El tractament de la luxació d’espatlla recidivant incorpora l’empelt ossi mitjançant artroscòpia

Relapsing Shoulder dislocation or Glenohumeral instability is an excessive and inusual movement between humeral head and glenoid cavity of scapula.

This movement is a result of repeated gestures during work or sport activity, where stabilising mechanisms of glenohumeral joint fail.

Between 50% and 70% of these cases occur in patients under 30 years old, most frequently male. Glenohumeral instability was the focal point at the second edition of the Shoulder Arthroscopy Course (AHB-2013), which took place last 27th and 28th of June 2013 at Bellvitge University Hospital.

The main reason for arthroscopic surgery failure in glenohumeral instability treatment is a bone defect in the glenohumeral cavity of the shoulder.

For this reason, the restoration of the glenoid cavity by means of bone grafting with arthroscopy allows successful treatment of this defect and instability, says Dr A. Hachem, who is a specialist at the Traumatology and orthopedic surgery department from Bellvitge University Hospital.

Conservative treatment of these injuries is quite ineffective. Comparatively, minimally invasive surgery allows to correct anatomical injuries in a less agressive and more effective way.

Bellvitge University Hospital is the first hospital in Spain where the reconstruction of bone defect of the glenoid cavity is done with autologous iliac crest bone graft, from the same patient, with arthroscopic surgery entirely. Arthroscopic surgery, which is minimally invasive, allows to reduce damage in tissues, to minimize pain, to reduce the size of scars since incisions are minimal, and fast recovery allows patients to return to their daily work ans sport activities sooner. Besides, Dr A. Hachem says patients’ hospital stay is shorter using this technique.

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