Integridade do músculo subescapular após a cirurgia aberta para tratamento da luxação recidivante glenoumeral: avaliação clínica e radiológica

Lech, Osvandré; Piluski, Paulo César Faiad; Tambani, Renato; Castro, Nero; Pimentel, Gilnei Lopes

doi:10.1590/s0102-36162009000500009

Cited by 3 publications

(6 citation statements)

References 6 publications

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“…Nenhum estudo fazia seguimento com o tempo de avaliação padronizado, e 5 estudos [16][17][18][19][20] (42%) tinham tempo de seguimento mínimo dos pacientes maior do que 2 anos. Dez estudos 17,18,[20][21][22][23][24][25][26][27] (83%) eram séries de caso (nível de evidência IV), 1 (8%) estudo caso-controle 16 (nível de evidência III), e 1 coorte retrospectivo 19 (nível de evidência III). Não encontramos estudos randomizados ou coortes prospectivos.…”

Section: Resultsunclassified

“…Quatro estudos 16,22,24,26 (33%) avaliaram os resultados do tratamento da instabilidade glenoumeral anterior por via aberta, 3 (25%) estudavam a cirurgia de Latarjet-Patte, 16,22,26 e 1 (8%) estudou o reparo da lesão labial. 24 Em 8 publicações, [17][18][19][20][21]23,25,27 (66%) o reparo artroscópico das lesões labiais anteriores foi a técnica empregada, um desses avaliava o resultado desse procedimento associado ao remplissage da lesão de Hill-Sachs. 23 A média de desfechos avaliados por estudo foi de 3,7 AE 1,7 (►Fig.…”

Section: Resultsunclassified

“…A força muscular após o tratamento da instabilidade glenoumeral anterior foi aferida em 4 estudos 16,20,22,24 (33%). Três (25%) usaram a mensuração quantitativa da força muscular com auxílio de dinamômetro e relataram a posição do paciente (ortostática ou neutra).…”

Section: Forçaunclassified

“…A escala de Rowe 28 foi usada em 9 estudos [16][17][18][19][22][23][24]26,27 (75%); 7, 19,20,[22][23][24]26 (58%) usaram a escala da University of California Los Angeles (UCLA), 29 e 1 16 (8%) fez a avaliação dos resultados pelo escore de Walch-Duplay(►Fig. 3).…”

Section: Escalas E Questionários De Avaliaçãounclassified

“…3). Em 7 publicações 16,17,19,[22][23][24]26 (58%) foram usadas 2 escalas de avaliação; 3 estudos 18,20,27 (25%) apresentaram os resultados por apenas 1 questionário, e 2, 25 (17%) não usaram escalas ou questionários de avaliação.…”

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2019

Rev Bras Ortop

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Section: Resultsunclassified

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Section: Escalas E Questionários De Avaliaçãounclassified

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2019

Rev Bras Ortop

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Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

et al. 2019

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A review involving the six major international orthopedic journals has been published recently. It described the tools used for the evaluation of outcomes in the surgical treatment of recurrent anterior dislocation of the shoulder. There are no studies that exhibit the main outcome tools for this disease in Brazil. The authors evaluated the outcomes of clinical studies involving anterior glenohumeral instability that were published in the last decade in the two leading Brazilian orthopedic journals, Revista Brasileira de Ortopedia and Acta Ortopédica Brasileira . A review of the literature was performed, including all clinical papers published between 2007 and 2016 describing at least one outcome measure before and after surgical intervention. The outcomes were range of motion, muscle strength, physical examination testing, patient satisfaction, return to sports, imaging, complications, and functional outcomes scores. Twelve studies evaluating the clinical outcomes of surgical treatment for anterior shoulder instability were published. Ten studies (83%) were case series (level of evidence IV), 1 (8%) was a case-control study (III), and 1 was a retrospective cohort (III). On average, the number of outcomes assessed was 3.7 ± 1.7. The Rowe score was used in 9 studies (75%), and 7 (58%) papers used the University of California Los Angeles (UCLA) scale. Ten studies (83%) reported complications related to surgical treatment. The complication most frequently reported was recurrent instability, found in 9 studies (75%). The national studies have preferentially used scales considered to be of low reliability, responsiveness, and internal consistency.

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Functional Deficits After Open Latarjet Procedure and Dominance of the Operated Shoulder: An Analysis of 133 Patients

et al. 2023

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Background: Return to sport after stabilization surgery using the open Latarjet procedure remains challenging. Additional knowledge is needed about postoperative shoulder functional deficits in order to better design return-to-sport programs. Purpose: To investigate the effects of the dominance status of the operated shoulder on the shoulder functional profile recovery at 4.5 months after open Latarjet procedure. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A retrospective analysis of prospectively collected data was performed. All patients who underwent the open Latarjet procedure between December 2017 and February 2021 were eligible for the study. Functional assessment at 4.5 months after the surgery was performed using the following tests: maximal voluntary isometric contractions in glenohumeral internal and external rotation, upper-quarter Y balance test, unilateral seated shot-put test, and modified closed kinetic chain upper extremity stability test, leading to 10 outcome measures. Patients whose dominant side had undergone surgery and those whose nondominant side had undergone surgery were compared with a group of 68 healthy control participants. Results: A total of 72 patients who underwent an open Latarjet procedure on the dominant side and 61 patients who underwent open Latarjet on the nondominant side were compared with 68 healthy control athletes. In patients whose dominant shoulder had undergone surgery, significant deficits for the dominant side ( P < .001) and for the nondominant side ( P < .001) were found in 9 of 10 functional outcome measures. Among patients whose operations were on the nondominant shoulder, significant deficits for the nondominant side ( P < .001) and for the dominant side ( P < .001) were found in 9 and 5 of the 10 functional outcome measures, respectively. Conclusion: Regardless of dominance of the stabilized shoulder, persistent deficits in strength, stability, mobility, power, and stroke frequency were observed at 4.5 months postoperatively. Stabilization of the dominant shoulder resulted in residual surgery-related functional impairments on both sides. However, stabilization of the nondominant shoulder resulted in impairments primarily noted in the nondominant, operative shoulder. Registration: NCT05150379 (ClinicalTrials.gov identifier).

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Integridade do músculo subescapular após a cirurgia aberta para tratamento da luxação recidivante glenoumeral: avaliação clínica e radiológica

Cited by 3 publications

References 6 publications

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Instabilidade glenoumeral anterior: Revisão sistemática dos desfechos usados no Brasil

Functional Deficits After Open Latarjet Procedure and Dominance of the Operated Shoulder: An Analysis of 133 Patients

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