Biomechanical comparison shows increased stability of an arthroscopic subscapular sling procedure compared to an open Latarjet reconstruction for anterior shoulder instability in specimens with major glenoid bone defect

Autor: Terje Vagstad, Jan Arild Klungsøyr, Christian Bjerknes, Petter Klungsøyr, Aleksander Skrede, Andreas Dalen, Jon Olav Drogset, Tor Åge Myklebust, Erland Hermansen
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Experimental Orthopaedics, Vol 11, Iss 3, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2197-1153
DOI: 10.1002/jeo2.70015
Popis: Abstract Purpose Recurrent anterior glenohumeral instability (RASI) is commonly treated with arthroscopic techniques, though their effectiveness in providing stability may diminish in cases of critical glenoid bone loss. This study aimed to compare the stability outcomes and range of motion (ROM) associated with an arthroscopic subscapular sling procedure (SSP), first introduced in 2015. Methods Sixteen fresh‐frozen human cadaveric shoulder specimens were biomechanically evaluated in four conditions: native, injured, post‐SSP and post‐LP. Glenohumeral translations were measured under anterior, anteroinferior and inferior loading, while external rotation ROM was assessed in neutral and abducted positions. Testing was conducted using a robotic system for precise force and torque application. Specimens were prepared with a 20% glenoid bone defect and subjected to stability testing sequentially. Results The SSP significantly reduced glenohumeral translations compared to LP, particularly under anterior loading in neutral (p
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