Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects

• Published in: JSES international Vol. 7; no. 6; pp. 2440 - 2444
• Main Authors: Hookway, Sam, Alder-Price, Angela, Gill, Stephen D., Mattin, Andrew, Page, Richard S.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2023; Elsevier
• Subjects: Chondral lesion; Glenohumeral joint; Long-term; Microfracture; Osteoarthritis; Shoulder; Treatment Study; Level IV; Microfracture; Glenohumeral joint; Case Series; Shoulder; Long-term; Chondral lesion; Osteoarthritis
• ISSN: 2666-6383; 2666-6383
• DOI: 10.1016/j.jseint.2023.06.022

The primary aim of this study was to evaluate mid- and long-term outcomes following microfracture in patients with glenohumeral chondral lesions.
This prospective cohort study assessed patients with shoulder pain who were treated with arthroscopic microfracture for full-thickness chondral lesions of the glenohumeral joint. Outcomes included the Simple Shoulder Test at baseline, mid-term (approximately 1 year) and long-term (approximately 10 years), and the Oxford Shoulder Score, shoulder pain (0-10 numerical scale) and radiological assessment using a modified Samilson & Prieto score at long-term follow-up. Data were analyzed with paired t-tests and Wilcoxon’s signed rank tests, which were considered significant if P < .05.
Twenty-five patients with a mean age of 52.7 ± 12.1 were enrolled. The mean Simple Shoulder Test score improved from baseline to 1 year (6.7 ± 2.5 to 11.0 ± 1.4, P < .001), which was maintained at long-term follow-up (10.3 ± 2.1, P < .001). Additionally, at long-term follow-up, Oxford Shoulder Score and Verbal Pain Score scores were 43 ± 4.8 and 1.1 ± 1.5, respectively while median modified Samilson & Prieto scores increased from 1 preoperatively to 2 at 10 years (P < .001).
Patients undergoing microfracture for full-thickness chondral lesions of the glenohumeral joint reported substantial improvements in shoulder pain and function at 1 and 10 years, despite progressive radiological degeneration.