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DOI: 10.1055/s-0032-1327656
Arthroscopic Treatment of Glenohumeral Instability in Soccer Goalkeepers
Publication History
accepted after revision 05 September 2012
Publication Date:
09 November 2012 (online)
Abstract
The aim of this study was to report epidemiologic data and results of arthroscopic treatment of glenohumeral instability in soccer goalkeepers. We included 12 soccer goalkeepers with a mean age of 28.9 years (range 18–45 years) with acute or recurrent traumatic anterior instability who underwent an arthroscopic anatomic capsulolabral repair with bone anchors. Patients who underwent surgery within 4 weeks of the first episode of dislocation were classified as acute instability. The results were evaluated using the Rowe Scale and analyzed according to stability, range of motion and function. The mean follow-up was 3.8 years. The most common mechanism of injury (90% of the cases) was abduction, external rotation and extension. Associated injuries were present in 57.2% of recurrent cases and 20% of acute cases (p<0.293). Excellent or good results were observed in 80% of the cases of acute instability and in 57.2% of cases in the group with recurrent instability (p<0.586). From a total of 12 soccer goalkeepers who underwent the arthroscopic capsulolabral repair, good or excellent results were obtained in 66.6% of cases of glenohumeral instability. Surgical arthroscopic repair was possible in all cases of acute or recurrent instability based on well-established inclusion criteria, i. e., with well-defined exclusion criteria, such as HAGL lesion and significant glenohumeral bone loss, the arthroscopic capsulolabral repair can be carried out in soccer goalkeepers.
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References
- 1 Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am 2006; 88: 1755-1763
- 2 Burkhart SS, De Beer JF. 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 2000; 16: 677-694
- 3 Buscayret F, Edwards TB, Szabo I, Adeleine P, Coudane H, Walch G. Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med 2004; 32: 1165-1172
- 4 Cohen M, Abdalla RJ, Ejnisman B, Amaro JT. Lesões Ortopédicas no futebol. Rev Bras Ortop 1997; 32: 940-944
- 5 Cohen M, Ejnisman B, Abdalla RJ, Schubert S, Lopes AD, Mano KS. Incidência de dor no ombro em atletas brasileiros de elite. Rev Bras Ortop 1998; 33: 930-932
- 6 Ee GW, Mohamed S, Tan AH. Long term results of arthroscopic Bankart repair for traumatic anterior shoulder instability. J Orthop Surg Res 2011; 14 (06) 28
- 7 Ejnisman B, Andreoli CV, Carrera EF, Abdalla RJ, Cohen M. Lesões Musculo-esqueléticas no ombro do atleta. Rev Bras Ortop 2001; 36: 389-393
- 8 Fremerey R, Bosch U, Lobenhoffer P, Wippermann B. Joint position awareness and sports activity after capsulolabral reconstruction in the overhead athlete. Int J Sports Med 2006; 27: 648-652
- 9 Giza E, Mithofer K, Farrell L, Zarins B, Gill T. Injuries in women’s professional soccer. Br J Sports Med 2005; 39: 212-216
- 10 Harriss DJ, Atkinson G. Update – ethical standards in sport and exercise science research. Int J Sports Med 2011; 32: 819-821
- 11 Kim SH, Ha KI, Kim SH. Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 2002; 7: 755-763
- 12 John M, Nebelung W, Ropke M, Ender SA, Urbach D. Arthroscopic labrum reconstruction with capsular shift in anterior shoulder instability: improved midterm results by using a standardized suprabicipital camera position. Arthroscopic 2007; 7: 688-695
- 13 Junge A, Dvorak J. Injuries in female football players in top-level international tournaments. Br J Sports Med 2007; 41 (Suppl. 01) i3-i7
- 14 Larrain MV, Montenegro HJ, Mauas DM, Collazo CC, Pavon F. Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow-up and results with the suture anchor technique. Arthroscopy 2006; 22: 1283-1289
- 15 Maffulli N, Longo UG, Spiezia F, Denaro V. Sports injuries in young athletes: long-term outcome and prevention strategies. Phys Sportsmed 2010; 38: 29-34
- 16 Mazzocca AD, Brown Jr FM, Carreira DS, Hayden J, Romeo AA. Arthroscopic anterior shoulder stabilization of collision and contact athletes. Am J Sports Med 2005; 33: 52-60
- 17 Owens BD, Agel J, Mountcastle SB, Cameron KL, Nelson BJ. Incidence of glenohumeral instability in collegiate athletics. Am J Sports Med 2009; 37: 1750-1754
- 18 Pollock RG, Wang VM, Bucchieri JS, Cohen NP, Huang CY, Pawluk RJ, Flatow EL, Bigliani LU, Mow VC. Effects of repetitive subfailure strains on the mechanical behavior of the inferior glenohumeral ligament. J Shoulder Elbow Surg 2000; 9: 427-435
- 19 Ricchetti ET, Weidner Z, Lawrence JT, Sennett BJ, Huffman GR. Glenoid labral repair in Major League Baseball pitchers. Int J Sports Med 2010; 31: 265-270
- 20 Rowe CR, Patel D, Southmayd WW. The Bankart procedure. A long-term-end-result study. J Bone Joint Surg 1978; 60: 1-16
- 21 Savoie 3rd FH, Holt MS, Field LD, Ramsey JR. Arthroscopic management of posterior instability: evolution of technique and results. Arthroscopy 2008; 24: 389-396
- 22 Schmidt-Olsen S, Bunemann LK, Lade V, Brassoe JO. Soccer injuries of youth. Br J Sports Med 1985; 19: 161-164
- 23 Siewe J, Rudat J, Rollinghoff M, Schlegel UJ, Eysel P, Michael JW. Injuries and overuse syndromes in powerlifting. Int J Sports Med 2011; 32: 703-711
- 24 Thomazeau H, Courage O, Barth J, Pélégri C, Charousset C, Lespagnol F, Nourissat G, Audebert S, Guillo S, Toussaint B, Lafosse L, Bradel J, Veillard D, Boileau P. Can we improve the indication for Bankart arthroscopic repair? A preliminary clinical study using the ISIS score. Orthop Traumatol Surg Res 2010; 96: 77-83
- 25 Urayama M, Itoi E, Sashi R, Minagawa H, Sato K. Capsular elongation in shoulders with recurrent anterior dislocation. Quantitative assessment with magnetic resonance arthrography. Am J Sports Med 2003; 31: 64-67