Editorial Commentary: Double-Sling Transfer of Both the Conjoined Tendons and Long Head Biceps Tendon for Glenoid Bone Loss in Patients With Shoulder Instability Shows Biomechanical Benefit in Shoulder Abduction and External Rotation But May Be Insufficient in Mid-Range Arm Positions.
Arthroscopy
; 38(5): 1441-1443, 2022 05.
Article
en En
| MEDLINE
| ID: mdl-35501011
ABSTRACT
Recurrence of shoulder glenohumeral instability is exacerbated in cases of glenoid bone loss. Surgical bone transfer techniques well address the issue. Innovative soft-tissue tendon transfers may fill the defect plus provide a sling effect. Double-sling transfer of both the conjoined tendons and long head biceps tendon for glenoid bone loss in patients with shoulder instability shows biomechanical benefit in shoulder abduction and external rotation. However, as the sling effect is less pronounced in mid-range arm position, the benefit of double-sling transfer may be insufficient. Moreover, the biomechanical models are limited relative to the complexity of clinical glenohumeral function, and obviously limited to time-zero analysis. We should be careful before we abandon bony augmentation procedures.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Articulación del Hombro
/
Inestabilidad de la Articulación
Límite:
Humans
Idioma:
En
Revista:
Arthroscopy
Asunto de la revista:
ORTOPEDIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Alemania