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Chronic anterior shoulder instability with bone loss: a practical approach. 伴有骨质流失的慢性肩关节前部不稳定:一种实用的方法。
IF 0.5 4区 医学 Q4 ORTHOPEDICS Pub Date : 2024-05-20 eCollection Date: 2024-01-01 DOI: 10.21037/aoj-23-8
Philippe Landreau, Antoine Catteeuw, Ibrahim Altayar

The stability of the glenohumeral joint, known for its remarkable mobility, relies on several factors, including the congruency of the joint's bones and the integrity of capsulolabral structures, encompassing the labrum, the capsule, and the glenohumeral ligaments. In cases of anterior shoulder instability, bone lesions are a common occurrence, most frequently involving glenoid bone loss and Hill-Sachs lesions. When both glenoid and humeral bone lesions coexist, the isolated Bankart procedure has exhibited a significant rate of failure. In such instances, the Latarjet procedure, especially when bone loss is present, retains its position as the gold standard, thanks to its consistent success in both short- and long-term outcomes. Recent advancements in research have explored alternative strategies to address bone loss, including the Remplissage procedure for humeral bone deficits and the use of bone block grafts to manage glenoid bone lesions, with a focus on achieving more anatomical techniques. However, it's crucial to recognize that, beyond bone loss, a multitude of intrinsic and extrinsic factors come into play when determining the most suitable treatment. The patient's profile, including factors like constitutional laxity and activity level, must be carefully considered in the decision-making process. The Latarjet procedure maintains its esteemed status as a benchmark in the field, thanks to its consistent excellence in both short- and long-term results. This article seeks to provide insights into the roles and placement of various surgical techniques within the context of chronic anterior shoulder instability, taking into account the intricate interplay of factors that influence treatment decisions.

盂肱关节以其出色的活动性而闻名,其稳定性取决于多个因素,包括关节骨骼的一致性和包括盂唇、关节囊和盂肱韧带在内的关节囊结构的完整性。在肩关节前部不稳定的病例中,骨质病变是一种常见现象,最常见的是盂骨缺损和Hill-Sachs病变。当盂骨和肱骨同时发生病变时,孤立的Bankart手术失败率很高。在这种情况下,Latarjet 手术,尤其是在骨质缺失的情况下,由于其在短期和长期疗效上的持续成功,仍被视为黄金标准。最近的研究进展探索了解决骨质流失的替代策略,包括针对肱骨骨质缺损的Remplissage手术,以及使用骨块移植物处理盂骨病变,重点是实现更符合解剖学的技术。然而,关键是要认识到,除了骨质流失外,在确定最合适的治疗方法时,还有许多内在和外在因素在起作用。在决策过程中,必须仔细考虑患者的情况,包括体质松弛和活动水平等因素。Latarjet 手术在短期和长期疗效方面均表现出色,因此一直保持着该领域基准的崇高地位。考虑到影响治疗决策的各种因素之间错综复杂的相互作用,本文旨在深入探讨各种手术技术在慢性肩关节前方不稳定中的作用和位置。
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引用次数: 0
Arthroscopic management of pediatric ankle fractures: a systematic review 小儿踝关节骨折的关节镜治疗:系统性综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-51
Kempland C. Walley, Anthony N. Baumann, Deven P. Curtis, Tania Mamdouhi, A. Anastasio, Samuel B. Adams
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引用次数: 0
Implications of graft choice in anterior cruciate ligament reconstruction: navigating the controversy 前十字韧带重建中移植物选择的影响:在争议中前行
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-66
Nicholas N. DePhillipo
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引用次数: 0
Management of acetabular bone loss in revision total hip replacement: a narrative literature review 翻修全髋关节置换术中髋臼骨质流失的处理:叙事性文献综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-23
Awadhesh K. Pandey, William A. Zuke, Peter Surace, A. Kamath
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引用次数: 0
Principles for optimizing anterior cruciate ligament reconstruction outcomes in elite athletes: a review of current techniques 优化精英运动员前十字韧带重建效果的原则:当前技术综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-22-40
Morgan D. Homan, Jacob A Braaten, Mark T. Banovetz, J. Monson, Nicholas I. Kennedy, Robert F. LaPrade
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引用次数: 0
Techniques for abductor reattachment in proximal femoral replacement for non-oncological reconstructions: a narrative review 非肿瘤性重建中股骨近端置换的内收肌再连接技术:叙述性综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-26
M. Innocenti, Filippo Leggieri, Davide Stimolo, Mattia Carminati, Carulli Christian, R. Civinini
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引用次数: 0
Arthroscopic suture bridge fixation for acute bony Bankart with anterior glenohumeral instability: a case report and narrative review 关节镜下缝合桥固定治疗伴有盂肱关节前侧不稳定的急性骨性 Bankart:病例报告和综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-46
Jeffery D. St. Jeor, Thomas W. Mason, Mark A. Glover, Nicholas A. Trasolini, Brian R. Waterman
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引用次数: 0
The pie-crust surgical technique for medial collateral ligament release: enhancing visualization of the medial compartment in knee arthroscopy 内侧副韧带松解的饼皮手术技术:在膝关节镜检查中增强内侧腔室的可视性
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-54
F. Bosco, Fortunato Giustra, Alessandro Ghirri, Domenico Lewis Battaglia, M. Capella, Alessandro Massè
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引用次数: 0
Glenoid augmentation for subcritical bone loss: a narrative review 盂兰盆骨增量术治疗亚临界骨缺失:综述
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-36
Daniel J. Cognetti, M. DeFoor, Robert U. Hartzler, Andrew J. Sheean
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引用次数: 0
Proximal femoral defect classifications in revision total hip arthroplasty from X-rays imaging to advanced 3D imaging: a narrative review 翻修全髋关节置换术中股骨近端缺损的分类:从 X 射线成像到先进 3D 成像的叙述性回顾
IF 0.4 4区 医学 Q3 Medicine Pub Date : 2024-04-01 DOI: 10.21037/aoj-23-47
Giuseppe Marongiu, Lorenzo Leinardi, Stefano Mauro Antuofermo, Alessio Pili, Marco Verona, Daniel Kendoff, B. Zampogna, Antonio Capone
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引用次数: 0
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Annals of Joint
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