Solaiman Rafat H, Cooper Trenton, Nelson Bradley, Tompkins Marc A
Department of Orthopedic Surgery, University of Minnesota Medical School, Minneapolis, USA.
Department of Orthopedic Surgery, Gillette Children's Specialty Healthcare, Saint Paul, USA.
Cureus. 2023 Jan 11;15(1):e33654. doi: 10.7759/cureus.33654. eCollection 2023 Jan.
Optimal treatment for patients with significant glenoid bone loss after severe shoulder dislocation remains a topic of discussion, as there are many autograft and allograft techniques for glenoid augmentation. Several studies have identified scapular spine autograft to be a potential option for restoring glenohumeral stability, however, there is limited clinical data for this procedure. We present two cases in which patients suffered from anterior glenoid bone loss and recurrent shoulder instability who underwent open glenoid augmentation with scapular spine autograft. Both patients report a full return to activity with no functional limitations. Open glenoid augmentation with a scapular spine autograft is a viable option for patients with anterior glenoid bone loss and recurrent shoulder instability.
对于严重肩关节脱位后伴有明显肩胛盂骨缺损的患者，最佳治疗方法仍是一个讨论的话题，因为有许多自体骨和异体骨技术可用于肩胛盂扩大术。多项研究已确定肩胛冈自体骨移植是恢复盂肱关节稳定性的一种潜在选择，然而，该手术的临床数据有限。我们报告两例患有肩胛盂前部骨缺损和复发性肩关节不稳定的患者，他们接受了肩胛冈自体骨移植的开放性肩胛盂扩大术。两名患者均报告已完全恢复活动，且无功能受限。对于肩胛盂前部骨缺损和复发性肩关节不稳定的患者，开放性肩胛盂扩大术联合肩胛冈自体骨移植是一种可行的选择。
