Latest progress on diagnosis and treatment of glenohumeral instability.
- Author:
Gang ZHAO
;
Yu-Jie LIU
- Publication Type:Journal Article
- MeSH:
Arthroscopy;
Humans;
Joint Instability;
diagnosis;
etiology;
therapy;
Shoulder Joint
- From:
China Journal of Orthopaedics and Traumatology
2014;27(2):172-176
- CountryChina
- Language:Chinese
-
Abstract:
As a common and frequently-occurring disease,glenohumeral instability is become one of disease which restrict upper limb activity. The diagnosis of this disease is easy, but it is very difficult to assess the degree of periarticular soft tissue injuries. With the development of magnetic resonance imaging and arthroscopy, MRA become the gold standard for evaluation of glenoid labrum, joint capsule and ligaments injury. The traditional manual reduction is a fast, simple method, but often can cause adverse consequences,such as rotator cuff tear,ligament relaxation,and habitual dislocation. Open operation can rebuild stability of joint,but with many new treatment methods,especially the arthroscopic reconstruction has gradually replaced the open operation, and become the mainstream trend, but for the long-term effect of capsular tightening surgery, rotator cuff gap closure is not clear,it is need further follow-up observation.
