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DOI: 10.1055/s-0044-1801310
Artropatía secundaria a inestabilidad glenohumeral anterior y análisis de las técnicas quirúrgicas: ¿Alguna influye en su aparición y progreso? Estado del arte
Article in several languages: español | English
Resumen
El objetivo primario de esta revisión es describir cómo las diferentes técnicas quirúrgicas que existen para el tratamiento de la inestabilidad anterior de hombro influyen en el desarrollo de artropatía post luxación glenohumeral (ALGH), condición similar a la artrosis, que puede desarrollarse especialmente en pacientes con episodios recurrentes.
En estadios iniciales esta patología no produce mayores limitaciones funcionales, en estados más avanzados puede alterar significativamente las actividades de nuestros pacientes.
La cirugía post inestabilidad busca restaurar la estabilidad y prevenir la progresión hacia la ALGH.
A pesar de la diversidad de enfoques quirúrgicos para tratar la inestabilidad anterior de hombro, la literatura no muestra mayores diferencias entre técnicas quirúrgicas y progresión hacia una artropatía, enfatizando la relevancia de abordar factores de riesgo específicos y fundamentalmente la elección del procedimiento según la necesidad de nuestros pacientes.
Palabras Clave
luxación de hombro - inestabilidad anterior de hombro - artropatia - cirugía de Bankart - cirugía de LatarjetPublication History
Received: 05 June 2024
Accepted: 29 November 2024
Article published online:
26 December 2024
© 2024. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referencias
- 1 Enger M, Skjaker SA, Melhuus K. et al. Shoulder injuries from birth to old age: A 1-year prospective study of 3031 shoulder injuries in an urban population. Injury 2018; 49 (07) 1324-1329
- 2 Coifman I, Brunner UH, Scheibel M. Dislocation arthropathy of the shoulder. J Clin Med 2022; 11 (07) 2019
- 3 Vezeridis PS, Ishmael CR, Jones KJ, Petrigliano FA. Glenohumeral Dislocation Arthropathy: Etiology, Diagnosis, and Management. J Am Acad Orthop Surg 2019; 27 (07) 227-235
- 4 Waterman BR, Kilcoyne KG, Parada SA, Eichinger JK. Prevention and management of post-instability glenohumeral arthropathy. World J Orthop 2017; 8 (03) 229-241
- 5 Pelet S, Jolles BM, Farron A. Bankart repair for recurrent anterior glenohumeral instability: results at twenty-nine years' follow-up. J Shoulder Elbow Surg 2006; 15 (02) 203-207 https://doi.org/10.1016/j.jse.2005.06.011
- 6 Samilson RL, Prieto V. Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 1983; 65 (04) 456-460 https://pubmed.ncbi.nlm.nih.gov/6833319/
- 7 Hovelius L, Rahme H. Primary anterior dislocation of the shoulder: long-term prognosis at the age of 40 years or younger. Knee Surg Sports Traumatol Arthrosc 2016; 24 (02) 330-342
- 8 Hovelius L, Saeboe M. Neer Award 2008: Arthropathy after primary anterior shoulder dislocation–223 shoulders prospectively followed up for twenty-five years. J Shoulder Elbow Surg 2009; 18 (03) 339-347
- 9 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 (05) 1165-1172
- 10 Ogawa K, Yoshida A, Matsumoto H, Takeda T. Outcome of the open Bankart procedure for shoulder instability and development of osteoarthritis: a 5- to 20-year follow-up study. Am J Sports Med 2010; 38 (08) 1549-1557
- 11 Plath JE, Aboalata M, Seppel G. et al. Prevalence of and risk factors for dislocation arthropathy: Radiological long-term outcome of arthroscopic Bankart repair in 100 shoulders at an average 13-year follow-up. Am J Sports Med 2015; 43 (05) 1084-1090
- 12 Izquierdo-Fernández A, García-Carmona M, Urbano-Luque M, Márquez-Ruiz J, Quevedo-Reinoso R, Minarro JC. Glenohumeral arthropathy after arthroscopic surgery for shoulder instability: Outcomes at 16-year follow-up. Orthop J Sports Med 2022; 10 (10) 23 259671221130710.
- 13 Mizuno N, Denard PJ, Raiss P, Melis B, Walch G. Long-term results of the Latarjet procedure for anterior instability of the shoulder. J Shoulder Elbow Surg 2014; 23 (11) 1691-1699 https://doi.org/10.1016/j.jse.2014.02.0159
- 14 Gordins V, Hovelius L, Sandström B, Rahme H, Bergström U. Risk of arthropathy after the Bristow-Latarjet repair: a radiologic and clinical thirty-three to thirty-five years of follow-up of thirty-one shoulders. J Shoulder Elbow Surg 2015; 24 (05) 691-699 https://doi.org/10.1016/j.jse.2014.09.021
- 15 Moroder P, Plachel F, Becker J. et al. Clinical and radiological long-term results after implant-free, autologous, iliac crest bone graft procedure for the treatment of anterior shoulder instability. Am J Sports Med 2018; 46 (12) 2975-2980
- 16 Verweij LPE, Pruijssen EC, Kerkhoffs GMMJ. et al. Treatment type may influence degree of post-dislocation shoulder osteoarthritis: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc 2021; 29 (07) 2312-2324 https://doi.org/10.1007/s00167-020-06263-3