Dickens Jonathan F, Hoyt Benjamin W, Kilcoyne Kelly G, LeClere Lance E
From the Department of Orthopaedics, Duke University, Durham, NC (Dickens), the Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden (Dickens), the Department of Surgery, USU-WRNMMC, Bethesda, MD (Dickens, Hoyt, Kilcoyne, and LeClere), the Department of Orthopaedics, James A Lovell Federal Health Care Center, North Chicago, IL (Hoyt), and the Department of Orthopaedic Sports Medicine, US Naval Academy, Annapolis, MD (LeClere).
J Am Acad Orthop Surg. 2023 May 1;31(9):429-439. doi: 10.5435/JAAOS-D-22-00060. Epub 2023 Feb 24.
Posterior glenohumeral instability is an underappreciated cause of disability that may necessitate surgical intervention to allow functional glenoid restoration. However, posterior glenoid bone abnormalities, when sufficiently severe, may contribute to persistent instability despite a well-performed capsulolabral repair. Recognition and understanding of these lesions is critical to both surgical decision making and execution of the surgical plan. Numerous procedures have been described to address posterior instability including recent developments in arthroscopic grafting techniques. The purpose of this article was to provide an evidence-based strategy for diagnosis and management of posterior shoulder instability and glenoid bone loss.
肩肱关节后向不稳是一种未得到充分认识的致残原因，可能需要手术干预以实现关节盂功能的恢复。然而，关节盂后部的骨异常如果足够严重，即便进行了良好的关节囊盂唇修复，仍可能导致持续性不稳。认识和了解这些病变对于手术决策以及手术计划的实施都至关重要。已经描述了许多用于解决后向不稳的手术方法，包括关节镜下移植技术的最新进展。本文的目的是提供一种基于证据的策略，用于诊断和处理肩后部不稳及关节盂骨缺损。
