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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2016

01.02.2016 | Shoulder

Predictors of functional outcomes and recurrent shoulder instability after arthroscopic anterior stabilization

verfasst von: Giorgio Gasparini, Massimo De Benedetto, Arcangela Cundari, Marco De Gori, Nicola Orlando, Edward G. McFarland, Olimpio Galasso, Roberto Castricini

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2016

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Abstract

Purpose

To investigate what factors might predict the results of arthroscopic stabilization for anterior shoulder instability.

Methods

One hundred and forty-three patients averaging 25 (15–58) years with traumatic anterior shoulder instability who underwent arthroscopic stabilization were reviewed at a median follow-up of 81 (24–172) months. Sixty-two (56.4 %) individuals were involved in contact sport activities, and there were 40 (30 %) patients who had only one dislocation prior to having surgery. Rowe score was measured preoperatively and at follow-up.

Results

Thirty-three (23.1 %) patients experienced recurrent instability 12 (1–120) months after surgery, and 15 of those underwent further surgery. There was a statistically significant lower risk of failure (p = 0.027) for patients who had a surgical procedure after only one episode of shoulder dislocation. Patients treated after the second or further episode of shoulder dislocation exhibited a mean odds ratio for failure of 3.8 (95 % confidence interval 1.2–11.6, p = 0.044) with regard to first-time dislocators. The Rowe score significantly improved from a preoperative value of 25 (5–55) to a postoperative value of 100 (40–100) (p < 0.001). A significantly higher postoperative Rowe score was found in patients older than 24 years of age at the operation (p = 0.011) and in patients with less than eight dislocations prior to surgery (p = 0.05).

Conclusions

These results suggest that better functional results following arthroscopic stabilization can be expected in patients over 24 years of age and in those with a fewer number of dislocations preoperatively. A lower rate of recurrence can be expected if the patient undergoes surgery after the first episode of dislocation.

Level of evidence

Prognostic study, Level II.
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Metadaten
Titel
Predictors of functional outcomes and recurrent shoulder instability after arthroscopic anterior stabilization
verfasst von
Giorgio Gasparini
Massimo De Benedetto
Arcangela Cundari
Marco De Gori
Nicola Orlando
Edward G. McFarland
Olimpio Galasso
Roberto Castricini
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2016
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3785-3

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