Evaluation of Surgical Treatment of Patients With Shoulder Instability

Ikemoto, Roberto Yukio; Murachovsky, Joel; Nascimento, Luis Gustavo Prata; Bueno, Rogério Serpone; Almeida, Luiz Henrique Oliveira; Kojima, C.

doi:10.1590/1413-785220172506166548

Cited by 3 publications

(5 citation statements)

References 22 publications

(19 reference statements)

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“…Acute anterior shoulder dislocation following trauma is a frequent injury that affects between 0.5 and 1.7% of people. Recurrence is reported in close to 90% of instances when it develops in young adults (13).…”

Section: Discussionmentioning

confidence: 99%

Differences in the arthroscopic treatment of anterior and posterior shoulder instability in long-term follow-up

Engin¹,

Köse²,

Toy³

et al. 2022

acmr

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Background: Shoulder dislocations are frequent orthopedic injuries encountered in emergency services. Increasing the arthroscopic experience of physicians and developing technology has left the place of open surgical repair to arthroscopic reconstruction procedures. This study aimed to examine the results of arthroscopic reconstruction procedures for anterior and posterior shoulder instability.Methods: In this study, 89 patients diagnosed with shoulder instability and treated arthroscopically in our clinic between January 1, 2013, and September 1, 2020, postoperative range of motion and functional results are evaluated with Rowe and WOSI scores.Results: Fifty-seven of 89 patients had anterior, and 32 patients had posterior glenohumeral instabilities. In our study, 14 patients (15.7%) were under 20 years old, 55 patients (61.8%) between 21-30 years, 16 patients (18.0%) between 31-40 years, and 4 patients (4.5%) over 40 years. A total of 72 males (80.9%) were included in the study, with 17 females (19.1%). In the postoperative period, the mean shoulder joint flexion of all patients was recorded as 166.6 degrees, internal rotation 79.8 degrees, and external rotation was 79.9 degrees. The mean preoperative total WOSI score of all patients was 1062.6, whereas this score was 150.7 postoperatively. According to the Rowe score, there were poor results in all patients in the preoperative period, whereas the Rowe score of 70 patients was excellent; three patients were good, 11 patients were moderate, and five patients were poor in the postoperative period.Conclusions: Arthroscopic treatment of glenohumeral instability could provide predictable success in unidirectional shoulder instability.

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Section: Discussionmentioning

confidence: 99%

Differences in the arthroscopic treatment of anterior and posterior shoulder instability in long-term follow-up

Engin¹,

Köse²,

Toy³

et al. 2022

acmr

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show abstract

“…Martel et al[ 20 ] reported the development of glenohumeral osteoarthritis in four of 41 patients following a mean 33 (range, 12 to 47) month follow-up period after arthroscopic Bankart repair performed with metal suture anchors. Ikemoto et al[ 21 ] reported osteoarthritis development at the rate of 4% with bioabsorbable suture anchors and 21.5% with metal suture anchors after a follow-up period of mean 62 (range, 24 to 106) months after arthroscopic Bankart repair. No osteoarthritis development was observed in any patient in either of the two groups in the present study.…”

Section: Discussionmentioning

confidence: 99%

All-suture anchors versus metal suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A comparison of mid-term outcomes

