Clinical and Image Outcomes of the Hill-Sachs Injury Approach by the Remplissage Technique on the Anterior Shoulder Instability.
| Autor: | França FO; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil., Godinho AC; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil.; Hospital Belo Horizonte, Belo Horizonte, MG, Brasil., Carneiro Leal DPC; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil., Mantovani MM; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil., Frazão RR; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil., Mariz RF; Hospital Ortopédico, Belo Horizonte, MG, Brasil.; Hospital Belvedere, Belo Horizonte, MG, Brasil. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2019 Feb; Vol. 54 (1), pp. 13-19. Date of Electronic Publication: 2019 Mar 01. |
| DOI: | 10.1016/j.rbo.2017.10.010 |
| Abstrakt: | Objective: To evaluate the functional outcome of the remplissage technique, the healing of the capsulotenodesis of the infraspinatus tendon in Hill-Sachs lesion, and the degree of fatty infiltration of the infraspinatus muscle and its postoperative strength. Methods: Twenty-five patients with recurrent anterior dislocation of the shoulder and Hill-Sachs lesion with a Hardy index > 20% who underwent the remplissage arthroscopic technique were evaluated with a minimum follow-up of 1 year. Patients underwent a clinical evaluation (Carter-Rowe and Walch-Duplay functional scores, measurement of range of motion and strength) and a magnetic resonance imaging (MRI) exam on the operated shoulder. Results: Eighty-eight percent and 92% of the patients had good or excellent scores in the functional assessments of the Carter-Rowe and Walch-Duplay scores, respectively. A mean difference of - 1 kg in the strength of the operated limb was observed when compared with the contralateral limb ( p < 0.001), as well as a mean difference of 10° in external rotation 1 and 2 ( p < 0.001), also compared with the contralateral side. All of the patients who underwent an MRI exam presented high-grade filling of the Hill-Sachs lesion by capsulotenodesis, as well as absence of or minimal fatty infiltration in the infraspinatus muscle. Conclusion: The remplissage technique had good/excellent functional score results, despite the discrete, albeit statistically significant, loss of strength and of external rotation amplitude. Successful capsulotenodesis healing and filling of the Hill-Sachs defect were demonstrated. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|