关节镜下采用髂骨块自体移植治疗伴反向 Hill-Sachs 损伤的肩关节后方不稳定。
Arthroscopic treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion using an iliac bone-block autograft.
机构信息
Department of Orthopaedic, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, China; Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou 325000, China; The Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Department of Orthopaedic, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325000, China; Key Laboratory of Orthopaedics of Zhejiang Province, Wenzhou 325000, China; The Second School of Medicine, Wenzhou Medical University, Wenzhou, Zhejiang, China.
出版信息
Orthop Traumatol Surg Res. 2019 Sep;105(5):819-823. doi: 10.1016/j.otsr.2019.03.017. Epub 2019 Jul 19.
Posterior dislocation of the shoulder is often accompanied by an impression fracture in the anterior surface of the humeral head, called a reverse Hill-Sachs injury. This bone defect can engage on the posterior glenoid rim, which can lead to recurrent instability and progressive joint destruction. We describe a new arthroscopic procedure that fills the reverse Hill-Sachs lesion with an iliac bone-block autograft and repairs the posterior articular capsule arthroscopically, which can stabilize the posterior shoulder. It avoids the need to detach the subscapularis tendon and can reduce the risks associated with open procedures. LEVEL OF EVIDENCE: V, technical note.
肩关节后脱位常伴有肱骨头前表面的压痕骨折，称为反 Hill-Sachs 损伤。该骨缺损可嵌于肩胛盂后缘，导致复发性不稳定和进行性关节破坏。我们描述了一种新的关节镜手术方法，即用髂骨骨块自体移植物填充反 Hill-Sachs 病变，并通过关节镜修复后关节囊，从而稳定肩关节。它避免了需要切断肩胛下肌腱，并可以降低与开放性手术相关的风险。证据水平：V，技术说明。
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