Effect of arthroscopic techniques on joint volume in shoulder instability: Bankart repair versus capsular shift
| Autor: | Piotr Ogrodowicz, Przemysław Lubiatowski, Marta Ślęzak, Jan Długosz, Joanna Wałecka, Leszek Romanowski, Jakub Stefaniak |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Joint Instability Male musculoskeletal diseases medicine.medical_specialty Adolescent Shoulders medicine.medical_treatment Pilot Projects Cohort Studies Arthroscopy Young Adult 03 medical and health sciences 0302 clinical medicine Subacromial impingement medicine Capsular shift Humans Volume reduction Orthopedics and Sports Medicine Prospective Studies Bankart repair Aged Aged 80 and over 030222 orthopedics Shoulder Joint business.industry 030229 sport sciences Middle Aged Surgery Orthopedic surgery Shoulder instability Female business Volume (compression) |
| Zdroj: | International Orthopaedics. 41:149-155 |
| ISSN: | 1432-5195 0341-2695 2010-2011 |
| Popis: | The evaluation of glenohumeral joint volume in both unstable (with/without laxity) and stable shoulders (subacromial impingement) and volume reduction potential of arthroscopic techniques: (labral anchor repair vs. capsular shift).Material was based on 133 patients: anterior shoulder instability without laxity (group I, n = 49), with laxity (group II, n = 22) and subacromial impingement (control group, n = 62) operated in 2010-2011. Group I received arthroscopic Bankart repair, group; II - arthroscopic anterior capsular plication, control group - subacromial decompression. Joint volume was measured by fluid aspiration into the syringe via arthroscope, before and after procedure. Then volume reduction potential was calculated.The following average values of initial joint volume were recorded: group I - 26.8 ml group II - 43.7 ml and the control group - 25.6 ml with significant differences: impingement vs. instability + laxity (p 0.00001), impingement vs. instability without laxity (p = 0.0001). There was no significant difference between groups I and II. Joint volume was significantly reduced after labral repair (by average of 37 %, 13.8 ml, p 0.0001). Capsular shift led to an even greater and more significant volume decrease (61 %, 26.7 ml, p 0.001). Joint volume in the control group was reduced only by 11 %, 3.8 ml (p = 0.046).Patients with unstable shoulders have enlarged joint volume as compared to patients with subacromial impingement. Arthroscopic techniques lead to a significant joint volume reduction, with the most powerful effect for capsular shift. Level of Evidence - Level 2. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink