PDF(Pubmed)
Abstract：
(1) Background: The aim of this study is to describe all of the possible surgical procedures that intend to treat the McLaughlin lesion (or Reverse Hill-Sachs) in posterior shoulder dislocation. (2) Methods: Google Scholar, Pubmed, and Embase were used as databases in our research. Studies reporting the results of posterior shoulder dislocations surgically treated with procedures addressing the humeral lesion were evaluated. The studies reporting results after fracture-dislocation and multidirectional instability were excluded. (3) Results: A total of 16 studies were included in our review for a total of 207 shoulders with a mean age of 41.7 years that were evaluated at a mean of 62.1 months. The Modified McLaughlin procedure and the Graft procedures were the most commonly performed. No statistically significant difference was found between the two at the evaluation of the clinical score. (4) Conclusions: Our review highlights the importance of a correct diagnosis and an accurate surgical treatment choice based on the surgeon\'s experience and on the patients\' characteristics.
摘要：
（1）背景：本研究的目的是描述所有可能的外科手术程序，打算治疗后肩关节脱位的McLaughlin病变（或反向Hill-Sachs）。(2)方法：谷歌学者，Pubmed,和Embase在我们的研究中被用作数据库。评估了报告通过手术治疗肱骨病变的后肩脱位结果的研究。排除报告骨折脱位和多向不稳定性后结果的研究。（3）结果：共有16项研究纳入我们的审查，共207个肩膀，平均年龄为41.7岁，平均评估时间为62.1个月。改良的McLaughlin程序和移植程序是最常见的。在临床评分的评估中，两者之间没有发现统计学上的显着差异。（4）结论：我们的审查强调了根据外科医生的经验和患者的特征进行正确诊断和准确选择手术治疗的重要性。
