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关节镜下治疗接触性运动员前向不稳定

Arthroscopic Management of the Contact Athlete with Anterior Instability.

机构信息

Department of Orthopedic Surgery, Mayo Clinic, Phoenix, AZ, USA.

Institute of Protein Design, University of Washington, Seattle, Washington, USA.

出版信息

Clin Sports Med. 2024 Oct;43(4):601-615. doi: 10.1016/j.csm.2024.03.020. Epub 2024 Apr 23.

DOI:10.1016/j.csm.2024.03.020
PMID:39232569
Abstract

Anterior glenohumeral instability is one of the most common injuries suffered from sport. Despite padding and conditioning, the shoulder joint remains particularly vulnerable to injury, especially in the setting of contact. The overall rate of anterior instability is reported to be 0.12 injuries per 1000 athlete exposures, although this is increased up to 0.40 to 0.51 in the contact athlete. Successful treatment requires consideration of restoring stability while minimizing loss of glenohumeral motion. Common treatment strategies involve addressing the pathology that results from anterior shoulder dislocation including labral detachment as well as bony defects to the humeral head and glenoid.

摘要

盂肱前向不稳定是运动损伤中最常见的损伤之一。尽管有衬垫和调理,肩关节仍然特别容易受伤,特别是在接触的情况下。盂肱前向不稳定的总体发生率据报道为每 1000 名运动员暴露 0.12 例,但在接触运动员中增加到 0.40 至 0.51 例。成功的治疗需要考虑在最小化盂肱关节活动损失的同时恢复稳定性。常见的治疗策略包括解决盂肱关节前脱位导致的病理问题,包括盂唇撕脱以及肱骨头和肩胛盂的骨缺损。

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引用本文的文献

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Management of anterior shoulder instability in the contact athlete: a narrative review.接触性运动运动员前肩不稳的管理:一项叙述性综述
Ann Jt. 2025 Apr 22;10:19. doi: 10.21037/aoj-24-65. eCollection 2025.