Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure
| Autor: | Jon Olav Drogset, Terje Vagstad, Peter Johannes Klungsøyr, Jan Arild Klungsøyr, Alf Inge Hellevik |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030222 orthopedics
Sling procedure medicine.medical_specialty Sling (implant) business.industry Treatment options 030229 sport sciences Anterior shoulder Latarjet procedure musculoskeletal system Coracoid process Tendon Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Technical Note Orthopedics and Sports Medicine Surgical treatment business |
| Zdroj: | Arthroscopy Techniques e1773-e1781 |
| ISSN: | 2212-6287 |
| Popis: | There are numerous arthroscopic techniques available to address anterior shoulder instability. Complications are various, and in pursuit of new treatment options, an alternative arthroscopic technique with less potential for complications has been developed. The novel subscapular sling with a semitendinosus graft provides both dynamic and static stability. This procedure uses a semitendinosus graft as a sling around the upper two-thirds of the subscapular tendon, attached to the anterior glenoid rim. The sling phenomenon present in the Latarjet procedure was the basis of the development. The efficacy of the subscapular sling procedure has been verified in biomechanical studies and further investigated in a clinical pilot study. The procedure can be performed without altering the anatomy of nearby structures such as the coracoid process, the conjoined tendon, and the axillary and musculocutaneous nerves. The authors propose the arthroscopic subscapular sling procedure as an alternative to existing surgical treatment options for recurrent anterior shoulder instability. Technique Video Video 1 The subscapular sling procedure. This procedure uses a semitendinosus graft as a sling around the upper two-thirds of the subscapular tendon, attached to the anterior glenoid rim. The reconstruction of the labrum and the sling provide both static and dynamic stabilization of the shoulder. |
| Databáze: | OpenAIRE |
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