创伤性盂肱关节前脱位的治疗进展  

Progress in the treatment of traumatic anterior glenohumeral dislocation

作　　者：罗静涛 章新君 吴博 王梓鑫 吴晓明[2] LUO Jing-tao;ZHANG Xin-jun;WU Bo;WANG Zi-xin;WU Xiao-ming(Department of Orthopaedics,Sijing Hospital,Shanghai,201601,China;不详)

机构地区：[1]上海市松江区泗泾医院骨科,201601 [2]上海市第一人民医院创伤骨科,200080

出　　处：《中国骨与关节杂志》2024年第8期647-655,共9页Chinese Journal of Bone and Joint

摘　　要：创伤性盂肱关节前脱位是指跌倒、撞击等暴力因素导致肱骨头与关节盂失去正常的解剖关系,肱骨头脱离关节盂向前下脱位。患者的盂肱关节常合并骨性及软组织损伤,包括Bankart损伤、Hill-Sachs损伤、肩胛盂骨性损伤以及肱骨头附着处盂肱韧带撕脱性损伤(humeral avulsion of the glenohumeral ligament,HAGL)^([1])。Traumatic anterior glenohumeral dislocation refers to the loss of the normal anatomical relationship between the humeral head and the articular glenoid due to violent factors such as falls and impacts,with the humeral head dislocating forward and downward from the articular glenoid.The impact occurs between the posterior lateral humeral head and the anterior inferior part of the articular glenoid along with anterior inferior dislocation of the glenohumeral joint.Its high-energy damage destroys the glenoid labrum,ligaments,and other stable structures of the glenohumeral joint,resulting in recurrent dislocations of patients without systematic treatment.Clinically,young patients are at high risk of recurrent traumatic glenohumeral joint dislocation,and the accompanying pain and fear of glenohumeral joint instability seriously affect their daily work and life.Because of the different types of injuries to the stable structures of the glenohumeral joint,the corresponding treatment varies.This article reviews the common treatment methods for traumatic anterior glenohumeral dislocation in the context of domestic and international literature for clinical reference.

关 键 词：创伤学 肩关节 肩脱位 综述 

分 类 号：R684.7[医药卫生—骨科学]