scholarly journals Single-Portal Arthroscopic Posterior Shoulder Stabilization

2021 ◽  
Author(s):  
Juho Park ◽  
Joo Yeon Kim ◽  
David Kim ◽  
Brandon Gardner ◽  
Sarah Jenkins ◽  
...  
Keyword(s):  
Shoulder Stabilization ◽  
Posterior Shoulder

scholarly journals The Effect of Glenoid Version and Width on Outcomes of Arthroscopic Posterior Shoulder Stabilization

2013 ◽  
Vol 1 (4_suppl) ◽  
pp. 2325967113S0001
Author(s):  
Craig S. Mauro ◽  
Michael P. McClincy ◽  
James P. Bradley
Keyword(s):  
Glenoid Version ◽  
Shoulder Stabilization ◽  
Posterior Shoulder

scholarly journals Outcomes of Arthroscopic Posterior Shoulder Stabilization in the Beach-Chair Versus Lateral Decubitus Position: A Systematic Review

2019 ◽  
Vol 7 (1) ◽  
pp. 232596711882245 ◽  
Author(s):  
Ellie A. Moeller ◽  
Darby A. Houck ◽  
Eric C. McCarty ◽  
Adam J. Seidl ◽  
Jonathan T. Bravman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Return To Sport ◽  
Patient Reported Outcome ◽  
Shoulder Stabilization ◽  
Posterior Shoulder ◽  
Significant Difference ◽  
Patient Reported ◽  
Instability Rate

Background: Arthroscopic posterior shoulder stabilization can be performed with patients in the beach-chair (BC) and the lateral decubitus (LD) positions; however, the impact of patient positioning on clinical outcomes has not been evaluated. Purpose: To compare clinical outcomes and recurrence rates after arthroscopic posterior shoulder stabilization performed in the BC and LD positions. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review using PRISMA (Preferred Reporting Items for Systematic Meta-Analyses) guidelines was performed by searching PubMed, Embase, and the Cochrane Library for studies reporting the clinical outcomes of patients undergoing arthroscopic posterior shoulder stabilization in either the BC or LD position. All English-language studies from 1990 to 2017 reporting clinical outcomes after arthroscopic posterior shoulder stabilization with a minimum 2-year follow-up were reviewed by 2 independent reviewers. Data on the recurrent instability rate, return to activity or sport, range of motion, and patient-reported outcome scores were collected. Study methodological quality was evaluated using the Modified Coleman Methodology Score (MCMS) and Quality Appraisal Tool (QAT). Results: A total of 15 studies (11 LD, 4 BC) with 731 shoulders met the inclusion criteria, including 626 shoulders in the LD position (mean patient age, 23.9 ± 4.1 years; mean follow-up, 37.5 ± 10.0 months) and 105 shoulders in the BC position (mean patient age, 27.8 ± 2.2 years; mean follow-up, 37.9 ± 16.6 months). There was no significant difference in the overall mean recurrent instability rate between the LD and BC groups (4.9% ± 3.6% vs 4.4% ± 5.1%, respectively; P = .83), with similar results in a subanalysis of studies utilizing only suture anchor fixation (4.9% ± 3.6% vs 3.2% ± 5.6%, respectively; P = .54). There was no significant difference in the return-to-sport rate between the BC and LD groups (96.2% ± 5.4% vs 88.6% ± 9.1%, respectively; P = .30). Range of motion and other patient-reported outcome scores were not provided consistently across studies to allow for statistical comparisons. Conclusion: Low rates of recurrent shoulder instability and high rates of return to sport can be achieved after arthroscopic posterior shoulder stabilization in either the LD or the BC position. Additional long-term randomized trials comparing these positions are needed to better understand the potential advantages and disadvantages of surgical positioning for posterior shoulder stabilization.

Arthroscopic Treatment of Posterior Shoulder Instability

2005 ◽  
Vol 33 (10) ◽  
pp. 1463-1471 ◽  
Author(s):  
Matthew T. Provencher ◽  
S. Josh Bell ◽  
Kyle A. Menzel ◽  
Timothy S. Mologne
Keyword(s):  
Shoulder Instability ◽  
Rating Scale ◽  
Effective Means ◽  
Case Series ◽  
Arthroscopic Treatment ◽  
Posterior Shoulder Instability ◽  
Instability Index ◽  
Shoulder Stabilization ◽  
Posterior Shoulder ◽  
Prior Surgery

