Wall M S, O'Brien S J
Hospital for Special Surgery, New York, New York, USA.
Clin Sports Med. 1995 Oct;14(4):817-39.
The arthroscopic evaluation of glenohumeral instability is based upon having a firm understanding of normal arthroscopic anatomy and knowledge of the structures responsible for the static and dynamic control of glenohumeral translation. Once this has been mastered, shoulder arthroscopy in combination with EUA can play an integral role in the management of shoulder instability. EUA's use in the dislocator is established in the decision of when to proceed with open or arthroscopic stabilization, and its role for prognostic purposes in this situation is less well-defined. For occult instability, shoulder arthroscopy can be diagnostic and be an aid to deciding whether open or arthroscopic stabilization is appropriate.
肩关节不稳的关节镜评估基于对正常关节镜解剖结构的深入理解以及对负责肩关节平移静态和动态控制结构的了解。一旦掌握了这些，肩关节镜检查联合关节外手法检查（EUA）在肩关节不稳的治疗中可发挥重要作用。EUA在习惯性肩关节脱位患者中的应用在于决定何时进行切开或关节镜下稳定手术，而其在这种情况下的预后作用尚不太明确。对于隐匿性不稳，肩关节镜检查可用于诊断，并有助于决定进行切开还是关节镜下稳定手术是否合适。
