Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(03): 339-346
DOI: 10.1055/s-0039-3402467
Artigo Original
Ombro e cotovelo
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Postoperative Evaluation of Patients Submitted to Arthroscopic Repair of Anterior Shoulder Instability

Article in several languages: português | English
Thiago Medeiros Storti 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
,
Renato de Almeida Lima
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Eloíse de Barros e Silva Costa
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
3   Departamento de Ortopedia, Centro Universitário de Brasília (UniCEUB), Brasília, DF, Brasil
,
João Eduardo Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Carolina Simionatto
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Alexandre Firmino Paniago 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
› Author Affiliations
Further Information

Publication History

04 April 2018

05 February 2019

Publication Date:
22 April 2020 (online)

Also available at
   Permissions and Reprints

Abstract

Objective To clinically evaluate the results of patients undergoing arthroscopic surgical treatment of anterior shoulder instability.

Methods A retrospective study of 94 patients. With a minimum follow-up of 24 months, we sought to correlate the characteristics of the patients and the surgery, such as age, gender, type of injury (traumatic or atraumatic) and the patient's position during surgery (lateral decubitus and beach chair) with the results obtained, the recurrence rate, the lateral rotation loss, the residual pain, and the functional scores of Carter-Rowe, University of California at Los Angeles (UCLA), and Constant-Murley.

Results We observed a recurrent dislocation rate of 11.7%, lateral rotation loss in 37.23% of the patients, and some degree of residual pain in 51.6% of them. We obtained a mean Carter Rowe score of 85.37, representing 86% of good/excellent results. In the UCLA score, we obtained 88% of good/excellent results, similar to those obtained in the Constant-Murley score (86%).

Conclusion The arthroscopic treatment of the anterior instability of the shoulder presents satisfactory results and low index of important complications, being the method of choice for most patients.

