Bone loss in anterior instability

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• 作者：Eiji Itoi (1)
  Nobuyuki Yamamoto (1)
  Daisuke Kurokawa (1)
  Hirotaka Sano (1)
  
• 关键词：Shoulder instability ; Dislocation ; Glenoid ; Humeral head ; Bony defect ; Bony Bankart lesion ; Hill–Sachs lesion ; Engaging Hill–Sachs lesion ; Latarjet procedure ; Bristow–Latarjet ; Bone graft ; Glenoid track ; Stabilizer ; Stabilization mechanism ; Remplissage ; End ; range stability ; Mid ; range stability
• 刊名：Current Reviews in Musculoskeletal Medicine
• 出版年：2013
• 出版时间：March 2013
• 年：2013
• 卷：6
• 期：1
• 页码：88-94
• 全文大小：164KB
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• 作者单位：Eiji Itoi (1)
  Nobuyuki Yamamoto (1)
  Daisuke Kurokawa (1)
  Hirotaka Sano (1)
  
  1. Department of Orthopaedic Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan
  

文摘

Bone loss is commonly observed in shoulders with anterior instability. The Latarjet procedure is commonly performed when a glenoid bony defect exists that is greater than 25?% of the glenoid width or when the risk of recurrent instability is higher (i.e., collision-sport athletes). Hill–Sachs lesions need to be assessed as well. For the purpose of assessing the bipolar lesions, the glenoid track concept is useful. A Hill–Sachs lesion that is located more medially than the medial margin of the glenoid track is defined as an engaging Hill–Sachs lesion. A potential treatment for such a condition is remplissage, but this procedure also decreases range of motion. Thus, its application in overhead athletes needs to be carefully considered.