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用于接触性运动员复发性前肩不稳的拉塔杰手术

The Latarjet Procedure for Recurrent Anterior Shoulder Instability in the Contact Athlete.

作者信息

Di Giacomo Giovanni, Piscitelli Luigi, Marcello Gianmarco

机构信息

Orthopedics and Traumatology Unit, Concordia Hospital, 90 Sette Chiese Street, 00145 Rome, Italy.

Orthopedics and Traumatology Unit, Concordia Hospital, 90 Sette Chiese Street, 00145 Rome, Italy.

出版信息

Clin Sports Med. 2024 Oct;43(4):635-648. doi: 10.1016/j.csm.2024.03.021. Epub 2024 May 3.

DOI:10.1016/j.csm.2024.03.021
PMID:39232571
Abstract

In young athletes, anterior shoulder instability is a prevalent condition. Because of high-energy traumas, contact athletes often suffer recurrent instability, bone loss and postoperative recurrences. Patients younger than 20 years, symptomatic for more than 6 months, with ≥ 2 dislocations, with off-track Hill-Sachs lesion, glenoid bone loss, ALPSA lesion, Instability Severity Index Score > 3, and Glenoid Track Instability Management Score > 3 are at higher risk of failure. In cases of multiple dislocations with critical or subcritical glenoid bone loss, notably in collision and contact athletes, the Latarjet procedure is widely recognized as the treatment of choice.

摘要

在年轻运动员中,肩关节前不稳定是一种常见病症。由于高能量创伤,从事接触性运动的运动员常出现复发性不稳定、骨质流失和术后复发。年龄小于20岁、症状持续超过6个月、脱位≥2次、存在非轨迹性希尔-萨克斯损伤、肩胛盂骨质流失、关节囊-韧带-骨膜袖套撕脱损伤(ALPSA损伤)、不稳定严重程度指数评分>3以及肩胛盂轨迹不稳定管理评分>3的患者失败风险更高。在存在严重或临界肩胛盂骨质流失的多次脱位病例中,尤其是在碰撞和接触性运动的运动员中,Latjet手术被广泛认为是首选治疗方法。

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The Latarjet Procedure for Recurrent Anterior Shoulder Instability in the Contact Athlete.用于接触性运动员复发性前肩不稳的拉塔杰手术
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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.