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Clin Shoulder Elbow > Volume 12(1); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(1):102-108.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.102    Published online June 30, 2009.
Arthroscopic Technique of Bone Defect in Anterior Shoulder Instability
Sang Hun Ko, Ki Bong Park
Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, South Korea. shkoshko@hanmail.net
골 결손이 동반된 전방 견관절 불안정성에서 관절경적인 수술 술기
고상훈·박기봉
울산대학교 의과대학 울산대학교 병원 정형외과학교실
Abstract
PURPOSE
The bone defects that are associated with shoulder anterior instability may be the causes of failure of arthroscopic surgery. For the treatment of traumatic shoulder instability, we tried to determine the arthroscopic techniques that can be used for the bone defect of the glenoid and the humeral head. The purpose of this study is to assess the surgical techniques for the arthroscopic reconstruction of the shoulder with anterior instability and bone defects. MATERIALS AND METHODS: We analyzed the articles that have been recently published on anterior shoulder instability and we assessed the arthroscopic surgical techniques. We compared the articles and the methods of arthroscopic surgical techniques for treating bone defects of the anteroinferior glenoid and the posterolateral humeral head, which were considered as the causes of recurrence of shoulder instability.
RESULTS
There are the anteroinferior bone defects of the glenoid and Hill-Sachs lesions in the bone defects that appear in patients with anterior shoulder instability. These bone defects are currently the causes of failure of arthroscopic surgery.
CONCLUSION
Open shoulder surgery may be the treatment of the choice for a shoulder with instability and significant bone defects of the glenoid and the humeral head. But efforts are being made to overcome the weaknesses of open surgery by the use of arthroscopy
Key Words: Shoulder; Anterior dislocation; Arthroscopy


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