Chan K M, Maffulli N, Nobuhara M, Wu J J
Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Faculty of Medicine, Prince of Wales Hospital, Shatin.
Clin Orthop Relat Res. 1996 Feb(323):106-12. doi: 10.1097/00003086-199602000-00014.
Recently, there has been an upsurge of interest among the orthopaedic sports medicine community in Asia on this subject of athletic shoulder instability. This is particularly prominent in countries such as Japan, Korea, Taiwan, and Hong Kong, where sports requiring throwing and overhead use of the upper limb are popular. In this review, the classification of the condition is analyzed with a specific account of the rotator interval injury. A systematic plan of clinical assessment is presented highlighting the specific regional considerations in clinical practice and cost-effectiveness of the health care systems in Asia. The management of athletic shoulder instability depends on patient attitude and cultural background. In Asia, the popular choice of Bankart repair with capsular shift procedure is presented with special reference to the unique experience of multidirectional and habitual posterior instability. Arthroscopic surgery is becoming popular in Asia, and the indications and limitations of the technique in the management of shoulder instability are discussed.
最近，亚洲的骨科运动医学领域对运动性肩关节不稳这一主题的兴趣激增。这在日本、韩国、台湾和香港等国家和地区尤为突出，在这些地方，需要上肢投掷和过顶动作的运动很受欢迎。在这篇综述中，对该病症的分类进行了分析，并特别阐述了旋转间隔损伤。提出了一个系统的临床评估计划，突出了临床实践中的特定区域考量以及亚洲医疗保健系统的成本效益。运动性肩关节不稳的治疗取决于患者的态度和文化背景。在亚洲，介绍了流行的Bankart修复联合关节囊移位手术，并特别提及了多方向和习惯性后向不稳的独特经验。关节镜手术在亚洲正变得越来越普遍，文中还讨论了该技术在肩关节不稳治疗中的适应症和局限性。
