{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:05Z","timestamp":1740148625873,"version":"3.37.3"},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Muito se discute sobre os limites do tratamento da instabilidade anterior do ombro por artroscopia. O avan\u00e7o no entendimento das repercuss\u00f5es biomec\u00e2nicas das les\u00f5es bipolares sobre a estabilidade do ombro, bem como na identifica\u00e7\u00e3o de fatores relacionados ao maior risco de recidiva t\u00eam nos ajudado a definir, de forma mais apurada, os limites do reparo por via artrosc\u00f3pica.<\/jats:p><jats:p>Ressaltamos a import\u00e2ncia de diferencia\u00e7\u00e3o entre perda \u00f3ssea por eros\u00e3o da glenoide (POAG) e fraturas da borda da glenoide, pois o progn\u00f3stico do tratamento diverge entre essas formas de falha \u00f3ssea da glenoide. Neste contexto, entendemos que h\u00e1 tr\u00eas tipos de falha \u00f3ssea: a) Bankart \u00f3sseo (fratura); b) combinada; e c) POAG, e abordaremos as op\u00e7\u00f5es de tratamento sugerido em cada situa\u00e7\u00e3o.<\/jats:p><jats:p>At\u00e9 h\u00e1 pouco tempo, a escolha do m\u00e9todo cir\u00fargico era norteada basicamente pelo grau de acometimento \u00f3sseo. Com a evolu\u00e7\u00e3o do conhecimento, da biomec\u00e2nica das les\u00f5es bipolares e do conceito do glenoid track (trilho da glenoide), o ponto de corte da les\u00e3o cr\u00edtica, vem sendo alterado com tend\u00eancia de queda. Al\u00e9m das falhas ou perdas \u00f3sseas, outras vari\u00e1veis foram adicionadas e tornaram a decis\u00e3o mais complexa, por\u00e9m um pouco mais objetiva.<\/jats:p><jats:p>O presente artigo de atualiza\u00e7\u00e3o tem como objetivo fazer uma breve revis\u00e3o da anatomia com as principais les\u00f5es encontradas na instabilidade; abordar detalhes importantes na t\u00e9cnica cir\u00fargica artrosc\u00f3pica, em especial nos casos complexos, e trazer as evid\u00eancias atuais sobre os assuntos de maior diverg\u00eancia, buscando guiar o cirurgi\u00e3o na tomada de decis\u00e3o.<\/jats:p>","DOI":"10.1055\/s-0041-1731357","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T23:01:14Z","timestamp":1635202874000},"page":"014-022","source":"Crossref","is-referenced-by-count":0,"title":["Limites da artroscopia na instabilidade anterior do 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