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与其他干预措施相比,采用自体锁骨移植进行开放性盂肱关节稳定术治疗前肩关节脱位的方法。

An Approach to an Anterior Shoulder Dislocation Using an Open Glenoid Stabilization With a Clavicle Autograft Compared to Other Interventions.

作者信息

Dao Kevin T, Messiha Youssef, Davtyan Edvard, Dhillon Amritpal, Yasonova Mia, Ussef Najib

机构信息

Internal Medicine, UCLA-Kern Medical, Bakersfield, USA.

Orthopedic Surgery, UCLA-Kern Medical, Bakersfield, USA.

出版信息

Cureus. 2025 Feb 4;17(2):e78524. doi: 10.7759/cureus.78524. eCollection 2025 Feb.

Abstract

The majority of joint dislocations tend to be shoulder dislocations, with the anterior shoulder dislocation being the most common. However, despite how common these types of injuries are, there have been frequent discussions regarding the type of treatment patients should receive and which surgeries are ideal to prevent recurrence. Some of the few surgeries include Bankart repair, remplissage, Latarjet procedures, and other glenoid stabilization surgeries. Here, we would like to present a patient who had an anterior shoulder dislocation, resulting in the patient having a remplissage with Bankart repair done at an outside institution, which failed. The patient then underwent an open glenoid augmentation procedure using the distal clavicle autograft rather than the traditional Latarjet procedure with a successful outcome. A discussion will also be held when comparing the majority of orthopedic procedures to prevent further anterior shoulder dislocations.

摘要

大多数关节脱位倾向于为肩关节脱位,其中前肩关节脱位最为常见。然而,尽管这类损伤很常见,但关于患者应接受何种治疗以及哪种手术最适合预防复发的讨论却屡见不鲜。少数几种手术包括Bankart修复术、填充术、Latarjet手术以及其他关节盂稳定手术。在此,我们将介绍一位前肩关节脱位的患者,该患者在外部机构接受了Bankart修复术联合填充术,但手术失败。随后,该患者接受了使用远端锁骨自体移植的开放性关节盂增强手术,而非传统的Latarjet手术,结果成功。在比较大多数预防前肩关节脱位的骨科手术时,也将进行讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aac6/11888569/201aa3e3918b/cureus-0017-00000078524-i01.jpg

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