Goetti Patrick, Denard Patrick J, Collin Philippe, Ibrahim Mohamed, Hoffmeyer Pierre, Lädermann Alexandre
Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA.
EFORT Open Rev. 2020 Sep 10;5(8):508-518. doi: 10.1302/2058-5241.5.200006. eCollection 2020 Aug.
The stability of the glenohumeral joint depends on soft tissue stabilizers, bone morphology and dynamic stabilizers such as the rotator cuff and long head of the biceps tendon. Shoulder stabilization techniques include anatomic procedures such as repair of the labrum or restoration of bone loss, but also non-anatomic options such as remplissage or tendon transfers.Rotator cuff repair should restore the cuff anatomy, reattach the rotator cable and respect the coracoacromial arch whenever possible. Tendon transfer, superior capsular reconstruction or balloon implantation have been proposed for irreparable lesions.Shoulder rehabilitation should focus on restoring balanced glenohumeral and scapular force couples in order to avoid an upward migration of the humeral head and secondary cuff impingement. The primary goal of cuff repair is to be as anatomic as possible and to create a biomechanically favourable environment for tendon healing. Cite this article: 2020;5:508-518. DOI: 10.1302/2058-5241.5.200006.
盂肱关节的稳定性取决于软组织稳定结构、骨骼形态以及诸如肩袖和肱二头肌长头腱等动态稳定结构。肩部稳定技术包括解剖学手术，如盂唇修复或骨缺损修复，也包括非解剖学选择，如填充术或肌腱转移术。肩袖修复应尽可能恢复肩袖解剖结构、重新附着旋转索并尊重喙肩弓。对于不可修复的损伤，已提出肌腱转移、上盂唇重建或球囊植入术。肩部康复应着重于恢复盂肱关节和肩胛的力偶平衡，以避免肱骨头向上移位和继发的肩袖撞击。肩袖修复的主要目标是尽可能解剖复位，并为肌腱愈合创造生物力学上有利的环境。引用本文：2020；5：508 - 518。DOI：10.1302/2058 - 5241.5.200006。
