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盂肱关节不稳定的最新诊治进展

Hits: 2575 Download times: 1277 Received:June 25, 2013

作者	Author	单位	Unit	E-Mail
肇刚	ZHAO Gang	解放军总医院骨科, 北京 100853 北京军区联勤部第261医院, 北京 100294	Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China
刘玉杰	LIU Yu-jie	解放军总医院骨科, 北京 100853	Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China	liuyujie301@163.com

期刊信息：《中国骨伤》2014年27卷，第2期，第172-176页

DOI：10.3969/j.issn.1003-0034.2014.02.021

盂肱关节不稳是临床常见病、多发病，是限制人们上肢活动能力的疾病之一. 该病的诊断不难，但对关节周围软组织损伤程度的评估却较难判断. 随着核磁共振成像技术及关节镜检查的发展，MRA检查成为评估关节盂唇、关节囊、韧带等损伤的金标准. 传统的手法复位虽快捷、简单，但常会造成肩袖损伤、韧带松弛、习惯性脱位等不良后果. 开放手术可重建关节稳定性，却随着近年来出现的诸多新治疗方法，尤其是关节镜下重建术已逐渐替代开放性手术成为主流趋势，但对于关节囊缩紧术、肩袖间隙闭合术的远期疗效尚不明确，有待进一步跟踪观察.

[关键词]:肱骨关节诊断治疗综述文献

Latest progress on diagnosis and treatment of glenohumeral instability

Abstract:As a common and frequently-occurring disease,glenohumeral instability is become one of disease which restrict upper limb activity. The diagnosis of this disease is easy,but it is very difficult to assess the degree of periarticular soft tissue injuries. With the development of magnetic resonance imaging and arthroscopy,MRA become the gold standard for evaluation of glenoid labrum,joint capsule and ligaments injury. The traditional manual reduction is a fast,simple method,but often can cause adverse consequences,such as rotator cuff tear,ligament relaxation,and habitual dislocation. Open operation can rebuild stability of joint,but with many new treatment methods,especially the arthroscopic reconstruction has gradually replaced the open operation,and become the mainstream trend,but for the long-term effect of capsular tightening surgery,rotator cuff gap closure is not clear,it is need further follow-up observation.

KEYWORDS:Humerus Joints Diagnosis Therapy Review literature

引用本文，请按以下格式著录参考文献：

中文格式:	肇刚,刘玉杰.盂肱关节不稳定的最新诊治进展[J].中国骨伤,2014,27(2):172~176
英文格式:	ZHAO Gang,LIU Yu-jie.Latest progress on diagnosis and treatment of glenohumeral instability[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(2):172~176

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