Dimock Richard, Memon Kashif, Consigliere Paolo, Polyzois Ioannis, Imam Mohamed A, Narvani A Ali
Rowley Bristow Orthopaedic Unit, Ashford and St Peter's Hospital NHS Foundation Trust, Chertsey, Surrey, UK.
The Reading Shoulder Unit, Royal Berkshire Hospital NHS Foundation Trust, Reading, UK.
Arch Bone Jt Surg. 2020 Nov;8(6):729-733. doi: 10.22038/abjs.2020.44481.2224.
Posterior shoulder dislocation, whilst uncommon, is frequently missed and often associated with a significant defect on the antero-medial aspect of the humeral head (the reverse Hill-Sachs lesion). Several techniques for stabilisation have been described, depending on the size of the lesion. We describe an additional technique for stabilising the shoulder following posterior dislocation by augmenting the reverse Hill-Sachs lesion with layers of extracellular matrix, thus further filling the defect.
肩关节后脱位虽然不常见，但经常被漏诊，且常伴有肱骨头前内侧的明显缺损（反Hill-Sachs损伤）。根据损伤大小，已描述了几种稳定修复技术。我们描述了一种额外的技术，即在肩关节后脱位后，通过用细胞外基质层增强反Hill-Sachs损伤来稳定肩关节，从而进一步填补缺损。
