关节镜治疗复发性肩关节前脱位(2)
總之关节镜治疗复发性肩关节脱位具有创伤小、出血少、恢复快的优点。对于肩盂缺损超过25%的伴有或不伴有咬合性Hill-Sachs损伤的复发性肩关节脱位，需行Latarjet手术。手术方案需要根据术前肩关节CT、MRI及术中对于肩关节盂骨缺损程度、Hill-Sachs损伤程度及术后复发不稳的危险因素进行评估来决定。
参考文献
Ochoa E Jr，Burkhart SS.Glenohumeral bone defects in the treatment of anterior shoulder instability[J].Instr Course Lect，2009，58：323-336.
敖英芳.关节镜外科学[M].北京：北京大学医学出版社，2012：372.
YAMAMOTO N，ITOI E，ABE H，et al.Effect of an anterior glenoid defect on anterior shoulder stability cadaveric study[J]Am J Sports Med，2009，37(5)：949-954.
Widjaja AB，Tran A，Bailey M，et al Correclation between bankart and hill-sachs lesions in anterior shoulder dislocation[J].ANZ.J Surg，2006，76(6)：618-626.
Burkhart SS ，DeBeerJF.Traumatic glenohumeral bone defects and their relationgship to failure of arthroscopic Bankart repairs：significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion[J].Arthroscopy，2000.16(7)：677-694.
Giovanni DC，AndreaDV.Management of humeral head deficiencies and glenoid track[J].Curr Rev Musculoskelet Med，2014，7(1)：6-11.
Burkhart SS ，DeBeerJF.et al.Results of modify ed Latarjet reconstruction in patients witn anteroinferior instability and signify cant bone loss.Athroscopy 2007；23：1033-1041.
Yamamoto N，Itoi E.Contact between glenoid and the humeral head in abduction，external rotationand horizontal extension：a new concept of glenoid track[J].J Shoulder Elbow Surg ，2007，16(5)：649-656.
Giovnni DC，Andrea DV.M Giovanni DC，AndreaDV.Management of humeral head deficiencies and glenoid track[J].Curr Rev Musculoskelet Med，2014，7(1)：6-11.
Grant H，Wu HH.Outcomes of the remplissage procedure and its effects on return to sports average 5-year follow-up[J].Am J Sports Med，2016，44(5)：1124-1130.
Francesco F，Rocco P.Remplisaage repair-mew frontiers in the prevention of recurrent shoulde instability：a 2-Year follow-up comparative study[J]Am J Sports Med，2012，40(1)：2462-2469. (王金伟 杨成刚 赵卿)
参考文献
Ochoa E Jr，Burkhart SS.Glenohumeral bone defects in the treatment of anterior shoulder instability[J].Instr Course Lect，2009，58：323-336.
敖英芳.关节镜外科学[M].北京：北京大学医学出版社，2012：372.
YAMAMOTO N，ITOI E，ABE H，et al.Effect of an anterior glenoid defect on anterior shoulder stability cadaveric study[J]Am J Sports Med，2009，37(5)：949-954.
Widjaja AB，Tran A，Bailey M，et al Correclation between bankart and hill-sachs lesions in anterior shoulder dislocation[J].ANZ.J Surg，2006，76(6)：618-626.
Burkhart SS ，DeBeerJF.Traumatic glenohumeral bone defects and their relationgship to failure of arthroscopic Bankart repairs：significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion[J].Arthroscopy，2000.16(7)：677-694.
Giovanni DC，AndreaDV.Management of humeral head deficiencies and glenoid track[J].Curr Rev Musculoskelet Med，2014，7(1)：6-11.
Burkhart SS ，DeBeerJF.et al.Results of modify ed Latarjet reconstruction in patients witn anteroinferior instability and signify cant bone loss.Athroscopy 2007；23：1033-1041.
Yamamoto N，Itoi E.Contact between glenoid and the humeral head in abduction，external rotationand horizontal extension：a new concept of glenoid track[J].J Shoulder Elbow Surg ，2007，16(5)：649-656.
Giovnni DC，Andrea DV.M Giovanni DC，AndreaDV.Management of humeral head deficiencies and glenoid track[J].Curr Rev Musculoskelet Med，2014，7(1)：6-11.
Grant H，Wu HH.Outcomes of the remplissage procedure and its effects on return to sports average 5-year follow-up[J].Am J Sports Med，2016，44(5)：1124-1130.
Francesco F，Rocco P.Remplisaage repair-mew frontiers in the prevention of recurrent shoulde instability：a 2-Year follow-up comparative study[J]Am J Sports Med，2012，40(1)：2462-2469. (王金伟 杨成刚 赵卿)