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后肩部不稳定 后肩部不稳定
Jérôme Garret1, Stanislas Gunst2, Marc Olivier Gauci3
1Clinique du Parc de Lyon, 155(ter), Boulevard Stalingrad, 69006 Lyon, France.
Orthopaedics & traumatology, surgery & research : OTSR
|November 23, 2024
概括
后肩部不稳定性 (PSI) 涉及反复失去后关节接触. 治疗范围从功能性PSI的非手术性康复到骨损伤的结构性PSI的手术修复.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 后肩部不稳定性 (PSI) 的特点是,反复出现的,后关节接触的症状性损失.
- 危险因素包括带过松,状腺逆转/形,以及形形态.
- 相关的病变包括部撕裂,后侧腺侵蚀/骨折,以及前侧部头部划痕.
研究的目的:
- 定义和分类后肩部的不稳定.
- 概述功能性和结构性PSI的临床表现和治疗策略.
- 讨论结构性PSI的外科进展.
主要方法:
- 将PSI分为功能和结构亚型的分类.
- 对临床表现,危险因素和相关病变的审查.
- 对非手术和手术治疗选择的分析.
主要成果:
- 功能性PSI涉及肌肉活动受损,并非手术治疗.
- 结构性PSI涉及解剖病变,通常来自微创伤,可能需要手术.
- 关节镜修复在没有骨损失的情况下有效治疗部撕裂; 骨块用于显著的骨损伤.
结论:
- PSI可以是功能性的 (没有解剖病变) 或结构性的 (有解剖病变).
- 治疗是根据亚型量身定制的,从康复到手术干预.
- 3D规划和专业固定增强了结构性PSI的外科结果.
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