切开复位内固定术处理肩关节后脱位合并反Hill-Sachs损伤的诊疗策略  

ORIF treatment of posterior dislocation of shoulder joint with anti-Hill-Sachs injury

作　　者：张经 王斌[1] 刘泽民[1] 许晓沛 张超[1] 郭华楠 吕欣[1] ZHANG Jing;WANG Bin;LIU Zemin;XU Xiaopei;ZHANG Chao;GUO Huanan;LYU Xin(Department of Orthopedic Trauma,The Second Hospital of Shanxi Medical University,Taiyuan,Shanxi 030001,China)

机构地区：[1]山西医科大学第二医院创伤骨科,山西太原030001

出　　处：《安徽医药》2022年第3期429-433,共5页Anhui Medical and Pharmaceutical Journal

基　　金：国家自然科学基金项目(81802204)。

摘　　要：肩关节后脱位合并反Hill-Sachs损伤在临床少见,其漏诊和误诊率较高,易发生复发性肩部损伤,造成严重的生活质量下降。目前临床中有较多的诊疗方法,均各有特点和利弊,其中切开复位内固定术(ORIF)治疗肩部后脱位合并反Hill-Sachs损伤已取得了较优疗效,正逐渐成为治疗的首选和主流方案。该文旨在对目前肩关节后脱位合并反Hill-Sachs损伤的发病机制、诊断、治疗研究进展进行综述。Posterior dislocation of shoulder joint combined with anti-Hill-Sachs injury is rare in clinical practice,with a high rate of missed diagnosis and misdiagnosis.Recurrent shoulder injury is prone to occur,resulting in serious decline in quality of life.At pres⁃ent,there are many clinical diagnosis and treatment methods,all of which have their own characteristics,advantages and disadvantag⁃es.Among them,ORIF(open reduction and internal fixation)has achieved better efficacy in the treatment of posterior dislocation of the shoulder combined with anti-Hill-Sachs injury,and is gradually becoming the first choice and mainstream treatment scheme.The pur⁃pose of this paper is to review the research progress in the pathogenesis,diagnosis and treatment of posterior dislocation of shoulder joint with anti-Hill-Sachs injury.

关 键 词：肩脱位 骨折固定术 内 肩部后脱位合并反Hill-Sachs损伤 关节镜检查 诊疗 

分 类 号：R687.4[医药卫生—骨科学]