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Clin Shoulder Elbow > Volume 7(1); 2004 > Article
Journal of the Korean Shoulder and Elbow Society 2004;7(1):1-4.
DOI: https://doi.org/10.5397/CiSE.2004.7.1.001    Published online June 30, 2004.
What Should We Treat For Recurrent Dislocation?
Suk-Kee Tae, MD
Department of Orthopaedic Surgery Chung-Ang University College of Medicine,Seoul, Korea
재발성 탈구에서 무엇을 치료할 것인가?
태석기
중앙대학교 의과대학 정형외과학교실
Abstract
As the multidirection and posterior instabilities of the shoulder are not only uncommon but responds well to conservative treatment, the shoulder instabilities which requires surgical treatment are traumatic anterior type in most cases. Although various surgical procedures had been used in the past, Bankart procedure is the standard surgical method as a primary procedure in traumatic anterior instability. Nevertheless there has been changes in the techniques of Bankart procedure in order to minimize decrease of external rotation and effectively address capsular laxilty. Capsular shift might be needed if there remains excessive capsular laxity of the inferior capsule after repair of the Bankart lesion. Large bony Bankart lesion should be fixed if possible and severe glenoid rim erosion requires extracapsular bone block after repair of the capsule. Although a few surgical procedures are described for the management of Hill-Sachs lesion in special circumstances, Hill-Sachs lesion does not usually need to be addressed.
Key Words: Shoulder, Recurrent Dislocation, Surgical Treatment


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