肩关节前向不稳的研究进展

Research progress on anterior shoulder instability

肩关节是人体活动度最大的关节,容易发生关节不稳、脱位,可导致肩关节疼痛或功能受限等问题。肩关节脱位约占全身关节脱位的40%,其中以肩关节前向不稳(ASI)最为常见,并且在高风险人群中的复发率较高。ASI会造成肩关节的软组织及骨组织的结构损伤,进而导致肩关节的稳定性降低。对于复发性ASI患者,手术是其主要治疗手段,旨在恢复肩关节的结构稳定,包括软组织修复、骨缺损修复等手术。基于此,笔者回顾了最新ASI手术治疗的相关研究,以期为临床治疗提供参考。

The shoulder joint is the most mobile joint in the human body,making it susceptible to instability and dislocation,which can lead to shoulder pain or functional limitations.Shoulder dislocations accounts for about 40%of all joint dislocations,with anterior shoulder instability(ASI)being the most common type,particularly among high-risk populations where recurrence rates are high.ASI can cause structural damage to both the soft tissues and bones of the shoulder joint,further reducing joint stability.For patients with recurrent ASI,surgery is the primary treatment method aimed at restoring structural stability to the shoulder,including soft tissue repair and bone defect restoration.The authors of this paper review recent studies on surgical treatments for ASI,with the goal of providing references for clinical practice.