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Arthroscopic treatment of traumatic anterior glenohumeral instability

Year 2005, Volume: 39 , 57 - 74, 11.09.2006

Abstract

The main pathology in traumatic anterior instability of the shoulder is a Bankart lesion and capsuloligamentous laxity. Success in the treatment of glenohumeral instability mainly relies on an anatomical attachment of the fibrocartilaginous labrum and restoration of tension of the capsuloligamentous structures. Suture anchors are preferred for the fixation of soft tissues. Excessive capsular laxity can be treated by capsular plication or thermal capsulorrhaphy. Arthroscopy enables examination and repair of the glenohumeral structures, with several advantages over open techniques, including less morbidity and pain, shorter hospitalization, better cosmetic appearance, and a lower complication rate. These advantages have contributed to the growing acceptance of arthroscopic treatment in dealing with traumatic anterior glenohumeral instability. Moreover, its success rate has increased thanks to advances in technology and surgical techniques. Yet, appropriate selection of patients, the quality of capsulolabral structures, coexisting pathologies, and experience on the part of the surgeon are important factors in the success of arthroscopic treatment of anterior shoulder instability. This paper discusses the rationale for a treatment algorithm for arthroscopic applications together with recommendations about anterior instability of the shoulder.

Travmatik anterior glenohumeral instabilitenin artroskopik tamiri

Year 2005, Volume: 39 , 57 - 74, 11.09.2006

Abstract

Travmatik anterior omuz instabilitesinde esas patoloji Bankart lezyonu ve kapsüloligamentöz yapıların laksitesidir. Glenohumeral instabilitenin başarılı bir şekilde tedavisi için fibrokartilaj labrumun yerine tutturulması ve kapsüloligamentöz yapılarda uygun bir gerginliğin oluşturulması gerekir. Yumuşak dokuların tespitinde tercih edilen materyal dikiş ankorlarıdır. Aşırı kapsül laksitesinin tedavisinde kapsül plikasyonu veya termal kapsulorafi yapılır. Artroskopi, instabil olan glenohumeral eklemin muayenesi ve tamirine olanak sağlar. Açık yönteme göre morbiditesi daha azdır; ameliyattan sonra hasta daha az ağrı hisseder; hastanede kalma süresi kısadır; kozmetik görünüşü bozmaz ve komplikasyon riski daha azdır. Bu nedenle, travmatik anterior glenohumeral instabilitenin artroskopik olarak tedavisi giderek daha fazla kabul görmektedir. Teknolojinin ilerlemesi ve cerrahi tekniklerin gelişmesine paralel olarak başarı oranı da artmaktadır. Bununla birlikte, anterior omuz instabilitesinin artroskopik tedavisinde, uygun hasta seçimi, kapsülolabral yapıların kalitesi, ek patolojilerin varlığı ve cerrahın deneyimi de önemlidir. Bu yazıda, instabil omzun tedavisinde artroskopi kullanımıyla ilgili tedavi algoritmi ve öneriler ele alınmıştır.

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Details

Primary Language English
Journal Section Review
Authors

Mehmet Demirhan This is me

Cem Esenyel This is me

Publication Date September 11, 2006
Published in Issue Year 2005 Volume: 39

Cite

APA Demirhan, M., & Esenyel, C. (2006). Arthroscopic treatment of traumatic anterior glenohumeral instability. Acta Orthopaedica Et Traumatologica Turcica, 39, 57-74. https://doi.org/10.3944/aott.v39i0.581
AMA Demirhan M, Esenyel C. Arthroscopic treatment of traumatic anterior glenohumeral instability. Acta Orthopaedica et Traumatologica Turcica. September 2006;39:57-74. doi:10.3944/aott.v39i0.581
Chicago Demirhan, Mehmet, and Cem Esenyel. “Arthroscopic Treatment of Traumatic Anterior Glenohumeral Instability”. Acta Orthopaedica Et Traumatologica Turcica 39, September (September 2006): 57-74. https://doi.org/10.3944/aott.v39i0.581.
EndNote Demirhan M, Esenyel C (September 1, 2006) Arthroscopic treatment of traumatic anterior glenohumeral instability. Acta Orthopaedica et Traumatologica Turcica 39 57–74.
IEEE M. Demirhan and C. Esenyel, “Arthroscopic treatment of traumatic anterior glenohumeral instability”, Acta Orthopaedica et Traumatologica Turcica, vol. 39, pp. 57–74, 2006, doi: 10.3944/aott.v39i0.581.
ISNAD Demirhan, Mehmet - Esenyel, Cem. “Arthroscopic Treatment of Traumatic Anterior Glenohumeral Instability”. Acta Orthopaedica et Traumatologica Turcica 39 (September 2006), 57-74. https://doi.org/10.3944/aott.v39i0.581.
JAMA Demirhan M, Esenyel C. Arthroscopic treatment of traumatic anterior glenohumeral instability. Acta Orthopaedica et Traumatologica Turcica. 2006;39:57–74.
MLA Demirhan, Mehmet and Cem Esenyel. “Arthroscopic Treatment of Traumatic Anterior Glenohumeral Instability”. Acta Orthopaedica Et Traumatologica Turcica, vol. 39, 2006, pp. 57-74, doi:10.3944/aott.v39i0.581.
Vancouver Demirhan M, Esenyel C. Arthroscopic treatment of traumatic anterior glenohumeral instability. Acta Orthopaedica et Traumatologica Turcica. 2006;39:57-74.