Kadantsev P M, Logvinov A N, Ilyin D O, Ryazantsev M S, Afanasiev A P, Korolev A V
European Clinic of Sports Traumatology and Orthopedics (ECSTO), Moscow, Russia.
Peoples Friendship University of Russia, Moscow, Russia.
Khirurgiia (Mosk). 2021(5):109-124. doi: 10.17116/hirurgia2021051109.
To conduct a systematic review of modern literature data on the modern approaches in diagnosis and treatment of shoulder instability.
Searching for literature data was performed using the Pubmed and Google Scholar databases.
The authors analyzed the results of conservative treatment of patients with shoulder instability and emphasized higher risk of instability recurrence, degeneration of anatomical structures and functional impairment in these patients. Surgery is advisable to restore shoulder stability and normalize its function. Several methods for stabilizing the shoulder have been proposed.
The approaches to diagnosis and treatment of shoulder instability have been updated.
Successful treatment of shoulder instability is based on qualitative and complete assessment of soft tissues and bone structures. An individual approach considering bone tissue deficiency and individual needs of the patient is required.
对有关肩关节不稳定诊断和治疗现代方法的现代文献数据进行系统综述。
使用PubMed和谷歌学术数据库搜索文献数据。
作者分析了肩关节不稳定患者保守治疗的结果，并强调这些患者不稳定复发、解剖结构退变和功能障碍的风险更高。建议进行手术以恢复肩关节稳定性并使其功能正常化。已经提出了几种稳定肩关节的方法。
肩关节不稳定的诊断和治疗方法已经更新。
成功治疗肩关节不稳定基于对软组织和骨结构的定性和全面评估。需要考虑骨组织缺损和患者个体需求的个体化方法。
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