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中华肩肘外科电子杂志 ›› 2026, Vol. 14 ›› Issue (01) : 1 -5. doi: 10.3877/cma.j.issn.2095-5790.2026.01.001

述评

首次创伤性肩关节前脱位的临床治疗决策
杨一博1,2,3, 王靖1,2,3,(), 张克云4,()   
  1. 1410000 长沙,湖南省人民医院(湖南师范大学附属第一医院)关节与运动医学科
    2410000 长沙,湖南省运动医学临床医学研究中心
    3410000 长沙,中西医协同关节与运动医学精准诊疗与康复湖南省工程研究中心
    4418000 怀化,湖南医药学院第一附属医院关节运动医学科
  • 收稿日期:2025-12-31 出版日期:2026-02-05
  • 通信作者: 王靖, 张克云
  • 基金资助:
    湖南自然科学基金(2024JJ9282); 湖南省国家临床重点专科重大科研专项(20230196)

Clinical treatment decision-making for the first-time traumatic anterior shoulder dislocation

Yibo Yang, Jing Wang(), Keyun Zhang()   

  • Received:2025-12-31 Published:2026-02-05
  • Corresponding author: Jing Wang, Keyun Zhang
引用本文:

杨一博, 王靖, 张克云. 首次创伤性肩关节前脱位的临床治疗决策[J/OL]. 中华肩肘外科电子杂志, 2026, 14(01): 1-5.

Yibo Yang, Jing Wang, Keyun Zhang. Clinical treatment decision-making for the first-time traumatic anterior shoulder dislocation[J/OL]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2026, 14(01): 1-5.

首次创伤性肩关节前脱位(first-time traumatic anterior shoulder dislocation, FTASD)是运动医学和肩关节外科的临床高发疾病。运动医学领域针对该疾病治疗理念的分歧集中体现在非手术干预复发可能性较高与外科手段潜在"治疗过度化"这一对立观点上。近年随着损伤机理认识的深化、骨性结构缺损评估技术的进步以及关节镜技术的革新,诊疗理念已由单一模式逐步向个体差异化精确决策转变。本文旨在结合最新文献与临床实践,对FTASD的现代治疗策略进行系统述评,重点探讨诊断评估,非手术与手术治疗的适应证以及针对特殊人群(如接触型运动员)的决策考量,以期为运动医学医生提供基于循证医学的临床决策参考。

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