Arenas-Miquelez Antonio, Karargyris Orestis, Zumstein Matthias
Shoulder and Elbow Division, Orthopaedics Department, Inselspital, Universitätsspital Bern, Bern, Switzerland.
Arthrosc Tech. 2019 Sep 19;8(10):e1145-e1151. doi: 10.1016/j.eats.2019.06.002. eCollection 2019 Oct.
Numerous factors play a role in anterior shoulder stability. The inferior glenohumeral ligament, especially the anterior band, is the main passive anterior stabilizer in the end range of motion. Surgical treatment of this pathology continues to be a challenge in patients with capsular deficiency, in whom the recurrence rate of soft-tissue arthroscopic repair increases significantly. There is not yet a fair solution for these patients without glenoid bone loss, in whom the poor tissue quality determines recurrent instability. We present an all-arthroscopic technique for reconstruction of the inferior glenohumeral ligament by means of palmaris longus autograft as an alternative to nonanatomic bone block procedures.
众多因素对肩关节前侧稳定性起着作用。肩胛下肌下韧带，尤其是前束，是运动终末范围内主要的被动前侧稳定结构。对于存在关节囊缺损的患者，这种病变的手术治疗仍然是一项挑战，此类患者软组织关节镜修复的复发率会显著增加。对于没有肩胛盂骨丢失的患者，目前尚无妥善的解决方案，因为其组织质量较差会导致复发性不稳定。我们提出一种全关节镜技术，通过掌长肌自体移植来重建肩胛下肌下韧带，以此作为非解剖学骨块手术的替代方法。
