Prevention and management of post-instability glenohumeral arthropathy

作     者：Brian R Waterman Kelly G Kilcoyne Stephen A Parada Josef K Eichinger 

作者机构：Department of Orthopaedic Surgery and Rehabilitation William Beaumont Army Medical Center Eisenhower Army Medical Center Madigan Army Medical Center 

出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)

年 卷 期：2017年第8卷第3期

页      面：229-241页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Arthropathy Glenohumeral Dislocation Latarjet Instability 

摘      要：Post-instability arthropathy may commonly develop in high-risk patients with a history of recurrent glenohumeral instability,both with and without surgical *** related to anterior shoulder instability,the incidence and rates of arthritic progression may vary *** arthritic changes may be present in up to two-thirds of patients after primary Bankart repair and 30%after Latarjet procedure,with increasing rates associated with recurrent dislocation history,prominent implant position,non-anatomic reconstruction,and/or lateralized bone graft ***,the presence radiographic arthrosis does not predict poor patient-reported *** exhausting conservative measures,both joint-preserving and arthroplasty surgical options may be considered depending on a combination of patient-specific and anatomic *** procedures are optimally indicated for individuals with focal disease and may yield superior symptomatic relief when combined with treatment of combined shoulder *** more advanced secondary arthropathy,total shoulder arthroplasty remains the most reliable option,although the clinical outcomes,wear characteristics,and implant survivorship remains a concern among active,young patients.