The lax shoulder in females. Issues, answers, but many more questions.
The lax shoulder in females. Issues, answers, but many more questions.
复制标题
女性肩膀松弛。
DOI：
--
复制
发表时间：
2000
影响因子：
4.2
通讯作者：
A. Kirkley
中科院分区：
文献类型：
--
作者：
Greg A. Brown;Jee;A. Kirkley
对女性肩部松弛的现有数据进行回顾，发现没有足够的数据来证实女性肩部比男性肩部更松弛的普遍观点。松懈并不等同于不稳定。尽管女性的全身关节松弛可能比男性增加，但全身关节松弛与肩关节松弛无关。关于肩关节松弛和性别的数据相互矛盾。对接受手术治疗的多向不稳定患者的审查显示，55%的患者为女性（N = 94），45%的患者为男性（N = 77），但未报告接受非手术治疗的患者数量或性别。多方向不稳定的审查背景下，松弛的肩膀在女性。最初的治疗应该是非手术的，强调物理治疗和肩关节的动态稳定。如果非手术治疗失败，建议开放或关节镜下囊移位稳定。需要更多的基础科学和临床试验来确定在治疗肩关节多向不稳定患者时是否应考虑热囊缝合术。
A review of the existing data on shoulder laxity in females reveals there are insufficient data to confirm the commonly held belief that shoulders in females are more lax than shoulders in males. Laxity is not synonymous with instability. Although females may have increased generalized joint laxity relative to males, generalized joint laxity does not correlate with shoulder laxity. There is conflicting data regarding shoulder laxity and gender. A review of patients with multidirectional instability who were treated operatively showed that 55% of the patients were female (N = 94) and 45% were male (N = 77), but the number or gender of patients who were treated nonoperatively was not reported. Multidirectional instability is reviewed in the context of the lax shoulder in the female. Initial treatment should be nonoperative, emphasizing physical therapy and dynamic stabilization of the shoulder. If nonoperative treatment fails, open or arthroscopic inferior capsular shift stabilization is recommended. Additional basic science and clinical trials are needed to determine whether thermal capsulorrhaphy should be considered in the treatment of patients with multidirectional instability of the shoulder.