摘要

Humeral head bone defects (Hill-Sachs lesions) are caused by anterior shoulder dislocation with impaction of the posterosuperior humeral head onto the anterior glenoid rim. Frequently, these bony lesions are associated with glenohumeral instability, and large lesions may contribute to recurrent instability after failure of a soft tissue repair. To improve outcomes and minimize the risk of persistent instability, a thorough understanding of the biomechanics of humeral bone loss is required. Detection and quantification of clinically relevant humeral head bone loss are performed through an accurate history, physical examination, and interpretation of imaging studies. The diagnosis and treatment options for reverse Hill-Sachs lesions are discussed, and the various treatment options for Hill-Sachs lesions are reviewed, including operative techniques to limit engagement of the deformity by soft tissue transfer, rotational osteotomy, bone grafting, or osteochondral transplantation.

译文

肱骨头骨缺损 (Hill-Sachs 病变) 是由肩关节前脱位和肱骨头后上压入前盂缘引起的。通常,这些骨性病变与盂肱不稳定有关,大的病变可能导致软组织修复失败后的复发性不稳定。为了改善结果并将持续不稳定的风险降至最低,需要彻底了解肱骨骨丢失的生物力学。通过准确的病史、体检和影像研究解释来检测和量化临床相关的肱骨头骨丢失。对反向 Hill-Sachs 病变的诊断和治疗方案进行了讨论,并对 Hill-Sachs 病变的各种治疗方案进行了综述。包括通过软组织转移、旋转截骨、植骨或骨软骨移植限制畸形接合的手术技术。

Humeral head

骨科 肩骨 临床研究术语
概述  :  

肱骨头位于肱骨上端,与肩胛骨形成肩关节。体表定位就是肩峰正下方为肱骨头。肱骨头和肩胛盂构成人体活动范围最大的盂肱关节。活动度大所以磨损受伤的可能也随之增加,同时也使得肩部容易受伤而产生不稳定。肱骨头在肩关节活动中起着重要作用,活动时注意保护。 肱骨头坏死肱骨头坏死所出现的症状和体征是多种多样的,疼痛出现的时间、发作的程度也不一样,但都是以病理演变作为基础,各种临床表现都不是股骨头坏死所特有的,很多的髋关节疾病都有可能会发生,所以是很难通过患者的一些主要的症状和临床检查而作出肱骨头

Humeral 英 /'hjuːm(ə)r(ə)l/  美 /'hjʊmərəl/                   

释义   adj. 肱骨的;肩的;肱部的

例句   The use of locking plates for distal humeral fractures remains controversial, and the indications for their use are unclear. 但对于肱骨远端骨折是否应用锁定钢板还有争议,其适应症尚不明确。

 

head 英 /hed/  美 /hed/                  

释义   n. 头;头痛;上端;最前的部分;理解力

vt. 前进;用头顶;作为…的首领;站在…的前头;给…加标题

vi. 出发;成头状物;船驶往

adj. 头的;主要的;在顶端的

n. (Head)人名;(英)黑德

例句   She raised her head and went out without a word. 她什么也没说,扬起头走了出去。

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