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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(03): 339-346
DOI: 10.1055/s-0039-3402467
Artigo Original
Ombro e cotovelo
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Postoperative Evaluation of Patients Submitted to Arthroscopic Repair of Anterior Shoulder Instability

Artikel in mehreren Sprachen: português | English
Thiago Medeiros Storti 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
,
Renato de Almeida Lima
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Eloíse de Barros e Silva Costa
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
3   Departamento de Ortopedia, Centro Universitário de Brasília (UniCEUB), Brasília, DF, Brasil
,
João Eduardo Simionatto 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Carolina Simionatto
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
,
Alexandre Firmino Paniago 
1   Instituto do Ombro de Brasília, Brasília, DF, Brasil
2   Grupo do Ombro, Instituto de Pesquisa e Ensino HOME (IPE HOME), Brasília, DF, Brasil
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Publikationsverlauf

04. April 2018

05. Februar 2019

Publikationsdatum:
22. April 2020 (online)

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Abstract

Objective To clinically evaluate the results of patients undergoing arthroscopic surgical treatment of anterior shoulder instability.

Methods A retrospective study of 94 patients. With a minimum follow-up of 24 months, we sought to correlate the characteristics of the patients and the surgery, such as age, gender, type of injury (traumatic or atraumatic) and the patient's position during surgery (lateral decubitus and beach chair) with the results obtained, the recurrence rate, the lateral rotation loss, the residual pain, and the functional scores of Carter-Rowe, University of California at Los Angeles (UCLA), and Constant-Murley.

Results We observed a recurrent dislocation rate of 11.7%, lateral rotation loss in 37.23% of the patients, and some degree of residual pain in 51.6% of them. We obtained a mean Carter Rowe score of 85.37, representing 86% of good/excellent results. In the UCLA score, we obtained 88% of good/excellent results, similar to those obtained in the Constant-Murley score (86%).

Conclusion The arthroscopic treatment of the anterior instability of the shoulder presents satisfactory results and low index of important complications, being the method of choice for most patients.

Keywords

arthroscopy - articular instability - shoulder - retrospective studies
 

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