지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.6
- 수록면
- 62 - 70 (9page)
이용수
초록· 키워드
오류제보하기
Background: Recent studies have reported high rates of recurrence of shoulder instability in patients with glenoid bone defects greater than 20% after capsulolabral reconstruction. The purpose of the present study was to evaluate the failure rate of arthroscopic capsulolabral reconstruction for the treatment of anterior instability in the presence of glenoid bone deficits >20%.
Methods: Retrospective analyses were conducted among cases with anterior shoulder instability and glenoid bone defects of >20% that were treated by arthroscopic capsulolabral reconstruction with a minimum 2-year follow-up (30 cases). We included the following variables: age, bone defect size, instability severity index score (ISIS), on-/off-track assessment, incidence recurrent instability, and return to sports.
Results: The mean glenoid bone defect size was 25.8%±4.2% (range, 20.4%-37.2%), and 18 cases (60%) had defects of >25%. Bony Bankart lesions were identified in 11 cases (36.7%). Eleven cases (36.7%) had ISIS scores >6 points and 21 cases (70%) had off-track lesions. No cases of recurrent instability were identified over a mean follow-up of 39.9 months (range, 24-86 months), but a sense of subluxation was reported by three patients. Return to sports at the preinjury level was possible in 24 cases (80%), and the average satisfaction rating was 92%.
Conclusions: Arthroscopic soft tissue reconstruction was successful for treating anterior shoulder instability among patients with glenoid bone defects >20%, even enabling return to sports. Future studies should focus on determining the range of bone defect sizes that can be successfully managed by soft tissue repair.
Methods: Retrospective analyses were conducted among cases with anterior shoulder instability and glenoid bone defects of >20% that were treated by arthroscopic capsulolabral reconstruction with a minimum 2-year follow-up (30 cases). We included the following variables: age, bone defect size, instability severity index score (ISIS), on-/off-track assessment, incidence recurrent instability, and return to sports.
Results: The mean glenoid bone defect size was 25.8%±4.2% (range, 20.4%-37.2%), and 18 cases (60%) had defects of >25%. Bony Bankart lesions were identified in 11 cases (36.7%). Eleven cases (36.7%) had ISIS scores >6 points and 21 cases (70%) had off-track lesions. No cases of recurrent instability were identified over a mean follow-up of 39.9 months (range, 24-86 months), but a sense of subluxation was reported by three patients. Return to sports at the preinjury level was possible in 24 cases (80%), and the average satisfaction rating was 92%.
Conclusions: Arthroscopic soft tissue reconstruction was successful for treating anterior shoulder instability among patients with glenoid bone defects >20%, even enabling return to sports. Future studies should focus on determining the range of bone defect sizes that can be successfully managed by soft tissue repair.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (31)
참고문헌 신청
Burkhart SS / 2000 / Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs : significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion / Arthroscopy 16:677~694
Taverna E / 2016 / Arthroscopic treatment of glenoid bone loss / Knee Surg Sports Traumatol Arthrosc 24:546~556
Itoi E / 2000 / The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair : a cadaveric study / J Bone Joint Surg Am 82:35~46
Lo IK / 2004 / The inverted pear glenoid : an indicator of significant glenoid bone loss / Arthroscopy 20:169~174
Panossian VR / 2005 / Biomechanical analysis of isolated type II SLAP lesions and repair / J Shoulder Elbow Surg 14:529~534
Taverna E / 2016 / Arthroscopic treatment of glenoid bone loss / Knee Surg Sports Traumatol Arthrosc 24:546~556
Itoi E / 2000 / The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair : a cadaveric study / J Bone Joint Surg Am 82:35~46
Lo IK / 2004 / The inverted pear glenoid : an indicator of significant glenoid bone loss / Arthroscopy 20:169~174
Panossian VR / 2005 / Biomechanical analysis of isolated type II SLAP lesions and repair / J Shoulder Elbow Surg 14:529~534
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Glenoid rim fracture through anchor points after arthroscopic bankart repair for shoulder instability
대한견주관절의학회 학술대회논문집
2015 .04
-
Conservative management against arthroscopic Bankart repair for first-time anterior shoulder instability
대한견주관절의학회 학술대회논문집
2022 .04
-
Arthroscopic Latarjet procedure: current concepts and surgical techniques
대한견주관절의학회지
2023 .12
-
Comparison of Factors Related to Subjective Patient Satisfaction and Objective Surgical Failure after Arthroscopic Stabilization Procedures for Recurrent Anterior Shoulder Instability
대한견주관절의학회 학술대회논문집
2019 .03
-
Does the size of Borderline Glenoid defect or Hill-Sachs lesion affect the clinical outcome of Arthroscopic Bankart repair?
대한견주관절의학회 학술대회논문집
2019 .03
-
Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes
대한견주관절의학회 학술대회논문집
2021 .03
-
Long-term results of arthroscopic surgery for posterior shoulder instability
대한견주관절의학회 학술대회논문집
2017 .03
-
Clinical outcome and glenoid morphology after arthroscopic chronic bony bankart repair: A 5 to 8 year follow-up
대한견주관절의학회 학술대회논문집
2015 .04
-
Postoperative bone absorption of anterior glenoid rim (BAGR) and enlargement of anchor holes after arthroscopic Bankart repair
대한견주관절의학회 학술대회논문집
2017 .03
-
Clinical outcome and arthroscopic findings of anterior shoulder stabilization in patients older than 40 years
대한견주관절의학회 학술대회논문집
2015 .04
-
Characteristics of muscle performance in Patients with Arthroscopic Bankart Repair
대한견주관절의학회 학술대회논문집
2019 .03
-
Clinical Outcome after Surgical Treatment of Recurrent Shoulder Dislocation with Small Bony Bankart
대한견주관절의학회지
2015 .09
-
Does an Off-track Hill-Sachs Lesion Increase Postoperative Recurrent Instability? Clinical Comparison of Shoulder Functional Outcomes and Recurrence Rates between On- and Off-track Lesions after Arthroscopic Stabilization Procedures
대한견주관절의학회 학술대회논문집
2019 .03
-
Clinical Results of the Arthroscopic “Multiple Pulled Suture” Technique for Large or Comminuted Bony Bankart Lesion
대한견주관절의학회지
2017 .09
-
만성 발목 불안정증의 치료에서 관절경 수술
대한족부족관절학회지
2021 .01
-
Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations : A Numbers-needed-totreat Analysis for Prevention of Recurrent Dislocations
대한견주관절의학회지
2016 .06
-
Multidirectional Shoulder Instability; Clinical Results of Arthroscopic Treatment
대한견주관절의학회 학술대회논문집
2021 .03
-
Long term follow-up of arthroscopic bankart repair for recurrent shoulder dislocation.
대한견주관절의학회 학술대회논문집
2019 .03
-
Arthroscopic surgery for posterior shoulder instability in throwing athletes
대한견주관절의학회 학술대회논문집
2015 .04
-
Risk Factors for Recurrence of Anterior Shoulder Instability after Arthroscopic Surgery with Suture Anchors
대한견주관절의학회지
2016 .06
이 논문의 저자 정보
최근 본 자료
댓글(0)
0