개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Recent developments in biomechanics and technology have improved our understanding of the shoulder joints. While the shoulder joint is the one of the most mobile joints in the human body, its stability mostly relies on soft tissue structures such as the glenoid labrum and capsular ligament. Traumatic anterior instability is the most common instability related to sports injury.
Younger individuals have a higher rate of recurrence after nonoperative treatment after the firsttime episode of anterior instability. Arthroscopic repair of the Bankart lesion provides reliable outcomes in most of the anterior instability, while selected patients with significant bone loss may require bony augmentation procedures. Posterior instability has been underestimated. Sports injury is commonly associated with symptomatic posterior instability, and posterior labral lesions are commonly found. Arthroscopic reconstruction of the posteroinferior height and ligament balance is required. Superior labral lesions are a commonly diagnosed disease in the shoulder.
Care must be taken to avoid unnecessary surgical procedures especially in nonathletic populations without significant traumatic episodes. Partial articular surface tears are common among sports related rotator cuff injuries. Symptomatic articular surface tears require arthroscopic treatment such as debridement or trans-tendon repair.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Robinson CM / 2006 / Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients / J Bone Joint Surg Am 88:2326~2336
Bottoni CR / 2002 / A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations / Am J Sports Med 30:576~580
Kirkley A / 1999 / Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder / Arthroscopy 15:507~514
Mizuno N / 2005 / Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear / J Bone Joint Surg Am 87:2717~2723
Barnes CJ / 2009 / Results of arthroscopic revision anterior shoulder reconstruction / Am J Sports Med 37:715~719
Bottoni CR / 2002 / A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations / Am J Sports Med 30:576~580
Kirkley A / 1999 / Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder / Arthroscopy 15:507~514
Mizuno N / 2005 / Recurrent anterior shoulder dislocation caused by a midsubstance complete capsular tear / J Bone Joint Surg Am 87:2717~2723
Barnes CJ / 2009 / Results of arthroscopic revision anterior shoulder reconstruction / Am J Sports Med 37:715~719
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