Can arthroscopic revision surgery for shoulder instability be a fair option?

Giorgi, Silvana De; Garofalo, Raffaele; Tafuri, Silvio; Cesari, E.; Rose, Giacomo Delle; Castagna, Alessandro

doi:10.11138/mltj/2014.4.2.226

Cited by 10 publications

(7 citation statements)

References 29 publications

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“…In fact, some Authors showed that the Bankart arthroscopic procedure seems to be associated with a significant risk of recurrence in athletes: these failures appear to be due to the presence of bone loss 22 . The open surgery has a role only in the case of previous diseases and in case of recurrence after arthroscopy 23 . According to our observations, although the follow-up isn't long enough, the arthroscopic surgical approach appears to be excellent in shoulder instability management and it is therefore very beneficial.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of shoulder instability in professional athletes

Pantalone

Vanni

Guelfi

et al. 2016

MLTJ

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SummaryBackground: Post-traumatic shoulder instability is a common disease, especially in sportsmen. If inadequately or late treated, it may be responsible for an articular biomechanics alteration, with serious problems. This is much more obvious for professionals athletes, because corporate and market needs force them to a premature return to sport. The purpose of this retrospective study is to evaluate if arthroscopic approach may be better than the open one and allowing a shoulder function rapid recovery, with fast return to sport.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of shoulder instability in professional athletes

Pantalone

Vanni

Guelfi

et al. 2016

MLTJ

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“…This procedure is commonly used also in cases of failure of arthroscopic repair. When arthroscopic stabilization failing to increase stability of the shoulder a new arthroscopic approach in not raccomandable in all the cases, also in absence of great bone loss 21 . Patte described in 1980 stabilizing mechanism of Latarjet proponing the triple-blocking effect 2 ; Yamamoto later 22 in cadaveric study found that sling effect was the most important and bone effect much less.…”

Section: Discussionmentioning

confidence: 99%

Computerized tomographic assessment and clinical evaluation in shoulder instability treated with the Latarjet-Patte procedure using one screw and washer

Cautiero

Russo

Pietto

et al. 2017

MLTJ

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SummaryBackground: The Latarjet-Patte (L-P) procedure is indicated in anterior instability of the shoulder with a glenoid or humeral bone loss. Our purpose is to evaluate clinical outcome and computerized tomographic (CT) findings as position and resorption of the graft and articular degeneration. Methods: From 2006 to 2009 50 patients underwent to L-P, 48 was contacted by telephone and 26 were available for follow-up (3 to 6 years). Quick-DASH and Rowe scores was used, 22 patients perform CT. Results: None of contacted patients reported a new dislocation. The clinical outcome in the 26 followed patients was excellent: mean Quick DASH score: 1.9; mean ROWE score was 94.7. CT scans showed no evidence of articular degeneration of humeral head. There was partial resorption of the graft in 13 patients. We found a correlation between the zone of partial resorption and position of the graft. Conclusions: CT scan is appropriate to study position and the healing of coracoid graft. A correct choice of where to place the graft together with a wide bone contact and stable synthesis does not cause degenerative changes after 6 years in our series. Level of the evidence: IV.KEY WORDS: shoulder bone loss, shoulder CT assessment.

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“…In recent years, a tendency to increase indications for arthroscopic treatment has been observed. 1 , 4 , 6 , 7 , 8 , 9 , 10 In the United States, between 2003 and 2005, 71.2% of all Bankart lesions were treated with arthroscopy, while between 2006 and 2008 this percentage increased to 87.7%. 2 The literature is controversial regarding which method achieves better results, especially when the prevalence of recurrence of dislocation after surgery is assessed.…”

Section: Introductionmentioning

confidence: 99%

“… 2 The literature is controversial regarding which method achieves better results, especially when the prevalence of recurrence of dislocation after surgery is assessed. 1 , 4 , 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 , 10 , 11 , 12 Recurrence rates are approximately 10% at 3.6 years postoperatively. 1 , 4 , 6 , 7 A study indicated a recurrence rate of 23% at 10.9 years of follow-up, suggesting a deterioration of surgical results in a longer follow-up. 11 More recent studies demonstrated that the standardization of the arthroscopic technique and careful selection of patients decreased the prevalence of recurrence, with rates similar to the open technique.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of postoperative monitoring of patients undergoing shoulder arthroscopy for anterior instability

Almeida¹,

Menegotto²,

Almeida³

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveAnalyze the postoperative follow-up of patients undergoing shoulder arthroscopy for treatment of anterior instability and correlate with the prevalence of recurrence.MethodsA six-question survey was applied by phone and mail to 65 patients, seeking information on the current result of the surgical procedure. All patients were treated arthroscopically for anterior shoulder instability, with at least 12 months of postoperative time. Patients with associated posterior labial lesions and revision surgeries were not included.ResultsAt the time of the survey the patients had a median of 56 (IQR: 34.5–110.5) postoperative months. The mean sample age was 24.6 years (maximum = 47, minimum = 12; SD = 7.3). Complaint of pain in the shoulder was observed in 20 patients (30.7%). Dislocation recurrence was observed in 10 patients (15.3%). Forty-four patients (67.6%) considered their shoulder normal, which was more frequent in non-recurrence patients (p < 0.001). Forty-three patients (66.1%) returned to their previous level of sport and there was no difference between recurrence and non-recurrence patients (p = 0.456). It was found that the prevalence of recurrence was 5.6 (95% CI: 1.30–24.46) times higher in individuals who abandoned monitoring before six months postoperatively (p = 0.012).ConclusionThe abandonment of postoperative monitoring in the early stages, when the patients receive orientation for muscle strengthening, proprioceptive education, and dangerous movements to avoid, can increase the rates of recurrent shoulder dislocation in patients treated for anterior instability by arthroscopy.

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Can arthroscopic revision surgery for shoulder instability be a fair option?

Cited by 10 publications

References 29 publications

Arthroscopic treatment of shoulder instability in professional athletes

Arthroscopic treatment of shoulder instability in professional athletes

Computerized tomographic assessment and clinical evaluation in shoulder instability treated with the Latarjet-Patte procedure using one screw and washer

Analysis of postoperative monitoring of patients undergoing shoulder arthroscopy for anterior instability

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