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[肩关节前脱位及合并损伤的手术治疗研究进展]

[Research progress of surgical treatment for anterior shoulder dislocation and combined injuries].

作者信息

Liang Daqiang, Qiu Zhihe, Liu Haifeng, Lu Wei

机构信息

Department of Sports Medicine, the First Affiliated Hospital of Shenzhen University (Shenzhen Second People's Hospital), Shenzhen Guangdong, 518035, P.R.China.

Department of Sports Medicine, the First Affiliated Hospital of Shenzhen University (Shenzhen Second People's Hospital), Shenzhen Guangdong, 518035,

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2019 Jun 15;33(6):768-773. doi: 10.7507/1002-1892.201901021.

Abstract

OBJECTIVE

To summarize the research progress of surgical treatment for anterior shoulder dislocation and combined injuries.

METHODS

The related literature was reviewed, and the surgical treatment options for the anterior shoulder dislocation and its combined injuries were summarized.

RESULTS

Anterior shoulder dislocation can combine with anteroinferior capsular ligament complex injury (Bankart injury), bony Bankart defect, and Hill-Sachs lesion. For Bankart and bony Bankart injuries, arthroscopic repair or coracoid osteotomy combined with bony graft reconstruction can be performed. For Hill-Sachs lesion, conservative treatment, soft tissue repair, or bony reconstruction should be selected based on the extent of the bone defect. For bipolar injury, the Bankart repair, Remplissage, or arthroplasty should be selected based on the extent of the glenoid defect.

CONCLUSION

With the development of arthroscopy and the improvement of the surgical concept, there is a complete set of surgical options for various injuries of the anterior shoulder dislocation. When choosing a surgical procedure, the patient's specific injury and age, exercise level, and other relating factors should be comprehensively assessed in order to achieve the best results.

摘要

目的

总结前肩脱位及其合并损伤的外科治疗研究进展。

方法

回顾相关文献,总结前肩脱位及其合并损伤的外科治疗选择。

结果

前肩脱位可合并前下关节囊韧带复合体损伤(Bankart损伤)、骨性Bankart缺损和Hill-Sachs损伤。对于Bankart损伤和骨性Bankart损伤,可进行关节镜修复或喙突截骨术联合骨移植重建。对于Hill-Sachs损伤,应根据骨缺损程度选择保守治疗、软组织修复或骨重建。对于双极损伤,应根据关节盂缺损程度选择Bankart修复、Remplissage手术或关节成形术。

结论

随着关节镜技术的发展和手术理念的提高,对于前肩脱位的各种损伤有一套完整的手术选择。选择手术方法时,应综合评估患者的具体损伤情况、年龄、运动水平等相关因素,以获得最佳治疗效果。

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