Evaluation of arthroscopic treatment of posterior shoulder instability
To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results. We evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to m...
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| Published in: | Acta ortopedica brasileira Vol. 23; no. 3; pp. 134 - 137 |
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01-06-2015
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| Abstract | To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results.
We evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to measure the results before surgery and 12 months thereafter.
The average UCLA score changed from 26.67±0.25 (SD 0.97) before surgery to 34.20±0.53 (SD 2.04) after surgery. The effectiveness of surgery was 93%. In five cases loose bodies were found. A patient undergoing remplissage was evaluated separately. The data did not change after 24 months post-surgery.
The arthroscopic treatment of posterior shoulder instability and posterior dislocation of the shoulder has been proved feasible and results in our series followed the same trends as in the literature. Level of Evidence III, Transversal Retrospective Study. |
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| AbstractList | OBJECTIVE: To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results. METHODS: We evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to measure the results before surgery and 12 months thereafter. RESULTS: The average UCLA score changed from 26.67±0.25 (SD 0.97) before surgery to 34.20±0.53 (SD 2.04) after surgery. The effectiveness of surgery was 93%. In five cases loose bodies were found. A patient undergoing remplissage was evaluated separately. The data did not change after 24 months post-surgery. CONCLUSION: The arthroscopic treatment of posterior shoulder instability and posterior dislocation of the shoulder has been proved feasible and results in our series followed the same trends as in the literature. Level of Evidence III, Transversal Retrospective Study. To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results. We evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to measure the results before surgery and 12 months thereafter. The average UCLA score changed from 26.67±0.25 (SD 0.97) before surgery to 34.20±0.53 (SD 2.04) after surgery. The effectiveness of surgery was 93%. In five cases loose bodies were found. A patient undergoing remplissage was evaluated separately. The data did not change after 24 months post-surgery. The arthroscopic treatment of posterior shoulder instability and posterior dislocation of the shoulder has been proved feasible and results in our series followed the same trends as in the literature. Level of Evidence III, Transversal Retrospective Study. OBJECTIVETo provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary results. METHODSWe evaluated 15 patients submitted to reverse Bankart arthroscopic surgery. We used the UCLA (University of California at Los Angeles) score to measure the results before surgery and 12 months thereafter. RESULTSThe average UCLA score changed from 26.67±0.25 (SD 0.97) before surgery to 34.20±0.53 (SD 2.04) after surgery. The effectiveness of surgery was 93%. In five cases loose bodies were found. A patient undergoing remplissage was evaluated separately. The data did not change after 24 months post-surgery. CONCLUSIONThe arthroscopic treatment of posterior shoulder instability and posterior dislocation of the shoulder has been proved feasible and results in our series followed the same trends as in the literature. Level of Evidence III, Transversal Retrospective Study. |
| Author | Garcia, Jr, José Carlos Fonseca, Juliano Rocha Zabeu, José Luís Amim Maia, Lucas Russo Garcia, Jesely Pereira Myrrha |
| AuthorAffiliation | 2 Pontifícia Universidade de Campinas, Campinas, SP, Brazil 1 Advanced Study Center on Orthopedics and Neurosurgery, Hospital Santa Catarina, São Paulo, SP, Brazil |
| AuthorAffiliation_xml | – name: 1 Advanced Study Center on Orthopedics and Neurosurgery, Hospital Santa Catarina, São Paulo, SP, Brazil – name: 2 Pontifícia Universidade de Campinas, Campinas, SP, Brazil – name: Hospital Santa Catarina – name: Pontifícia Universidade Católica de Campinas |
