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The Evaluation of Hill-Sachs Injuries and the Use of Humeral Head Allograft for Repair of Hill-Sachs and Reverse Hill-Sachs Injuries

机译:山丘损伤的评估和肱骨头同种异体移植修复山丘和反向山丘损伤的应用

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摘要

The human shoulder is an inherently stable joint. Changes within the anatomical structure of the shoulder, both static and dynamic, allow for significant movement in multiple planes, making the shoulder one of the most commonly dislocated joints in the body. Anterior glenohumeral dislocation can result in glenoid bone loss because of fracture abrasion or the compression of the anterior inferior glenoid against the posterior lateral aspect of the humeral head known as a "Hill-Sachs" lesion. Posterior shoulder instability is a much more rare injury, which may result in significant bone defects of the anterior humeral head. Often, small defects are addressed by soft tissue repair, whereas larger defects may require a bony procedure, such as the use of humeral head allograft for the repair of Hill-Sachs and reverse Hill-Sachs lesions. (C) 2015 Elsevier Inc. All rights reserved.
机译:人的肩膀是固有的稳定关节。肩部解剖结构的变化(静态和动态)都允许在多个平面中进行显着运动,从而使肩部成为体内最常见的关节脱位之一。肱骨前脱位可由于骨折磨蚀或前下盂盂相对于肱骨头后外侧的压缩而导致盂盂骨丢失,称为“希尔-萨克斯”病变。后肩不稳是更为罕见的损伤,可能导致肱骨头前部明显的骨缺损。通常,较小的缺损可通过软组织修复来解决,而较大的缺损可能需要进行骨性手术,例如使用肱骨头同种异体移植修复Hill-Sachs和反向Hill-Sachs病变。 (C)2015 Elsevier Inc.保留所有权利。

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