相关实验视频
Updated: Aug 2, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.8K
经常出现的肩部不稳定与结骨损失:对对应弧斜射的案例报告
Kashif Memon1, Manahil Awan2, Shahzad Ahmad2
1Trauma and Orthopedics, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Cureus
|November 14, 2025
概括
同等弧 Latarjet (CAL) 程序有效地治疗重复的肩部不稳定性与显著的骨损失. 这种手术技术在一个高要求的运动员身上恢复了完全的,无痛的运动,突出了它对复杂病例的潜力.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 手术创新 在外科创新.
背景情况:
- 经常出现的肩部不稳定性通常涉及显著的状骨损失和Hill-Sachs病变 (HSL).
- 拉达喷气手术,特别是对等弧度修改,是结合状骨和骨骨缺陷的可行解决方案.
- 经常出现脱位的高要求运动员在日常活动和体育活动中面临挑战.
研究的目的:
- 报告一次性肩部不稳定的病例,用对应弧 Latarjet (CAL) 程序进行治疗.
- 强调准确的诊断和手术规划在管理复杂的骨质损失的重要性.
- 评估CAL手术在恢复肩膀稳定性和功能的有效性.
主要方法:
- 一名23岁的摔运动员有7年的肩膀位病史,他接受了诊断性关节镜检查.
- 图像检测显示了大量的Hill-Sachs病变和显著的腺骨损失,由Glenoid轨道 (GT) 分析证实.
- 一个开放的对等弧 Latarjet (CAL) 程序使用deltopectoral方法进行,用两个螺丝固定心脏骨移植.
主要成果:
- 术后放射学证实了正确的移植位置.
- 在三个月的随访后,患者实现了完全的,无痛的运动范围.
- 没有观察到肩部不稳定或功能限制的复发.
结论:
- 早期识别和精确的骨质损失成像对于成功的肩部不稳定性管理至关重要.
- 同等弧 Latarjet (CAL) 程序是一种有效的治疗复杂的肩部不稳定性与大量的骨损失.
- 这种技术为高需求患者恢复稳定性和功能提供了可靠的解决方案.
相关概念视频
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:29Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:19Bones of the Upper Limb: Humerus
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
01:16Bones of the Lower Limb: Femur and Patella
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
01:24Flail Chest-I
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
01:29Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...