| Author_xml | – sequence: 1 givenname: José Carlos surname: Garcia, Jr fullname: Garcia, Jr, José Carlos organization: Advanced Study Center on Orthopedics and Neurosurgery, Hospital Santa Catarina, São Paulo, SP, Brazil – sequence: 2 givenname: Lucas Russo surname: Maia fullname: Maia, Lucas Russo organization: Pontifícia Universidade de Campinas, Campinas, SP, Brazil – sequence: 3 givenname: Juliano Rocha surname: Fonseca fullname: Fonseca, Juliano Rocha organization: Pontifícia Universidade de Campinas, Campinas, SP, Brazil – sequence: 4 givenname: José Luís Amim surname: Zabeu fullname: Zabeu, José Luís Amim organization: Pontifícia Universidade de Campinas, Campinas, SP, Brazil – sequence: 5 givenname: Jesely Pereira Myrrha surname: Garcia fullname: Garcia, Jesely Pereira Myrrha organization: Advanced Study Center on Orthopedics and Neurosurgery, Hospital Santa Catarina, São Paulo, SP, Brazil |
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| Cites_doi | 10.1016/S0749-8063(97)90119-5 10.1016/S0030-5898(05)70125-5 10.1016/S1060-1872(97)80005-6 10.1177/0363546505278301 10.1016/j.jse.2004.02.012 10.1016/j.arthro.2003.09.033 10.1016/j.arthro.2005.10.004 10.1177/036354659001800501 10.2106/00004623-199703000-00018 10.2106/00004623-195234030-00011 10.1016/S0030-5898(03)00090-7 10.1016/S0749-8063(98)70034-9 10.1177/0363546504271509 10.2106/00004623-200412000-00022 10.1136/bmj.305.6847.235 10.1016/j.arthro.2008.03.015 |
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| Keywords | Shoulder dislocation Joint instability Arthroscopy Shoulder joint/injuries |
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| References | 14673426 - Arthroscopy. 2003 Dec;19 Suppl 1:102-5 9070535 - J Bone Joint Surg Am. 1997 Mar;79(3):433-40 2252083 - Am J Sports Med. 1990 Sep-Oct;18(5):449-56 9276047 - Arthroscopy. 1997 Aug;13(4):426-32 16458812 - Arthroscopy. 2006 Feb;22(2):227.e1-227.e6 15383808 - J Shoulder Elbow Surg. 2004 Sep-Oct;13(5):522-7 14984187 - Orthop Clin North Am. 2003 Oct;34(4):475-83 10629330 - Orthop Clin North Am. 2000 Jan;31(1):23-34 1392832 - BMJ. 1992 Jul 25;305(6847):235-40 9531126 - Arthroscopy. 1998 Mar;14(2):153-63 16093530 - Am J Sports Med. 2005 Oct;33(10 ):1463-71 15590861 - J Bone Joint Surg Am. 2004 Dec;86-A(12):2732-6 18514117 - Arthroscopy. 2008 Jun;24(6):723-6 15890637 - Am J Sports Med. 2005 Jul;33(7):996-1002 14946209 - J Bone Joint Surg Am. 1952 Jul;24 A(3):584-90 Steinmann SP (ref3) 2003; 19 Sperling JW (ref11) 2004; 13 Cooper A (ref2) 1839; 4 Wolf EM (ref15) 1998; 14 Loebenberg MI (ref1) 2000; 31 Krackhardt T (ref17) 2006; 22 Pocock SJ (ref14) 1992; 305 McLaughlin HL (ref16) 1952; 34 Malgaigne JF (ref4) 1855 Provencher MT (ref12) 2005; 33 Safran O (ref8) 2004; 86-A Bottoni CR (ref9) 2005; 33 McIntyre LF (ref13) 1997; 13 Purchase RJ (ref18) 2008; 24 Blasier RB (ref6) 1997; 79 Abrams JS (ref7) 2003; 34 Savoie FH (ref5) 1997; 5 O'Brien SJ (ref10) 1990; 18 Purchase, RJ; Wolf, EM; Hobgood, ER; Pollock, ME; Smalley, CC 2008; 24 Malgaigne, JF 1855 Sperling, JW; Pring, M; Antuna, SA; Cofield, RH 2004; 13 Blasier, RB; Soslowsky, LJ; Malicky, DM; Palmer, ML 1997; 79 Loebenberg, MI; Cuomo, F 2000; 31 Abrams, JS 2003; 34 Cooper, A 1839; 4 Provencher, MT; Bell, SJ; Menzel, KA; Mologne, TS 2005; 33 Savoie, FH; Field, LD 1997; 5 Safran, O; Defranco, MJ; Hatem, S; Iannotti, JP 2004; 86-A Pocock, SJ 1992; 305 Krackhardt, T; Schewe, B; Albrecht, D; Weise, K 2006; 22 McIntyre, LF; Caspari, RB; Savoie FH, 3rd 1997; 13 O'Brien, SJ; Neves, MC; Arnoczky, SP; Rozbruck, SR; Dicarlo, EF; Warren, RF 1990; 18 Steinmann, SP 2003; 19 McLaughlin, HL 1952; 34 Bottoni, CR; Franks, BR; Moore, JH; DeBerardino, TM; Taylor, DC; Arciero, RA 2005; 33 Wolf, EM; Eakin, CL 1998; 14 |
