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首页> 美国卫生研究院文献>Current Reviews in Musculoskeletal Medicine >Anterior shoulder instability: a review of pathoanatomy diagnosis and treatment
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Anterior shoulder instability: a review of pathoanatomy diagnosis and treatment

机译：肩关节前不稳：病理解剖学诊断和治疗综述

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摘要

The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7% in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart lesions and Hills Sachs lesion have been implicated in failed surgical management using techniques that address only the soft tissues. An individualized treatment approach, based upon the patient’s injury pattern and expectations, will likely lead to the most successful outcome.
机译：盂肱关节由于其骨质结构而固有地倾向于不稳定。在一般人群中，肩部不稳的发生率为1.7％。已经描述了盂肱关节的囊纤维结构的相关损伤，并且可能在预测复发性不稳定性中起作用。为了充分评估相关的盂肱型病理，可能需要进行高级成像，计算机断层扫描或MRI。传统上，治疗算法包括对所有患者进行非手术治疗，但是，年轻的运动型患者通常可以从早期手术治疗中受益。存在各种开放式和关节镜手术选择来解决肱骨前肱骨不稳。使用仅针对软组织的技术，包括骨性Bankart病灶和Hills Sachs病灶在内的骨伤与手术治疗失败有关。基于患者的受伤方式和期望的个性化治疗方法可能会带来最成功的结果。

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