Bipolar bone defect in the shoulder anterior dislocation
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  • 作者:Giovanni Di Giacomo ; Nicola de Gasperis…
  • 关键词:Shoulder ; Latarjet ; Instability ; Bone loss ; Hill–Sachs ; Bankart lesion ; Bankart repair ; Shoulder instability ; Remplissage ; Glenoid defect ; Humeral defect ; On ; track ; Off ; track
  • 刊名:Knee Surgery, Sports Traumatology, Arthroscopy
  • 出版年:2016
  • 出版时间:February 2016
  • 年:2016
  • 卷:24
  • 期:2
  • 页码:479-488
  • 全文大小:780 KB
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  • 作者单位:Giovanni Di Giacomo (1)
    Nicola de Gasperis (1)
    Paolo Scarso (1)

    1. Department of Orthopaedic Surgery, Concordia Hospital for “Special Surgery”, Via delle Sette Chiese 90, 00145, Rome, Italy
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Orthopedics
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1433-7347
文摘
In the anterior shoulder instability with glenoid bone loss among 25 % or more of the inferior glenoid diameter (inverted-pear glenoid), the consensus of recent authors is that glenoid bone grafting (Latarjet procedure) should be performed. The engaging Hill–Sachs lesion has been recognized as a risk factor for recurrent anterior shoulder instability. We have developed a method using radiographic and arthroscopic studies and the concept of the glenoid track to determine whether a Hill–Sachs lesion will engage the anterior glenoid rim, whether or not there is concomitant anterior glenoid bone loss. If the Hill–Sachs lesion engages, it is called an “off-track” Hill–Sachs lesion; if it does not engage, it is an “on-track” lesion. On the basis of our quantitative method, we have developed a treatment paradigm with specific surgical criteria for all patients with anterior shoulder instability (first dislocation or recurrent dislocation), both with and without bipolar bone loss. Keywords Shoulder Latarjet Instability Bone loss Hill–Sachs Bankart lesion Bankart repair Shoulder instability Remplissage Glenoid defect Humeral defect On-track Off-track

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