Kvitne R S, Jobe F W, Jobe C M
Kerlan-Jobe Orthopaedic Clinic, Inglewood, California, USA.
Clin Sports Med. 1995 Oct;14(4):917-35.
In the young throwing athlete with shoulder pain, it is essential to recognize that glenohumeral joint instability (occult subluxation, rather than impingement) is the primary underlying pathology. Fortunately, conservative management is effective in most chronic overuse injuries. For those athletes with continued symptoms, surgical intervention may become necessary. The anterior capsulolabral reconstruction addresses the problem of glenohumeral joint instability by correcting the capsular redundancy, labrum damage, or both. The authors believe this most recent surgical technique and postoperative rehabilitation program has resulted in a significant improvement in our ability to more predictably and successfully return these athletes to prior competitive levels.
对于有肩部疼痛的年轻投掷运动员，必须认识到盂肱关节不稳定（隐匿性半脱位，而非撞击）是主要的潜在病理状况。幸运的是，保守治疗对大多数慢性过度使用损伤有效。对于那些症状持续的运动员，可能需要手术干预。前路关节囊盂唇重建术通过纠正关节囊冗余、盂唇损伤或两者来解决盂肱关节不稳定的问题。作者认为，这种最新的手术技术和术后康复计划已使我们更可预测且成功地让这些运动员恢复到先前竞技水平的能力有了显著提高。
