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KMID : 0361620200550050374
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Journal of the Korean Orthopaedic Association
2020 Volume.55 No. 5 p.374 ~ p.382
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Revision after Instability Surgery
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Kim Shin-Il
Jo Hyun-Chul
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Abstract
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Recurrence is the most common complication after shoulder instability surgery, and the main causes of the postoperative recurrence of instability are trauma, misdiagnosis, and technical errors. The risk factors of recurrence may be classified as patient related, anatomical or technical. Causes of failure should be thoroughly evaluated by meticulous history taking, physical examination, and imaging studies, and followed by proper treatment of pathologic lesions. Nonoperative treatment should be considered initially in cases of recurred instability after shoulder instability surgery, but if this fails, repeated recurrence is prevented by performing appropriate anatomical reconstruction of ruptured Bankart lesions, capsular laxities, glenoid deficiencies and humeral head bone defects.
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KEYWORD
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shoulder dislocation, joint instability, shoulder injuries, reoperation
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