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240916s2024 xx |||||o 00| ||eng c |
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|a 10.1016/j.jseint.2024.06.008
|2 doi
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|a pubmed24n1536.xml
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|a (NLM)39280167
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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| 100 |
1 |
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|a Wilde, Brandon
|e verfasserin
|4 aut
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| 245 |
1 |
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|a Single anterior shoulder dislocation patients demonstrate higher rates of posterior labral repair and biceps procedures than multiple dislocators at the time of arthroscopic stabilization surgery
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|c 2024
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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| 338 |
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Revised 17.09.2024
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|a published: Electronic-eCollection
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|a Citation Status PubMed-not-MEDLINE
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| 520 |
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|a © 2024 The Authors.
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|a Hypothesis: The purpose of this study is to identify and compare demographic, clinical, historical, and intraoperative variables in patients who have received arthroscopic treatment for single vs. multiple anterior shoulder dislocations
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|a Methods: This is a retrospective chart review of patients who underwent arthroscopic labral repair of the shoulder by six surgeons at a single institution between 2012 and 2020. Patients with a documented anterior shoulder dislocation were included. Patients with pain-only, subluxation-only, multidirectional or posterior instability, and prior shoulder surgeries of any kind were excluded. Studied variables included age, sex, laterality, body mass index, contact/collision sports, Charlson comorbidity index, tobacco use, number of dislocations (1, >1), labral tear size, time from first dislocation to surgery, anchor number, and concomitant procedures. Study groups were compared using student's t-tests and Mann-Whitney U test for continuous variables and chi-square or Fisher's exact tests for discrete variables with a significance of 0.05
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|a Results: Six hundred thirty-three patients were identified, and 351 (85 single dislocators [SDs], 266 multiple dislocators [MDs]) met inclusion criteria (mean age: 27 years; range: 14-71 years). There were no demographic differences between the study groups. SD received surgery significantly sooner at 17 ± 44 months after injury, while MD received surgery 53 ± 74 months postinitial dislocation. SDs (30/85, 35%) were significantly more likely than MDs (56/266, 21%) to receive concomitant posterior labrum repair. MDs (46/266, 17%) were significantly more likely than SDs (5/85, 6%) to receive a remplissage. SDs (11/85, 13%) were significantly more likely than MDs (11/266, 4%) to receive a concomitant biceps tenotomy/tenodesis. There were no other significant differences in injury or surgery characteristics
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|a Conclusion: MDs will have more time between their initial dislocation and arthroscopic labral repair and are more likely to receive a remplissage procedure, yet they are less likely than SDs to receive a concomitant posterior labral repair or biceps tenodesis/tenotomy despite no differences in age, sex, and activity level. Whether the greater extent of labrum injury in SD is due to a more severe initial injury vs. earlier recognition and intervention requires further study
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|a Journal Article
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|a Anterior shoulder instability
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| 650 |
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4 |
|a Arthroscopic labral repair
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| 650 |
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4 |
|a Labral tear
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| 650 |
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4 |
|a Labrum
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| 650 |
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4 |
|a Remplissage
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| 650 |
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4 |
|a Shoulder dislocation
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| 700 |
1 |
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|a Clinker, Christopher
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Da Silva, Adrik
|e verfasserin
|4 aut
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| 700 |
1 |
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|a McNamara, Natalya
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Simister, Samuel
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Chalmers, Peter N
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Ernat, Justin
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t JSES international
|d 2020
|g 8(2024), 5 vom: 28. Sept., Seite 978-983
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|x 2666-6383
|7 nnns
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|g volume:8
|g year:2024
|g number:5
|g day:28
|g month:09
|g pages:978-983
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| 856 |
4 |
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|u http://dx.doi.org/10.1016/j.jseint.2024.06.008
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