Uluyardımcı¹

2021

Jt Dis Relat Surg

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Objectives This study aims to compare metal suture anchors and all-suture anchors clinically and radiologically in arthroscopic Bankart repair. Patients and methods In this retrospective study, 67 patients (61 males, 6 females; mean age 26.0±5.8; range, 18 to 43 years) who underwent arthroscopic Bankart repair between April 2009 and October 2016 were divided into two groups depending on the type of the suture anchor used in different periods. Group A comprised 32 patients with arthroscopic Bankart repair performed with metal suture anchors, and Group B comprised 35 patients with arthroscopic Bankart repair performed with all-suture anchors. The patients were clinically evaluated using Rowe scores, Constant scores, redislocation rates, and positive apprehension test rates. Radiographic evaluation was performed using the Samilson-Prieto classification to observe the development of glenohumeral osteoarthritis. Results The mean follow-up period was 41.1±10.4 (range, 30 to 60) months in Group A, and 39.6±9.4 (range, 28 to 60) months in Group B, with no significant difference between the two groups (p=0.559). No significant difference was observed between Group A and Group B in terms of mean Rowe score (89.2±13.8 [range, 40 to 100] vs. 88.7±16.9 [range, 25 to 100]; p=0.895) or Constant score (87.2±8.9 [range, 48 to 96] vs. 86.9±9.0 [range, 46 to 96]; p=0.878), which were the clinical outcomes at the final follow-up examination. Postoperative redislocation rates (3.1% vs. 2.9%, p=1.0) and positive apprehension test rates (6.3% vs. 8.6%, p=1.0) were found to be similar in both groups. According to the Samilson-Prieto classification, there was no evidence of glenohumeral osteoarthritis in any of the patients in either group. Conclusion Satisfactory outcomes were obtained with the use of all-suture anchors in arthroscopic Bankart repair for traumatic anterior shoulder instability. All-suture anchors and metal suture anchors, have similar outcomes in the mid-term and all-suture anchors are a reliable and effective option for arthroscopic Bankart repair.

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“…Com o surgimento de novos modelos de âncoras sem nó, evoluindo para serem absorvíveis e se fixarem ao osso por impacção de ranhuras laterais e não mais por aletas, alguns autores publicaram resultados comparáveis 16,50 aos de âncoras com nó também absorvíveis 10,51 . Até o momento foram publicados dois trabalhos, um prospectivo com randomização por ordem de entrada dos pacientes no estudo 47 em 2014 e um retrospectivo 48 em 2020, comparativos entre o uso de âncoras absorvíveis com nó e sem nó de última geração.…”

Section: Algunsunclassified

“…Ikemoto et al 10 em 2017 publicam estudo retrospectivo de série de casos de 76 pacientes operados com âncoras absorvíveis com nó com seguimento médio de 62 meses. Apresentam perda de amplitude de movimento em todos os planos exceto elevação e rotação lateral em abdução de 90 graus.…”

Section: Objetivosunclassified

“…A via artroscópica é o principal método de tratamento da luxação recidivante do ombro na atualidade [4][5][6][7][8][9][10] , com resultados semelhantes ao reparo pela via aberta [11][12][13][14][15] . A técnica é menos agressiva, pois o tendão do subescapular não precisa ser abordado, levando a menor permanência hospitalar, menor cicatriz, retorno mais precoce às atividades habituais e maior ganho de amplitude de movimento pós-operatório 16 .…”

Section: Introductionunclassified

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Estudo clínico comparativo entre o uso de âncoras com ou sem nós no tratamento artroscópico da luxação recidivante do ombro

Lobo¹

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2 REVISÃO DA LITERATURA……………………………………………...…….…………..4 2.1 Epidemiologia……………………………………………………………………………..4 2.2 Estudos comparativos entre o tratamento cirúrgico da instabilidade anterior recidivante de ombro por via aberta e via artroscópica……………………………………..6 2.3 Âncoras com nó…………………………………………………………………………..9 LISTA DE GRÁFICOS Gráfico 1 -Resultados da avaliação clínica de acordo com a escala de Rowe ao longo do seguimento.…………………………………………………………………………………68 Gráfico 2 -Resultados da avaliação clínica de acordo com a escala de "Western Ontario Shoulder Instability" (WOSI) ao longo do seguimento…………………………...70 Gráfico 3 -Resultados da avaliação clínica de acordo com a escala de "Single Assessment Numeric Evaluation" (SANE) ao longo do seguimento………………..…...72 Gráfico 4 -Nível de dor de acordo com a Escala Visual Analógica para Dor (EVAd) ao longo do seguimento.………………………………………………………………………….74

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Evaluation of Surgical Treatment of Patients With Shoulder Instability

Cited by 3 publications

References 22 publications

Differences in the arthroscopic treatment of anterior and posterior shoulder instability in long-term follow-up

Differences in the arthroscopic treatment of anterior and posterior shoulder instability in long-term follow-up

All-suture anchors versus metal suture anchors in the arthroscopic treatment of traumatic anterior shoulder instability: A comparison of mid-term outcomes

Estudo clínico comparativo entre o uso de âncoras com ou sem nós no tratamento artroscópico da luxação recidivante do ombro

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