Effect of bone loss in anterior shoulder instability
Effect of bone loss in anterior shoulder instability作者机构:Department of Orthopedic Surgery Hospital for Special Surgery
出 版 物:《World Journal of Orthopedics》 (世界骨科杂志(英文版))
年 卷 期:2015年第6卷第5期
页 面:421-433页
学科分类:0403[教育学-体育学] 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:Latarjet Remplissage Glenoid deficiency Hill-Sachs lesion Anterior instability
摘 要:Anterior shoulder instability with bone loss can be a difficult problem to treat. It usually involves a component of either glenoid deficiency or a Hill-Sachs lesion. Recent data shows that soft tissue procedures alone are typically not adequate to provide stability to the shoulder. As such, numerous surgical procedures have been described to directly address these bony deficits. For glenoid defects, coracoid transfer and iliac crest bone block procedures are popular and effective. For humeral head defects, both remplissage and osteochondral allografts have decreased the rates ofrecurrent instability. Our review provides an overview of current literature addressing these treatment options and others for addressing bone loss complicating anterior glenohumeral instability.