Research progress of the diagnosis and treatment of anterior shoulder instability.
10.7507/1002-1892.202305002
- Author:
Xin TANG
1
;
Shiyi CHEN
2
Author Information
1. Department of Orthopedics, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P. R. China.
2. Department of Sports Medicine, Huashan Hospital Affiliated to Fudan University, Shanghai, 200040, P. R. China.
- Publication Type:Journal Article
- Keywords:
Anterior shoulder instability;
diagnosis and treatment;
new concepts
- MeSH:
Humans;
Shoulder Joint/surgery*;
Shoulder Dislocation/surgery*;
Shoulder;
Joint Instability/surgery*;
Scapula;
Joint Dislocations;
Recurrence;
Arthroscopy/methods*
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(5):509-517
- CountryChina
- Language:Chinese
-
Abstract:
The shoulder joint is the most prone to dislocation in the whole body, and more than 95% of them are anterior dislocation. Improper treatment after the initial dislocation is easy to lead to recurrent anterior dislocation or anterior shoulder instability, and the outcomes following conservative treatment is poor. Anterior shoulder instability can damage the soft tissue structure and bone structure that maintain the stability of shoulder joint, among which bone structure is the most important factor affecting the stability of shoulder joint. Diagnosis should be combined with medical history, physical examination, and auxiliary examination. Currently, three-dimensional CT is the most commonly used auxiliary examination means. However, various bone defect measurement and preoperative evaluation methods based on three-dimensional CT and the glenoid track theory have their own advantages and disadvantages, and there is still a lack of gold standard. Currently, the mainstream treatment methods mainly include Bankart procedure, coracoid process transposition, glenoid reconstruction with free bone graft, Bankart combined with Remplissage procedure, and subscapular tendon binding tamponade, etc. Each of these procedures has its own advantages and disadvantages. For the diagnosis and treatment of anterior shoulder instability, there are still too many unknown, further research and exploration need to be studied.
