Anterior glenohumeral instability:Current review with technical pearls and pitfalls of arthroscopic soft-tissue stabilization  

作　　者：John M Apostolakos Joshua Wright-Chisem Lawrence V Gulotta Samuel A Taylor Joshua S Dines 

机构地区：[1]Department of Sports Medicine and Shoulder Surgery,Hospital for Special Surgery,New York,NY 10021,United States

出　　处：《World Journal of Orthopedics》2021年第1期1-13,共13页世界骨科杂志（英文版）

摘　　要：The glenohumeral joint(GHJ)allows for a wide range of motion,but is also particularly vulnerable to episodes of instability.Anterior GHJ instability is especially frequent among young,athletic populations during contact sporting events.Many first time dislocators can be managed non-operatively with a period of immobilization and rehabilitation,however certain patient populations are at higher risk for recurrent instability and may require surgical intervention for adequate stabilization.Determination of the optimal treatment strategy should be made on a case-by-case basis while weighing both patient specific factors and injury patterns(i.e.,bone loss).The purpose of this review is to describe the relevant anatomical stabilizers of the GHJ,risk factors for recurrent instability including bony lesions,indications for arthroscopic vs open surgical management,clinical history and physical examination techniques,imaging modalities,and pearls/pitfalls of arthroscopic soft-tissue stabilization for anterior glenohumeral instability.

关 键 词：ARTHROSCOPIC SOFT-TISSUE Anterior instability GLENOHUMERAL Functional anatomy Recurrent instability 

分 类 号：R687.4[医药卫生—骨科学]