nzeako Obinna, Bakti Nik, Bawale Rajesh, Singh Bijayendra
Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
J Clin Orthop Trauma. 2019 Mar-Apr;10(2):231-235. doi: 10.1016/j.jcot.2018.10.002. Epub 2018 Oct 12.
Glenoid bone loss is a well established cause of instability and long term morbidity if not adequadely addressed. Anterior glenohumeral instability due an anterior glenoid defect is significantly more common, and for many years has been well treated with open anterior bone block augmentation procedures, most commonly the latarjet procedure. However, with refinement of this technique and some interest in reducing morbidity associated with iliac crest bone harvest, arthroscopic bone block procedures with allograft has become more popular. In this article we will review some of the key available evidence. We will also review management of the less common and more challenging posterior glenoid defects associated with posterior instability.
盂骨丢失是导致不稳定和长期发病的一个公认原因，如果处理不当的话。由于前方盂肱关节缺损导致的前方盂肱关节不稳定更为常见，多年来一直通过开放性前方骨块增强手术得到很好的治疗，最常见的是Latarjet手术。然而，随着这项技术的改进以及对减少与髂嵴取骨相关的发病率的一些关注，同种异体移植的关节镜下骨块手术变得更加流行。在本文中，我们将回顾一些关键的现有证据。我们还将回顾与后方不稳定相关的较不常见且更具挑战性的后方盂骨缺损的处理方法。
