Arthroscopic iliac crest bone grafting in recurrent anterior shoulder instability: minimum 5-year clinical and radiologic follow-up.
Adolescent
Adult
Arthroscopy
/ methods
Female
Follow-Up Studies
Humans
Ilium
/ transplantation
Joint Instability
/ diagnostic imaging
Male
Middle Aged
Radiography
Range of Motion, Articular
Scapula
/ diagnostic imaging
Shoulder Dislocation
/ diagnostic imaging
Shoulder Joint
/ diagnostic imaging
Tomography, X-Ray Computed
Transplantation, Autologous
Young Adult
Anatomic glenoid reconstruction
Autograft
Autologous iliac crest bone grafting
Bone block procedure
Glenoid defect
Shoulder instability
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
23
11
2019
accepted:
07
04
2020
pubmed:
15
4
2020
medline:
25
2
2021
entrez:
15
4
2020
Statut:
ppublish
Résumé
To investigate the clinical and radiologic mid- to long-term results of arthroscopic iliac crest bone-grafting for anatomic glenoid reconstruction in patients with recurrent anterior shoulder instability. Seventeen patients were evaluated after a minimum follow-up of 5 years. Clinical [range of motion, subscapularis tests, apprehension sign, Subjective Shoulder Value (SSV), Constant Score (CS), Rowe Score (RS), Walch Duplay Score (WD), Western Ontario Shoulder Instability Index (WOSI)], and radiologic [X-ray (true a.p., Bernageau and axillary views) and computed tomography (CT)] outcome parameters were assessed. Fourteen patients [mean age 31.1 (range 18-50) years] were available after a follow-up period of 78.7 (range 60-110) months. The SSV averaged 87 (range 65-100) %, CS 94 (range 83-100) points, RS 89 (range 30-100) points, WD 87 (range 25-100) points, and WOSI 70 (range 47-87) %. The apprehension sign was positive in two patients (14%). One patient required an arthroscopic capsular plication due to a persisting feeling of instability, while the second patient experienced recurrent dislocations after a trauma, but refused revision surgery. CT imaging showed a significant increase of the glenoid index from preoperative 0.8 ± 0.04 (range 0.7-0.8) to 1.0 ± 0.11 (range 0.8-1.2) at the final follow-up (p < 0.01). Arthroscopic reconstruction of anteroinferior glenoid defects using an autologous iliac crest bone-grafting technique yields satisfying clinical and radiologic results after a mid- to long-term follow-up period. Postoperative re-dislocation was experienced in one (7.1%) of the patients due to a trauma and an anatomic reconstruction of the pear-shaped glenoid configuration was observed. IV.
Identifiants
pubmed: 32285158
doi: 10.1007/s00167-020-05986-7
pii: 10.1007/s00167-020-05986-7
pmc: PMC7862210
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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