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.
Journal
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
ISSN: 1526-3231
Titre abrégé: Arthroscopy
Pays: United States
ID NLM: 8506498
Informations de publication
Date de publication:
05 2022
05 2022
Historique:
received:
14
12
2021
accepted:
17
12
2021
entrez:
2
5
2022
pubmed:
3
5
2022
medline:
6
5
2022
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 35501011
pii: S0749-8063(21)01140-3
doi: 10.1016/j.arthro.2021.12.037
pii:
doi:
Types de publication
Editorial
Comment
Langues
eng
Sous-ensembles de citation
IM
Pagination
1441-1443Commentaires et corrections
Type : CommentOn
Informations de copyright
Copyright © 2021 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.