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认识肩胛盂肱韧带撕脱为肩关节不稳定的原因：手术及术后管理

Understanding the Glenoid Avulsion of the Glenohumeral Ligaments as a Cause of Shoulder Instability: Surgical and Postsurgical Management.

作者信息

O'Reilly Olivia C, Andrews Kyle A, Siparsky Patrick N

机构信息

Department of Orthopaedics and Rehabilitation, The University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Department of Orthopedic Surgery, The University of Toledo, Toledo, Ohio, U.S.A.

出版信息

Arthrosc Tech. 2019 Sep 19;8(10):e1153-e1158. doi: 10.1016/j.eats.2019.06.001. eCollection 2019 Oct.

DOI:10.1016/j.eats.2019.06.001
PMID:31921589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6948128/
Abstract

In adolescents and young adults, instability is a common shoulder pathology with a myriad of coexisting soft tissue and bony lesions. When evaluating a patient for the cause of instability, care must be given to assess for the infrequent lesions, including glenoid avulsion of the glenohumeral ligaments. This case example illustrates key points in the diagnosis, surgical, and postsurgical management of this less common cause of anterior shoulder instability.

摘要

在青少年和青年成人中，肩关节不稳是一种常见的肩部病理状况，伴有大量并存的软组织和骨病变。在评估患者肩关节不稳的病因时，必须注意评估那些不常见的病变，包括盂肱韧带的盂唇撕脱。本病例示例阐述了这种较少见的前肩关节不稳病因在诊断、手术及术后处理方面的要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/bdf928ba41b7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/5c48822421ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/701519111124/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/9594a2d14a13/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/9b64cbc49a26/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/bdf928ba41b7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/5c48822421ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/701519111124/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/9594a2d14a13/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/9b64cbc49a26/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/520c/6948128/bdf928ba41b7/gr5.jpg

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本文引用的文献

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Inferior glenohumeral ligament (IGHL) complex: anatomy, injuries, imaging features, and treatment options.肩胛下盂肱韧带（IGHL）复合体：解剖结构、损伤、影像学特征及治疗选择。
Emerg Radiol. 2017 Feb;24(1):65-71. doi: 10.1007/s10140-016-1431-0. Epub 2016 Aug 16.
2
Glenoid avulsion of the glenohumeral ligament (GAGL): a case report and review of the anatomy.盂肱韧带盂唇撕脱（GAGL）：一例病例报告及解剖学回顾
Skeletal Radiol. 2016 Oct;45(10):1443-8. doi: 10.1007/s00256-016-2449-9. Epub 2016 Aug 8.
3
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关节镜下修复盂肱韧带的盂唇撕脱伤
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Glenoid avulsion of the glenohumeral ligaments as a cause of recurrent anterior shoulder instability.肩盂唇韧带撕脱导致复发性肩关节前向不稳定。
Arthroscopy. 2010 Sep;26(9):1263-7. doi: 10.1016/j.arthro.2010.06.005.
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Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations.与肩关节脱位相关的病理变化。首次创伤性前脱位的关节镜检查和体格检查结果。
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