Effect of bone loss in anterior shoulder instability  

作　　者：Grant H Garcia Joseph N Liu David M Dines Joshua S Dines 

机构地区：[1]Department of Orthopedic Surgery, Hospital for Special Surgery

出　　处：《World Journal of Orthopedics》2015年第5期421-433,共13页世界骨科杂志（英文版）

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.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.

关 键 词：LATARJET Remplissage GLENOID DEFICIENCY HILL-SACHS LESION ANTERIOR instability 

分 类 号：R684[医药卫生—骨科学]