Jahnke A H, Greis P E, Hawkins R J
Steadman Hawkins Clinic, Vail, Colorado, USA.
Orthop Clin North Am. 1995 Oct;26(4):613-30.
The use of the arthroscope for shoulder instability has improved our understanding of normal and pathologic shoulder anatomy. We must emphasize, however, that the majority of shoulder problems can be accurately diagnosed with a thorough history and good physical examination. The arthroscope is helpful, however, to confirm a clinical diagnosis or assist in making a diagnosis in difficult or complex pathologic findings. Further, as our surgical techniques and understanding of shoulder instability improve, more pathologic entities about the shoulder become amenable to arthroscopic surgical procedures. We must emphasize that most of these arthroscopic procedures are technically demanding and significant learning curves exist. These procedures should be undertaken only by physicians who have excellent arthroscopic skills and are comfortable recognizing normal and pathologic arthroscopic anatomy of the shoulder.
关节镜在肩关节不稳中的应用增进了我们对正常及病理状态下肩部解剖结构的理解。然而，我们必须强调，大多数肩部问题通过详尽的病史询问和细致的体格检查就能得到准确诊断。不过，关节镜有助于证实临床诊断，或在遇到疑难或复杂病理表现时辅助诊断。此外，随着我们手术技术的提高以及对肩关节不稳认识的加深，更多有关肩部的病理情况适合采用关节镜手术治疗。我们必须强调，这些关节镜手术大多技术要求高，且存在显著的学习曲线。这些手术应由具备精湛关节镜技术且能熟练识别肩部正常及病理关节镜解剖结构的医生来开展。
