Neviaser R J, Neviaser T J, Neviaser J S
Department of Orthopaedic Surgery, George Washington University Medical Center, Washington, D.C. 20037.
Clin Orthop Relat Res. 1993 Jun(291):103-6.
Thirty-seven patients older than 40 years of age were seen after sustaining primary anterior dislocations of the shoulder. An associated rupture of the rotator cuff in each patient had been missed, often being mistaken for an axillary neuropathy. Eleven of these patients developed recurrent anterior instability that was due to rupture of the subscapularis and anterior capsule from the lesser tuberosity. In no patient was there a Bankart lesion. Repair of the capsule and subscapularis restored stability in all of the patients with recurrence.
37例40岁以上患者因原发性肩关节前脱位前来就诊。每位患者均漏诊了合并的肩袖撕裂，常常被误诊为腋神经病变。其中11例患者出现复发性前不稳定，这是由于肩胛下肌和前关节囊从小结节处撕裂所致。所有患者均未发现Bankart损伤。对关节囊和肩胛下肌进行修复后，所有复发患者均恢复了稳定性。
