Applying the Glenoid Track Concept in the Management of Patients with Anterior Shoulder Instability

被引:24
作者
Momaya A.M. [1 ]
Tokish J.M. [1 ]
机构
[1] Steadman Hawkins Clinic of the Carolinas, 200 Patewood Drive, Suite C100, Greenville, 29615, SC
关键词
Bipolar lesion; Glenoid bone loss; Glenoid track; Hill-Sachs lesion; Shoulder instability;
D O I
10.1007/s12178-017-9436-1
中图分类号
学科分类号
摘要
Purpose of Review: The purpose of this paper is to evaluate the recent evolution in the treatment of anterior shoulder instability and the dynamic interaction between the glenoid and Hill-Sachs lesion. Recent Findings: Through the glenoid track concept, glenoid- and humeral-sided bone loss are evolving away from being approached as separate entities. Recent cadaveric studies have validated the glenoid track concept. Moreover, a recent clinical study has demonstrated a much higher rate of failure after arthroscopic Bankart repair for shoulders that were off track. Summary: The glenoid track concept is a useful tool in evaluating patients with anterior shoulder instability. Shoulders that are off track may require more than a simple arthroscopic Bankart, and the addition of a remplissage or bony transfer may be considered. © 2017, Springer Science+Business Media, LLC.
引用
收藏
页码:463 / 468
页数:5
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