Keywords

arthroscopy - articular instability - shoulder - retrospective studies
 

  • Referências

  • 1 Veeger DH. “What if”: the use of biomechanical models for understanding and treating upper extremity musculoskeletal disorders. Man Ther 2011; 16 (01) 48-50
    CrossrefPubMedGoogle Scholar
  • 2 Perthes G. Uber Operationen bei tabitueller Schulterluxation. Dtsch Z Chir 1906; 56: 149-151
    Google Scholar
  • 3 Bankart AS. Recurrent or habitual dislocation on the shoulder joint. BMJ 1923; 2 (3285): 1132-1133
    CrossrefPubMedGoogle Scholar
  • 4 Bankart AS. The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg 1938; 26: 23-29
    CrossrefGoogle Scholar
  • 5 Neviaser RJ, Benke MT, Neviaser AS. Mid-term to long-term outcome of the open Bankart repair for recurrent traumatic anterior dislocation of the shoulder. J Shoulder Elbow Surg 2017; 26 (11) 1943-1947
    CrossrefPubMedGoogle Scholar
  • 6 Ahmed I, Ashton F, Robinson CM. Arthroscopic Bankart repair and capsular shift for recurrent anterior shoulder instability: functional outcomes and identification of risk factors for recurrence. J Bone Joint Surg Am 2012; 94 (14) 1308-1315
    CrossrefPubMedGoogle Scholar
  • 7 Murray IR, Ahmed I, White NJ, Robinson CM. Traumatic anterior shoulder instability in the athlete. Scand J Med Sci Sports 2013; 23 (04) 387-405
    CrossrefPubMedGoogle Scholar
  • 8 Pulavarti RS, Symes TH, Rangan A. Surgical interventions for anterior shoulder instability in adults. Cochrane Database Syst Rev 2009; (04) CD005077
    PubMedGoogle Scholar
  • 9 Rosa JR, Checchia CS, Miyazaki AN. Instabilidade anterior traumática do ombro. Rev Bras Ortop 2017; 52 (05) 513-520
    CrossrefPubMedGoogle Scholar
  • 10 Randelli P, Ragone V, Carminati S, Cabitza P. Risk factors for recurrence after Bankart repair a systematic review. Knee Surg Sports Traumatol Arthrosc 2012; 20 (11) 2129-2138
    CrossrefPubMedGoogle Scholar
  • 11 Grumet RC, Bach Jr BR, Provencher MT. Arthroscopic stabilization for first-time versus recurrent shoulder instability. Arthroscopy 2010; 26 (02) 239-248
    CrossrefPubMedGoogle Scholar
  • 12 Virk MS, Manzo RL, Cote M. , et al. Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques. Orthop J Sports Med 2016; 4 (06) 2325967116654114
    Google Scholar
  • 13 Balg F, Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation. J Bone Joint Surg Br 2007; 89 (11) 1470-1477
    PubMedGoogle Scholar
  • 14 Castagna A, Markopoulos N, Conti M, Delle Rose G, Papadakou E, Garofalo R. Arthroscopic bankart suture-anchor repair: radiological and clinical outcome at minimum 10 years of follow-up. Am J Sports Med 2010; 38 (10) 2012-2016
    CrossrefPubMedGoogle Scholar
  • 15 Petrera M, Patella V, Patella S, Theodoropoulos J. A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatol Arthrosc 2010; 18 (12) 1742-1747
    CrossrefPubMedGoogle Scholar
  • 16 Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 2006; 34 (11) 1730-1737
    CrossrefPubMedGoogle Scholar
  • 17 Ferreira Neto FAA, Camanho GL, Felix AM. , et al. Tratamento artroscópico da instabilidade anterior do ombro: estudo retrospectivo de 159 casos. Acta Ortop Bras 2011; 19 (01) 41-44
    CrossrefGoogle Scholar
  • 18 Kim SH, Ha KI, Cho YB, Ryu BD, Oh I. Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg Am 2003; 85 (08) 1511-1518
    CrossrefPubMedGoogle Scholar
  • 19 Hayashida K, Yoneda M, Nakagawa S, Okamura K, Fukushima S. Arthroscopic Bankart suture repair for traumatic anterior shoulder instability: analysis of the causes of a recurrence. Arthroscopy 1998; 14 (03) 295-301
    CrossrefPubMedGoogle Scholar
  • 20 Almeida Filho IA, Veado MA, Fim M, Corrêa LV, Júnior AE. Avaliação funcional do reparo artroscópicoda instabilidade anterior recidivante do ombro. Rev Bras Ortop 2012; 47 (02) 214-221
    Google Scholar
  • 21 Larrain MV, Montenegro HJ, Mauas DM, Collazo CC, Pavón F. Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy 2006; 22 (12) 1283-1289
    CrossrefPubMedGoogle Scholar
  • 22 Enad JG, Gaines RJ, White SM, Kurtz CA. Arthroscopic SLAP repair in military patients. J Shoulder Elbow Surg 2007; 16 (03) 300-305
    CrossrefPubMedGoogle Scholar
  • 23 Buscayret F, Edwards TB, Szabo I, Adeleine P, Coudane H, Walch G. Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med 2004; 32 (05) 1165-1172
    CrossrefPubMedGoogle Scholar
  • 24 Porcellini G, Campi F, Pegreffi F, Castagna A, Paladini P. Predisposing factors for recurrent shoulder dislocation after arthroscopic treatment. J Bone Joint Surg Am 2009; 91 (11) 2537-2542
    CrossrefPubMedGoogle Scholar
  • 25 Flinkkilä T, Hyvönen P, Ohtonen P, Leppilahti J. Arthroscopic Bankart repair: results and risk factors of recurrence of instability. Knee Surg Sports Traumatol Arthrosc 2010; 18 (12) 1752-1758
    CrossrefPubMedGoogle Scholar
  • 26 Voos JE, Livermore RW, Feeley BT. , et al; HSS Sports Medicine Service. Prospective evaluation of arthroscopic bankart repairs for anterior instability. Am J Sports Med 2010; 38 (02) 302-307
    CrossrefPubMedGoogle Scholar
  • 27 Calvo E, Granizo JJ, Fernández-Yruegas D. Criteria for arthroscopic treatment of anterior instability of the shoulder: a prospective study. J Bone Joint Surg Br 2005; 87 (05) 677-683
    CrossrefPubMedGoogle Scholar
  • 28 Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 2006; 88 (08) 1755-1763
    CrossrefPubMedGoogle Scholar
  • 29 Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS. Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg 2007; 16 (04) 419-424
    CrossrefPubMedGoogle Scholar
  • 30 Godinho GG, França FO, Freitas JM. , et al. Tratamento artroscópico da instabilidade anterior traumática do ombro: resultados a longo prazo e fatores de risco. Rev Bras Ortop 2008; 43 (05) 157-166
    Google Scholar