L’apport du muscle pectoralis minor dans le traitement de l’instabilité antérieure de l’épaule

Autor: Y. El Andaloussi, A. Largab, J. Hassoun, A.R. Haddoun, M. Ouarab, A. Messoudi, S. Fnini
Rok vydání: 2011
Předmět:
Zdroj: Journal de Traumatologie du Sport. 28:165-168
ISSN: 0762-915X
DOI: 10.1016/j.jts.2011.07.005
Popis: The surgical stabilization of the shoulder knew many technical improvements energy. We propose a preliminary study about an engineering change by the addition of a fourth muscular bolt for the treatment of former instabilities of the shoulder. Our study is prospective gathering 16 patients having a stabilization of the shoulder by a quadruple locking using an osseous thrust by the coaracoid process, a tendineux bolt by a hammock applied thanks to the coaraco-biceps tendon to the lower bank of the sub-scapularis, a capsular bolt by joining the acromio-coracoid ligament to the glenohumeral capsule and a fourth bolt by the joining of the pectoral small tendon to the coraco-biceps. Our results evaluated by the score of Dupaly after 18 months show that the average retreat are satisfactory with an early resumption of the activity (2 months on average). The techniques of former stabilization of the shoulder are currently allowing that triple locking is indicated among all patients whose score ISIS exceeds five points. The addition of small pectoral as fourth bolt seems to us as well interesting because of the good preliminary results.
Databáze: OpenAIRE