Evaluation and treatment of failed shoulder instability procedures.

Autor: Ho AG; Department of Orthopaedic Surgery, Beaumont Health, 3535 W. Thirteen Mile Rd, Suite 744, Royal Oak, MI, 48073, USA., Gowda AL; Department of Orthopaedic Surgery, Beaumont Health, 3535 W. Thirteen Mile Rd, Suite 744, Royal Oak, MI, 48073, USA., Michael Wiater J; Department of Orthopaedic Surgery, Beaumont Health, 3535 W. Thirteen Mile Rd, Suite 744, Royal Oak, MI, 48073, USA. J.Michael.Wiater@Beaumont.org.
Jazyk: angličtina
Zdroj: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology [J Orthop Traumatol] 2016 Sep; Vol. 17 (3), pp. 187-97. Date of Electronic Publication: 2016 Jun 15.
DOI: 10.1007/s10195-016-0409-8
Abstrakt: 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.
Competing Interests: The authors declare that they have no conflicts of interest.
Databáze: MEDLINE
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