Hill-Sachs损伤的诊疗现状  

Current diagnosis and treatment of Hill-Sachs injury

作　　者：赵喆[1] 舒衡生[2] 马宝通[2] 

机构地区：[1]天津市天津医院中西骨科,天津300211 [2]天津市天津医院创伤骨科,天津300211

出　　处：《中国矫形外科杂志》2015年第18期1676-1679,共4页Orthopedic Journal of China

摘　　要：Hill-Sachs损伤是由Hill和Sachs首先报道的,该损伤是肩关节发生前脱位时,肱骨头后外侧与肩胛骨关节盂前缘撞击,使肱骨头后上方产生的压缩性骨折。虽然该种损伤实际发生率并不明确,但是有报道认为肩关节前脱位患者中伴有该损伤的比例较高。而且啮合性Hill-Sachs损伤如不进行有效的治疗有很高的肩关节再脱位发生率。目前临床工作中对Hill-Sachs损伤的诊断与治疗并没有形成一致意见。对于Hill-Sachs损伤可以通过病史、查体及影像学进行诊断,治疗上有保守治疗及手术的方式可以采用。The Hill -Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability, which was first reported by Hill and Sachs. Although the actual incidence of this type of damage is not clear, a higher proportion of patients with dislocated shoulder in the front with the injury has been reporred. And if engagement of the Hill - Sa- chs lesion is not treated effectively it will have a high incidence of re - dislocation of the shoulder joint. Currently diagnosis of the Hill - Sachs and treatment of injury have not formed a consensus conception. Hill - Sachs lesion can he diagnosed by medi- cal history, physical examination and imaging, conservative treatment and surgical treatment methods can be selected.

关 键 词：Hill-Sachs损伤 复发性肩关节前脱位 病史 影像学诊断 手术治疗 

分 类 号：R683[医药卫生—骨科学]