Progress on arthroscopic surgery for recurrent anterior shoulder dislocation.
10.12200/j.issn.1003-0034.2021.05.017
- Author:
Ming-Tao ZHANG
1
;
Guang-Rui ZHANG
1
;
Jian-Ping ZHOU
1
;
Ding WU
1
;
Jia-Xin LIU
1
;
Yao-Fei JIA
1
;
Xiang-Dong YUN
1
Author Information
1. Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Arthroscopes;
Glenohumeral joint;
Joint dislocations;
Review
- MeSH:
Arthroscopy;
Humans;
Joint Instability;
Recurrence;
Scapula;
Shoulder Dislocation/surgery*;
Shoulder Joint
- From:
China Journal of Orthopaedics and Traumatology
2021;34(5):478-484
- CountryChina
- Language:Chinese
-
Abstract:
The surgical treatment of recurrent anterior shoulder dislocation is a difficult problem in the field of sports injury medicine. The main reason focus on dynamic and osseous constraints of shoulder joint could not recover well. At present, arthroscopic surgery is used at home and abroad, and could receive statisfied postoperative effect, but the choice of specific surgical methods is still controversial. According to presence and size of glenoid and humeral skull defects, different treatments should be selected in clinic. The author recommends that no articular glenoid defect or glenoid defect <20%, choose Bankart surgery;articular glenoid defect <20% with Hill-Sachs bone defect <40%, choose Bankart surgery combined with remplissage surgery or ASA surgery;Glenoid defect 20% to 25%, choose "Sling";Glenoid defect 25% to 40%, choose Bristow-Latarjet; Glenoid or Hill-Sachs bone defect>40% or Bristow-Latarjet if the surgical repair fails, bone grafting is used. In addition, if (humeral avulsion of glenohumeral ligaments, HAGL) injury existed, HAGL injury repair should be used. In addition to considering the important factor of bone defects, it is necessary to combine patient's age, exercise level and surgeon's technique to comprehensively select the bestsurgical method.
