Evaluation and treatment of failed shoulder instability procedures

被引：25
作者：
Ho A.G. [1 ]
Gowda A.L. [1 ]
Michael Wiater J. [1 ]
机构：
[1] Department of Orthopaedic Surgery, Beaumont Health, 3535 W. Thirteen Mile Rd, Suite 744, Royal Oak, 48073, MI
来源：
Journal of Orthopaedics and Traumatology | 2016年 / 17卷 / 3期
关键词：
Evaluation; Failed; Instability; Shoulder; Treatment;
D O I：
10.1007/s10195-016-0409-8
中图分类号：
学科分类号：
摘要：
Management of the unstable shoulder after a failed stabilization procedure can be difficult and challenging. Detailed understanding of the native shoulder anatomy, including its static and dynamic restraints, is necessary for determining the patient’s primary pathology. In addition, evaluation of the patient’s history, physical exam, and imaging is important for identifying the cause for failure after the initial procedure. Common mistakes include under-appreciation of bony defects, failure to recognize capsular laxity, technical errors, and missed associated pathology. Many potential treatment options exist for revision surgery, including open or arthroscopic Bankart repair, bony augmentation procedures, and management of Hill Sachs defects. The aim of this narrative review is to discuss in-depth the common risk factors for post-surgical failure, components for appropriate evaluation, and the different surgical options available for revision stabilization. Level of evidence Level V. © 2016, The Author(s).
引用
收藏
页码：187 / 197
页数：10
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