Tratamiento quirúrgico como primera elección en el manejo de la luxación escapulohumeral anterior

Abstract

Introduction: Scapulohumeral dislocation is a fairly common problem in our society, the same one that is defined when the humeral head slides anteriorly impacting the glenoid cavity. This type of event usually occurs due to multiple factors, the same ones that could or could not be due to traumatic causes. The causes are associated with risk factors, for this reason it is quite common to find in athletes or people whose field of work is quite heavy, there is a minimum percentage that glenohumeral dislocations and their associated injuries such as Bankart injuries, among others, are due to genetic factors. Objective: To analyze the surgical treatment is effective as the first choice for anterior dislocation of the glenohumeral joint in order to improve the quality of life of the individual. Materials and methods: Using a descriptive analytical methodology, an exhaustive bibliographic review was carried out through scientific articles from the last 5 years obtained from the bibliographic databases of Pub Med, Cochrane Library and The New England Journal of Medicine. Conclusion: Based on the articles obtained, they showed us that conservative treatment is not ideal due to the high recurrences in patients. On the other hand, surgical treatment independent of the technique, although arthroscopy is preferable, is quite effective because it treats lesions adjacent to an anterior scapulohumeral dislocation.