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[Clinical study on traumatic anterior instability of shoulder]
1Orthopeadic Center of 304th Hospital of People's Liberation Army, Beijing 100037.
Objective:
To study the clinical diagnosis, conservative and surgical treatment of traumatic anterior instability of the shoulder.
Method:
Based on the experience in diagnosis and treatment of 41 patients, we put forward criteria for diagnosis and treatment of traumatic anterior instability of the shoulder.
Result:
Diagnostic criteria: (1) history of injury to the shoulder; (2) sharp pain in the anterior aspect of the shoulder and weakness and limitation of range of motion of the shoulder; (3) the positive apprehension sign and or anterior drawer test; (4) a Hill-Sachs bony lesion on roentgenogram and abnormal double contrast CT.
Treatment:
(1) rehabilitation program for the patients having symptoms less than 3 months and without anterior capsular rupture; (2) capsular repair and imbrication procedure for the patients having symptoms more than 3 months, or not satisfied to the rehabilitation treatment, or severe anterior capsular rupture on double contrast CT. The results of the treatment were satisfactory with average 16-month follow-up.
Conclusion:
The diagnostic criteria and the treatment principles help improve the results of treatment of shoulder injuries, further clinical study is needed for traumatic anterior instability of the shoulder.