Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Jun 15;33(6):768-773.
doi: 10.7507/1002-1892.201901021.

[Research progress of surgical treatment for anterior shoulder dislocation and combined injuries]

[Article in Chinese]
Daqiang Liang  1 , Zhihe Qiu  1 , Haifeng Liu  1 , Wei Lu  2
Affiliations
Review

[Research progress of surgical treatment for anterior shoulder dislocation and combined injuries]

[Article in Chinese]
Daqiang Liang et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. .

Abstract
in English, Chinese

Objective: To summarize the research progress of surgical treatment for anterior shoulder dislocation and combined injuries.

Methods: The related literature was reviewed, and the surgical treatment options for the anterior shoulder dislocation and its combined injuries were summarized.

Results: Anterior shoulder dislocation can combine with anteroinferior capsular ligament complex injury (Bankart injury), bony Bankart defect, and Hill-Sachs lesion. For Bankart and bony Bankart injuries, arthroscopic repair or coracoid osteotomy combined with bony graft reconstruction can be performed. For Hill-Sachs lesion, conservative treatment, soft tissue repair, or bony reconstruction should be selected based on the extent of the bone defect. For bipolar injury, the Bankart repair, Remplissage, or arthroplasty should be selected based on the extent of the glenoid defect.

Conclusion: With the development of arthroscopy and the improvement of the surgical concept, there is a complete set of surgical options for various injuries of the anterior shoulder dislocation. When choosing a surgical procedure, the patient's specific injury and age, exercise level, and other relating factors should be comprehensively assessed in order to achieve the best results.

目的: 总结肩关节前向脱位及合并损伤的手术治疗进展。.

方法: 查阅国内外肩关节前向脱位及合并损伤手术治疗方法及疗效的相关文献，并进行总结分析。.

结果: 肩关节前向脱位可合并前下关节囊韧带复合体损伤（Bankart 损伤）、关节盂骨缺损（骨性 Bankart 损伤）以及 Hill-Sachs 损伤。对于 Bankart 损伤，可选择关节镜下修复或者联合喙突截骨转位术、移植物行骨性重建。对于 Hill-Sachs 损伤，根据骨性缺损范围选择保守、软组织修复或骨性重建等。对于双极损伤（肩胛盂以及肱骨头骨缺损），可根据骨缺损范围选择 Bankart 术、Remplissage 术或肱骨头置换等。.

结论: 随着关节镜的发展以及手术理念的改进，针对肩关节前向脱位及合并损伤临床已有一套完善手术方案，可通过综合评估患者伤情及年龄、运动水平等因素选择恰当术式，以求达到最佳疗效。.

Keywords: Anterior shoulder dislocation; combined injury; research progress; surgical treatment.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Hovelius L Shoulder dislocation in Swedish ice hockey players. Am J Sports Med. 1978;6(6):373–377. doi: 10.1177/036354657800600611. - DOI - PubMed
    1. Kim SH, Ha KI, Kim SH Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy. 2002;18(7):755–763. doi: 10.1053/jars.2002.31701. - DOI - PubMed
    1. Kropf EJ, Tjoumakaris FP, Sekiya JK Arthroscopic shoulder stabilization: is there ever a need to open? Arthroscopy. 2007;23(7):779–784. doi: 10.1016/j.arthro.2007.03.004. - DOI - PubMed
    1. Chen L, Xu Z, Peng J, et al Effectiveness and safety of arthroscopic versus open Bankart repair for recurrent anterior shoulder dislocation: a meta-analysis of clinical trial data. Arch Orthop Trauma Surg. 2015;135(4):529–538. doi: 10.1007/s00402-015-2175-0. - DOI - PubMed
    1. Judson CH, Voss A, Obopilwe E, et al An anatomic and biomechanical comparison of Bankart repair configurations. Am J Sports Med. 2017;45(13):3004–3009. doi: 10.1177/0363546517717671. - DOI - PubMed

LinkOut - more resources