Revision posterior shoulder stabilization

Chalmers, Peter N.; Hammond, James; Juhan, Tristan; Romeo, Anthony A.

doi:10.1016/j.jse.2012.11.019

Cited by 22 publications

(14 citation statements)

References 92 publications

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“…The results of revision posterior capsulolabral repair have been shown to be inferior. 7 Bradley et al 5 showed nonthrowers who underwent revision surgery had worse ASES, stability, pain, and ROM scores. Similar results were found in contact athletes who underwent revision surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, after a failed repair, the tissue may become attenuated, and revision repair may not completely restore these functions, leading to failure. 7 Therefore, throwers may continue to experience subtle symptoms that impede their ability to return to throwing. This may explain why the revision group had similar outcome scores to those of the no-revision group.…”

Section: Discussionmentioning

confidence: 99%

“…Restoration of the posterior capsulolabral complex is important for the throwing athlete, as it provides a dynamic restraint to posterior translation of the humeral head during the throwing motion. 7 The posterior labrum fails under repetitive tensile load during the repeated throwing motion, 14 and capsulolabral repair is typically sufficient to restore its function. However, after a failed repair, the tissue may become attenuated, and revision repair may not completely restore these functions, leading to failure.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athletes

Vaswani

Arner

Freiman

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Revision posterior shoulder capsulolabral repair has inferior outcomes compared with primary surgery. Risk factors for revision in throwing athletes are unknown. Purpose/Hypothesis: The purpose of this study was to characterize the revision rate and risk factors for revision surgery in throwing athletes. It was hypothesized that female athletes and those with smaller glenoid bone width would be at higher risk for revision surgery. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 105 throwing athletes who underwent arthroscopic posterior capsulolabral repair of their throwing shoulder were reviewed at a minimum of 2-year follow-up, and patients who required a revision were compared with those who did not. Collected data compared between the revision and no-revision groups included age, sex, contact sport participation, and return to sport (RTS). American Shoulder and Elbow Surgeons (ASES) score, Kerlan-Jobe Orthopaedic Clinic (KJOC) score, stability, pain, strength, range of motion (ROM), and patient satisfaction. Radiographic parameters including glenoid bone version, cartilage version, labral version, bone width, labral width, glenoid labral version and width weight were also compared between both groups. Results: Nine throwers required revision (8.6%) at an average of 2.8 years postoperatively. There were more female athletes in the revision than no-revision group (55.5% vs 23.4%; P = .03). There was no significant difference in age, proportion of contact athletes, rotator cuff tears, glenoid bone version, cartilage version, labral version, labral version weight, bone width, labral width, or labral width weight. Both groups had similar preoperative, postoperative, and change in ASES, KJOC, pain, strength, stability, and ROM scores. The proportion of patients with full strength and with full ROM, as well as patients who were satisfied with outcomes was similar between groups. Fewer patients in the revision group returned to sports compared with those in the no-revision group (14.3% vs 83.6%; P < .001), although return to sports at same level was not significantly different between groups (14.3% vs 37.2%; P = .41). Conclusion: The revision rate of arthroscopic posterior shoulder stabilization in throwers was 8.6%. Female athletes were at higher risk for revision, and return to sports was lower in patients who underwent revision surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athletes

Vaswani

Arner

Freiman

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…Lesions of the posterior capsule and PIGHL can occur at any point along the PIGHL or at the humeral or glenoid attachments. 8,9 Early reports of posterior midcapsular tears leading to posterior instability did not provide a technique for surgical repair. 8,10 Several more recent case series have described arthroscopic techniques for repair of the floating PIGHL lesion and have reported successful outcomes.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment

Duerr

Christoforetti

2016

Arthroscopy Techniques

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Posterior glenohumeral capsular rupture is a rare cause of posterior glenohumeral instability. With advances in imaging and arthroscopic techniques, diagnosis and treatment of posterior glenohumeral instability are becoming more common in practice. We present a technique for arthroscopic repair of a posterior glenohumeral capsular rupture with concomitant anterior and posterior labrum detachment. Arthroscopic fixation was facilitated by use of a 70° arthroscope through an anterior viewing portal to allow accurate placement of the posterior portal in preparation for knot tying. This arthroscopic technique resulted in a successful outcome.

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“…6 El constante avance tecnológico ha sido parte fundamental para continuar con el desarrollo de nuevas técnicas en la cirugía abierta o artroscópica, así como de implantes; esto ha logrado resultados satisfactorios sin el compromiso de la función de otras estructuras adyacentes. En la actualidad, esta rama del espectro de la inestabilidad de hombro ha retomado fuerza, a consecuencia del aumento de las lesiones con mecanismos de lesión de alta energía y de actividades laborales o deportivas de alta demanda; sin embargo, el panorama sobre el pronóstico de una lesión de este tipo aún es incierto, sobre todo si contemplamos la falta de estudios a largo plazo, 7 por lo que la revisión de esta entidad es un tema indispensable para el conocimiento del cirujano en reconstrucción articular de hombro.…”

Section: Introductionunclassified

Inestabilidad posterior del hombro

López-Muñoz

2019

Acta Ortopédica Mexicana

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Revision posterior shoulder stabilization

Cited by 22 publications

References 92 publications

Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athletes

Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athletes

Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment

Inestabilidad posterior del hombro

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