Treatment of posterior shoulder instability with bone block procedure and posterior capsulorrhaphy
- VernacularTitle:骨阻滞联合关节囊紧缩成形术治疗肩关节后不稳定
- Author:
Yadong ZHANG
;
Shuxun HOU
;
Yichao ZHANG
;
Dianzhong LUO
;
Yamin SHI
- Publication Type:Journal Article
- Keywords:
Posterior shoulder instability;
Bone block procedure;
Posterior capsulorrhaphy;
Double contrast CT arthrography
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical results of the treatment of posterior shoulder instability in a combined way of bone block procedure and posterior capsulorrhaphy. Methods The double contrast CT arthrography was performed for 5 patients suffering from posterior shoulder instability so as to detect the pathology. The treatments combining bone block procedure and posterior capsulorrhaphy were carried out according to the pathological conditions of bone and soft tissue. Results The double contrast CT arthrography showed posterior bone defects, posterior glenoid labrum tear and enlargement of posterior capsular cavity. After the bone block procedure and posterior capsulorrhaphy, no patients complained shoulder instability in the follow-up of 5 to 38 months. Conclusions Many pathological factors may induce posterior shoulder instability, which should be corrected by an appropriate operation rather than a “standard”method of operation. For patients involving several pathological factors, a combined operation may be needed in order to correct various pathological changes.
