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KMID : 0828620060100020135
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Journal of Korean Arthroscopy Society
2006 Volume.10 No. 2 p.135 ~ p.141
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Revision of Failed Shoulder Instability Repair
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Park Jin-Young
Oh Jeong-Hwan
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Abstract
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Diagnosis and treatment of the unstable shoulder is one of the more difficult problems in orthopaedic surgery. There is confusion between the normal laxity with translation and subluxation of the humeral head relative to the glenoid and an abnormal amount of laxity, leading to pain and dysfunction. Unfortunately, there is no single treatment that applied to all lesions that cause the instability. It is imperative, therefore, that an accurate diagnosis be made, including the directions and degree of shoulder instability as well as any coexisting problems. Anatomical defects must be defined. Common factors that could most readily compromised instability repair are examined. These include techniques for making an accurate diagnosis with identification of the precise anatomical pathology, and the rationale for appropriate surgical treatment with the avoidance of technical complication such as unnecessary hardware or exposures that might lead to residual instability, arthritis, and nerve or vascular injuries. Additional injuries may be prevented by careful rehabilitation postoperatively to restore shoulder stability, flexibility, and endurance prior to an individual’s return to stressful sports or work.
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KEYWORD
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Instability, Failure, Operation, Revision, Shoulder
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FullTexts / Linksout information
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Listed journal information
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