肩关节Bankart损伤修复术后复发的因素

Factors related to recurrence after Bankart procedure

摘要:

肩关节脱位占全身关节脱位的一半，其中以复发性前脱位为主，肩关节前脱位大部分存在 Bankart 损伤的可能。关节镜下修复 Bankart 损伤是肩关节复发性前脱位的主要治疗方法。术后复发是常见难题。研究表明 Bankart 损伤修复术后复发与肩关节骨量丢失、患者年龄、运动量大小、手术修复方式、术后功能康复不当以及自身疾病等有关。本文对 Bankart 损伤修复术后复发的因素进行综述，为临床提供参考。

Abstract:

Shoulder dislocation accounts for half of all joint dislocation in human, among which recurrent anterior shoulder dislocation is the most common one with Bankart lesion in almost every case of anterior shoulder dislocation. Arthroscopic Bankart procedure is the main treatment for shoulder dislocation currently, however, postoperative recurrence remains a difficult problem. A large number of studies have shown that the recurrence after arthroscopic Bankart procedure is related to glenoid bone loss, patient's age, extent of motion, surgical methods, improper postoperative rehabilitation exercise and self-diseases. This paper reviews the factors related to recurrence after Bankart procedure, to provide reference for clinicians.