| References_xml | – volume: 13 start-page: 426 issue: 4 year: 1997 ident: ref13 article-title: The arthroscopic treatment of posterior shoulder instability: two-year results of a multiple suture technique publication-title: Arthroscopy doi: 10.1016/S0749-8063(97)90119-5 contributor: fullname: McIntyre LF – volume: 31 start-page: 23 issue: 1 year: 2000 ident: ref1 article-title: The treatment of chronic anterior and posterior dislocations of the glenohumeral joint and associated articular surface defects publication-title: Orthop Clin North Am doi: 10.1016/S0030-5898(05)70125-5 contributor: fullname: Loebenberg MI – volume: 5 start-page: 226 issue: 4 year: 1997 ident: ref5 article-title: Arthroscopic management of posterior shoulder instability publication-title: Oper Tech Sports Med doi: 10.1016/S1060-1872(97)80005-6 contributor: fullname: Savoie FH – volume: 33 start-page: 1463 issue: 10 year: 2005 ident: ref12 article-title: Arthroscopic treatment of posterior shoulder instability: results in 33 patients publication-title: Am J Sports Med doi: 10.1177/0363546505278301 contributor: fullname: Provencher MT – volume: 4 start-page: 265 year: 1839 ident: ref2 article-title: On the dislocations of the os humeri upon the dorsum scapulae and upon fractures near the shoulder joint publication-title: Guys Hosp Rep contributor: fullname: Cooper A – volume: 13 start-page: 522 issue: 5 year: 2004 ident: ref11 article-title: Shoulder arthroplasty for locked posterior dislocation of the shoulder publication-title: J Shoulder Elbow Surg doi: 10.1016/j.jse.2004.02.012 contributor: fullname: Sperling JW – volume: 19 start-page: 102 issue: Suppl 1 year: 2003 ident: ref3 article-title: Posterior shoulder instability publication-title: Arthroscopy doi: 10.1016/j.arthro.2003.09.033 contributor: fullname: Steinmann SP – volume: 22 start-page: 227.e1 issue: 2 year: 2006 ident: ref17 article-title: Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder publication-title: Arthroscopy doi: 10.1016/j.arthro.2005.10.004 contributor: fullname: Krackhardt T – year: 1855 ident: ref4 contributor: fullname: Malgaigne JF – volume: 18 start-page: 449 issue: 5 year: 1990 ident: ref10 article-title: The anatomy and histology of the inferior glenohumeralligament complex of the shoulder publication-title: Am J Sports Med doi: 10.1177/036354659001800501 contributor: fullname: O'Brien SJ – volume: 79 start-page: 433 issue: 3 year: 1997 ident: ref6 article-title: Posterior glenohumeral subluxation: active and passive stabilization in a biomechanical model publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199703000-00018 contributor: fullname: Blasier RB – volume: 34 start-page: 548 issue: 3 year: 1952 ident: ref16 article-title: Posterior dislocation of the shoulder publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-195234030-00011 contributor: fullname: McLaughlin HL – volume: 34 start-page: 475 issue: 4 year: 2003 ident: ref7 article-title: Arthroscopic repair of posterior instability and reverse humeralglenohumeral ligament avulsion lesions publication-title: Orthop Clin North Am doi: 10.1016/S0030-5898(03)00090-7 contributor: fullname: Abrams JS – volume: 14 start-page: 153 issue: 2 year: 1998 ident: ref15 article-title: Arthroscopic capsular plication for posterior shoulder instability publication-title: Arthroscopy doi: 10.1016/S0749-8063(98)70034-9 contributor: fullname: Wolf EM – volume: 33 start-page: 996 issue: 7 year: 2005 ident: ref9 article-title: Operative stabilization of posterior shoulder instability publication-title: Am J Sports Med doi: 10.1177/0363546504271509 contributor: fullname: Bottoni CR – volume: 86-A start-page: 2732 issue: 12 year: 2004 ident: ref8 article-title: Posterior humeral avulsion of the glenohumeral ligament as a cause of posterior shoulder instability publication-title: A case report. J Bone Joint Surg Am doi: 10.2106/00004623-200412000-00022 contributor: fullname: Safran O – volume: 305 start-page: 235 issue: 6847 year: 1992 ident: ref14 article-title: When to stop a clinical trial publication-title: BMJ doi: 10.1136/bmj.305.6847.235 contributor: fullname: Pocock SJ – volume: 24 start-page: 723 issue: 6 year: 2008 ident: ref18 article-title: Hill-sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion publication-title: Arthroscopy doi: 10.1016/j.arthro.2008.03.015 contributor: fullname: Purchase RJ – volume: 19 start-page: 102 issue: Suppl 1 year: 2003 end-page: 105 article-title: Posterior shoulder instability publication-title: Arthroscopy contributor: fullname: Steinmann, SP – volume: 5 start-page: 226 issue: 4 year: 1997 end-page: 232 article-title: Arthroscopic management of posterior shoulder instability publication-title: Oper Tech Sports Med contributor: fullname: Savoie, FH; Field, LD – volume: 86-A start-page: 2732 issue: 12 year: 2004 end-page: 2736 article-title: Posterior humeral avulsion of the glenohumeral