[Research progress of surgical treatment for anterior shoulder dislocation and combined injuries].Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019; 33(6):768-773ZX
To summarize the research progress of surgical treatment for anterior shoulder dislocation and combined injuries.
The related literature was reviewed, and the surgical treatment options for the anterior shoulder dislocation and its combined injuries were summarized.
Anterior shoulder dislocation can combine with anteroinferior capsular ligament complex injury (Bankart injury), bony Bankart defect, and Hill-Sachs lesion. For Bankart and bony Bankart injuries, arthroscopic repair or coracoid osteotomy combined with bony graft reconstruction can be performed. For Hill-Sachs lesion, conservative treatment, soft tissue repair, or bony reconstruction should be selected based on the extent of the bone defect. For bipolar injury, the Bankart repair, Remplissage, or arthroplasty should be selected based on the extent of the glenoid defect.
With the development of arthroscopy and the improvement of the surgical concept, there is a complete set of surgical options for various injuries of the anterior shoulder dislocation. When choosing a surgical procedure, the patient's specific injury and age, exercise level, and other relating factors should be comprehensively assessed in order to achieve the best results.