Validation of the Instability Shoulder Index Score in a Multicenter Reliability Study in 114 Consecutive Cases

Rouleau, Dominique M.; Hébert‐Davies, Jonah; Djahangiri, Ali; Godbout, Véronique; Pelet, Stéphane; Balg, Frédéric

doi:10.1177/0363546512470815

Cited by 64 publications

(54 citation statements)

References 19 publications

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“…[17][18][19][20][21][22][23][24][25][26] En 1993, Banas y cols. 17 publicaron su estudio con 79 pacientes intervenidos mediante la técnica modificada de Bristow, con una tasa de recidiva del 4%.…”

Section: Discussionunclassified

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Técnica de Bristow-Latarjet en la inestabilidad glenohumeral anterior. [Bristow-Latarjet Technique in the Treatment of Anterior Shoulder Instability.]

Jiménez¹,

Marcos-García²,

Caballero³

et al. 2016

Rev. Asoc. Arg. Ort. y Traumatol

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ResumenObjetivo: Analizar los resultados obtenidos a mediano plazo en los pacientes operados con la técnica de Bristow-Latarjet, según el valor del ISIS preoperatorio. Materiales y Métodos: Estudio retrospectivo de 33 pacientes intervenidos entre 2005 y 2012; media de la edad: 33 años (rango 21-68); media del seguimiento 6 años (rango 2-9). Se recogieron los resultados de las escalas de Rowe y Constant, el cuestionario DASH y una encuesta de valoración subjetiva del resultado por parte de cada paciente. Resultados: No hubo recidivas. Los puntajes medios posoperatorios fueron 74,6 (rango 15-100) en la escala de Rowe y 70 (rango 32-98) en la escala de Constant. En el cuestionario DASH, el valor promedio fue 22,9 (rango 0-73). El 79% de los pacientes se mostraron satisfechos con el resultado. En un paciente, se produjo la migración del tornillo, sin síntomas. No se identificaron otras complicaciones. Conclusiones: Consideramos, como está reflejado en la literatura, que la técnica de Bristow-Latarjet para tratar la inestabilidad glenohumeral anterior es una técnica fiable, y con una tasa de recidivas baja, por lo que debe emplearse como cirugía de elección en determinados casos. Para ello, creemos que la valoración preoperatoria con la escala ISIS es una buena guía a la hora de indicar el tipo de cirugía. Results from Rowe and Constant scores, DASH questionnaire were registered and a subjective assessment of the result by each patient was also used. Results: No recurrence was reported. Mean Rowe score was 74.6 (range 15-100) and mean Constant score was 70 (range 32-98). The DASH questionnaire showed a mean value of 22.9 (range 0-73). Seventy-nine percent of patients were satisfied with the results. The migration of a screw occurred in one patient. There were no complications. Conclusions: We believe that Bristow-Latarjet technique is a reliable option, with few complications and a low recurrence rate to treat chronic shoulder instability as reported in literature. Therefore, we believe that it should be used as primary surgery in some cases and the preoperative ISIS scale is an excellent and simple guide to correctly select the surgical technique for each patient.

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Section: Discussionunclassified

“…Dossim y cols. 26 comunican una serie de 93 pacientes operados con la misma técnica y una tasa de recidiva del 5,4%.…”

Section: Discussionunclassified

Técnica de Bristow-Latarjet en la inestabilidad glenohumeral anterior. [Bristow-Latarjet Technique in the Treatment of Anterior Shoulder Instability.]

Jiménez¹,

Marcos-García²,

Caballero³

et al. 2016

Rev. Asoc. Arg. Ort. y Traumatol

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“…As demonstrated by Rouleau et al the ISIS score in its entirety is a valid and reliable measure that may be used with confidence in guiding the management of post-traumatic glenohumeral instability [3]. Their study has only recently been published and was not available for review at the time of the preparation of our manuscript.…”

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confidence: 86%

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confidence: 97%

Regarding the Instability Severity Index Score (ISIS)

2014

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Sir, Thank you for the opportunity to respond to the letter submitted to the journal by Houghton-Clemmey and Boileau [1].The purpose of our study [2] was to examine the radiographic portion of the instability severity index score (ISIS) and not the score as a whole. We consider the ISIS as a useful tool and would like to acknowledge the considerable work that went into the development of the tool by the original authors. We believe that the ISIS has changed the approach to the treatment of post-traumatic glenohumeral instability. The score has raised a number of very important questions regarding the management of post-traumatic glenohumeral instability and the indications for arthroscopic and open approaches to surgical stabilization.Although our results and those of Rouleau et al.[3] may appear contradictory, both may occur simultaneously, and the results of one do not necessarily invalidate the results of the other. As demonstrated by Rouleau et al. the ISIS score in its entirety is a valid and reliable measure that may be used with confidence in guiding the management of post-traumatic glenohumeral instability [3].

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“…In this model an ISIS of 3 or less was associated with a 5 % rate of recurrence, an ISIS of 4-6 was associated with a 10 % rate of recurrence, and an ISIS over 6 was associated with a 70 % rate of recurrence. Although it has imperfections, this score, validated since [ 70 ], has merit to easily remind the clinician of factors that are important to consider when evaluating a patient.…”

Section: Surgical Treatment Of Acute or Recurrence Traumatic Anteriormentioning

confidence: 99%

Traumatic Anterior Shoulder Instability: Part I. General Concepts and Proper Management

Lädermann

Benchouk

Denard

2015

Sports Injuries to the Shoulder and Elbow

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Validation of the Instability Shoulder Index Score in a Multicenter Reliability Study in 114 Consecutive Cases

Abstract: Our results show that the ISIS is reliable when used in a multicenter study with anterior traumatic instability populations. There was no correlation between the ISIS and the quality-of-life questionnaires, but surgical decisions reflected its increased use.

Cited by 64 publications

References 19 publications

Técnica de Bristow-Latarjet en la inestabilidad glenohumeral anterior. [Bristow-Latarjet Technique in the Treatment of Anterior Shoulder Instability.]

Técnica de Bristow-Latarjet en la inestabilidad glenohumeral anterior. [Bristow-Latarjet Technique in the Treatment of Anterior Shoulder Instability.]

Regarding the Instability Severity Index Score (ISIS)

Traumatic Anterior Shoulder Instability: Part I. General Concepts and Proper Management

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