ligament as a cause of posterior shoulder instability publication-title: A case report. J Bone Joint Surg Am contributor: fullname: Safran, O; Defranco, MJ; Hatem, S; Iannotti, JP – volume: 24 start-page: 723 issue: 6 year: 2008 end-page: 726 article-title: Hill-sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion publication-title: Arthroscopy contributor: fullname: Purchase, RJ; Wolf, EM; Hobgood, ER; Pollock, ME; Smalley, CC – volume: 31 start-page: 23 issue: 1 year: 2000 end-page: 34 article-title: The treatment of chronic anterior and posterior dislocations of the glenohumeral joint and associated articular surface defects publication-title: Orthop Clin North Am contributor: fullname: Loebenberg, MI; Cuomo, F – volume: 13 start-page: 426 issue: 4 year: 1997 end-page: 432 article-title: The arthroscopic treatment of posterior shoulder instability: two-year results of a multiple suture technique publication-title: Arthroscopy contributor: fullname: McIntyre, LF; Caspari, RB; Savoie FH, 3rd – volume: 79 start-page: 433 issue: 3 year: 1997 end-page: 440 article-title: Posterior glenohumeral subluxation: active and passive stabilization in a biomechanical model publication-title: J Bone Joint Surg Am contributor: fullname: Blasier, RB; Soslowsky, LJ; Malicky, DM; Palmer, ML – volume: 22 start-page: 227.e1 issue: 2 year: 2006 end-page: 227.e6 article-title: Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder publication-title: Arthroscopy contributor: fullname: Krackhardt, T; Schewe, B; Albrecht, D; Weise, K – year: 1855 publication-title: Traité des fractures et des luxations contributor: fullname: Malgaigne, JF – volume: 34 start-page: 548 issue: 3 year: 1952 end-page: 590 article-title: Posterior dislocation of the shoulder publication-title: J Bone Joint Surg Am contributor: fullname: McLaughlin, HL – volume: 4 start-page: 265 year: 1839 end-page: 284 article-title: On the dislocations of the os humeri upon the dorsum scapulae and upon fractures near the shoulder joint publication-title: Guys Hosp Rep contributor: fullname: Cooper, A – volume: 14 start-page: 153 issue: 2 year: 1998 end-page: 163 article-title: Arthroscopic capsular plication for posterior shoulder instability publication-title: Arthroscopy contributor: fullname: Wolf, EM; Eakin, CL – volume: 33 start-page: 996 issue: 7 year: 2005 end-page: 1002 article-title: Operative stabilization of posterior shoulder instability publication-title: Am J Sports Med contributor: fullname: Bottoni, CR; Franks, BR; Moore, JH; DeBerardino, TM; Taylor, DC; Arciero, RA – volume: 13 start-page: 522 issue: 5 year: 2004 end-page: 527 article-title: Shoulder arthroplasty for locked posterior dislocation of the shoulder publication-title: J Shoulder Elbow Surg contributor: fullname: Sperling, JW; Pring, M; Antuna, SA; Cofield, RH – volume: 33 start-page: 1463 issue: 10 year: 2005 end-page: 1471 article-title: Arthroscopic treatment of posterior shoulder instability: results in 33 patients publication-title: Am J Sports Med contributor: fullname: Provencher, MT; Bell, SJ; Menzel, KA; Mologne, TS – volume: 18 start-page: 449 issue: 5 year: 1990 end-page: 456 article-title: The anatomy and histology of the inferior glenohumeralligament complex of the shoulder publication-title: Am J Sports Med contributor: fullname: O'Brien, SJ; Neves, MC; Arnoczky, SP; Rozbruck, SR; Dicarlo, EF; Warren, RF – volume: 305 start-page: 235 issue: 6847 year: 1992 end-page: 240 article-title: When to stop a clinical trial publication-title: BMJ contributor: fullname: Pocock, SJ – volume: 34 start-page: 475 issue: 4 year: 2003 end-page: 483 article-title: Arthroscopic repair of posterior instability and reverse humeralglenohumeral ligament avulsion lesions publication-title: Orthop Clin North Am contributor: fullname: Abrams, JS |
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We... OBJECTIVETo provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary... OBJECTIVE: To provide data for the analysis of arthroscopy as a method of surgical treatment for shoulder and discuss its actual indications and preliminary... |
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| Title | Evaluation of arthroscopic treatment of posterior shoulder instability |
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