关节镜下处理肩关节前脱位中Hill-Sachs伴Bankart损伤的诊疗进展  

Arthroscopic treatment of Hill-Sachs combined with Bankart lesions in anterior dislocation of shoulder joint

作　　者：张经 王斌[1] 刘泽民[1] 许晓沛 张超[1] 吕欣[1] Zhang Jing;Wang Bin;Liu Zemin;Xu Xiaopei;Zhang Chao;Lyu Xin(Department of Orthopedics,The Second Hospital of Shanxi Medical University,Taiyuan 030001,China)

机构地区：[1]山西医科大学第二医院骨科,太原030001

出　　处：《中华创伤骨科杂志》2021年第10期916-920,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家自然科学基金(81802204)。

摘　　要：肩关节前脱位中Hill-Sachs损伤伴Bankart损伤是骨科临床诊断治疗的一大难点,其肩关节再脱位复发率较高,对肩关节的损害严重,容易造成复发性肩部损伤,严重影响日常生活质量。目前临床中有较多的诊疗方法均各有特点和利弊,其中肩关节镜下手术治疗已取得了较优的疗效,正逐渐成为治疗的首选和主流方法。本文针对目前肩关节前脱位中Hill-Sachs损伤伴Bankart损伤的发病机制、诊断、关节镜下治疗的研究进展进行综述。Diagnosis and treatment of Hill-Sachs combined with Bankart lesions in anterior dislocation of shoulder joint is a major clinical challenge in orthopedics,because it likely leads to a high recurrence rate of redislocation of shoulder joint,a serious damage to the shoulder joint,recurrent shoulder injury and dramatically disturbed quality of daily life.Although various means of clinical diagnosis and treatment are available for the lesions,they all have their own advantages and disadvantages.However,arthroscopic surgery of shoulder has achieved superior curative effects,gradually becoming the first choice and a mainstream treatment.This article reviews the current research progress in pathogenesis,diagnosis and arthroscopic treatment of Hill-Sachs combined with Bankart lesions in anterior dislocation of shoulder joint.

关 键 词：肩关节 关节镜检查 肩脱位 Hill-sachs损伤 BANKART损伤 

分 类 号：R687.4[医药卫生—骨科学]