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Current concepts in anterior glenohumeral instability: Diagnosis and treatment

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Abstract
The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classification systems have been proposed for glenohumeral instability. A physical exam is mandatory no matter what classification system is used. When treating patients with anterior shoulder instability, surgeons need to be aware of the critical size of the bone loss, which is commonly seen. The glenoid track concept was clinically adopted, and the measurement of the glenoid track for surgical decision-making is recommended. Detailed assessment of existing soft tissue injury to the labrum, capsule, glenohumeral ligaments, and rotator cuff is also mandatory as their presence influences the surgical outcome. Rehabilitation, arthroscopic repair techniques, open Bankart procedure, capsular plication, remplissage, Latarjet technique, iliac crest, and other bone grafts offer the surgeon different treatment options according to the type of patient and the lesions to be treated. Three-dimensional (3D) technologies can help to evaluate glenoid and humeral defects. Patient-specific guides are low-cost surgical instruments and can be used in shoulder instability surgery. 3D printing will undoubtedly become an essential tool to achieve the best results in glenohumeral instability surgery.
Author(s)
전인호Bruno GobbatoDaniel MoyaErica KholinneGraham Tytherleigh-StrongJuan Pablo SimoneNobuyuki YamamotoNuri AydinPaul Patino Robles
Issued Date
2021
Type
Article
Keyword
bankartClassificationClinical outcomesDecision makingglenohumeralinstabilitylatarjetPathologypatientsRange of motionRehabilitationRisk factorsshoulderSkin & tissue graftsSurgeryTrauma
DOI
10.1051/sicotj/2021048
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8718
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_9ca1c651d70d4bfb9dee8a1c461cd888&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Current%20concepts%20in%20anterior%20glenohumeral%20instability:%20Diagnosis%20and%20treatment&offset=0&pcAvailability=true
Publisher
SICOT-J
Location
미국
Language
영어
ISSN
2426-8887
Citation Volume
7
Citation Number
48
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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