Background Posterior shoulder instability is a relatively rare condition and a surgical challenge. Arthroscopic techniques have allowed for a potential improvement as well as diagnosis and management of this condition. Purpose To evaluate the outcomes of arthroscopic posterior shoulder stabilization and to evaluate preoperative and intraoperative variables as predictors of success. Study Design Case series; Level of evidence, 4. Methods Thirty-three consecutive patients with a mean age of 25 years (range, 19-34 years) who underwent posterior arthroscopic shoulder stabilization with suture anchors (mean, 3 anchors) or suture capsulolabral plication (mean, 5.3 stitches) or both were reviewed at a mean follow-up of 39.1 months (range, 22-60 months). Shoulder outcomes rating scores were determined using the American Shoulder and Elbow Surgeons Rating Scale, the Western Ontario Shoulder Instability Index, the Subjective Patient Shoulder Evaluation, and the Single Assessment Numeric Evaluation. Results There were 7 failures: 4 for recurrent instability and 3 for symptoms of pain. Overall, outcomes scores demonstrated mean values of the American Shoulder and Elbow Surgeons Rating Scale of 94.6, Subjective Patient Shoulder Evaluation of 20.0, Western Ontario Shoulder Instability Index of 389.4 (81.5% of normal), and Single Assessment Numeric Evaluation of 87.5. Patients with voluntary instability demonstrated worse outcomes (P=. 025), and those with prior surgery of the shoulder also did worse (P=. 02). Conclusion Arthroscopic treatment of posterior shoulder instability is an effective means to improve symptoms associated with recurrent posterior subluxation of the shoulder. It can provide predictable success in the setting of unidirectional, nonvoluntary posterior instability without prior surgery.

Revision posterior shoulder stabilization

2013 ◽  
Vol 22 (9) ◽  
pp. 1209-1220 ◽  
Author(s):  
Peter N. Chalmers ◽  
James Hammond ◽  
Tristan Juhan ◽  
Anthony A. Romeo
Keyword(s):  
Shoulder Stabilization ◽  
Posterior Shoulder

scholarly journals Risk Factors for Revision of Posterior Shoulder Stabilization in Throwing Athletes

2021 ◽  
Vol 37 (1) ◽  
pp. e13
Author(s):  
Ravi S. Vaswani ◽  
Justin Arner ◽  
Halle Freiman ◽  
James Bradley
Keyword(s):  
Risk Factors ◽  
Shoulder Stabilization ◽  
Posterior Shoulder

Posterior Glenoid Bone Deficiency: Incidence and Impact on Failure Following Arthroscopic Posterior Shoulder Stabilization

2018 ◽  
Vol 34 (12) ◽  
pp. e1-e2
Author(s):  
Jared Wolfe ◽  
Kyle Nappo ◽  
Michael Elsenbeck ◽  
Robert Waltz ◽  
Lance LeClere ◽  
...  
Keyword(s):  
Shoulder Stabilization ◽  
Bone Deficiency ◽  
Posterior Shoulder

scholarly journals Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization

2018 ◽  
Vol 6 (4) ◽  
pp. 232596711876375 ◽  
Author(s):  
Matthew J. Kraeutler ◽  
Nicholas S. Aberle ◽  
Colin C. Brown ◽  
Joseph J. Ptasinski ◽  
Eric C. McCarty
Keyword(s):  
Shoulder Instability ◽  
Return To Sport ◽  
Arthroscopic Stabilization ◽  
Shoulder Stabilization ◽  
Posterior Shoulder ◽  
Significant Difference ◽  
Patient Reported ◽  
Activity Scale ◽  
Anterior Posterior

Background: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups. Purpose: To compare return-to-sport and other patient-reported outcomes in patients after primary arthroscopic anterior, posterior, and combined anterior and posterior shoulder stabilization. Study Design: Cohort study; Level of evidence, 3. Methods: Patients who underwent primary arthroscopic anterior, posterior, or combined anterior and posterior shoulder stabilization were contacted at a minimum 2-year follow-up. Patients completed a survey that consisted of return-to-sport outcomes as well as the Western Ontario Shoulder Instability Index (WOSI), Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Sur’geons (ASES) score, and Shoulder Activity Scale. Results: A total of 151 patients were successfully contacted (anterior: n = 81; posterior: n = 22; combined: n = 48) at a mean follow-up of 3.6 years. No significant differences were found between the groups with regard to age at the time of surgery or time to follow-up. No significant differences were found between the groups in terms of WOSI (anterior: 76; posterior: 70; combined: 78; P = .28), SANE (anterior: 87; posterior: 85; combined: 87; P = .79), ASES (anterior: 88; posterior: 83; combined: 91; P = .083), or Shoulder Activity Scale (anterior: 12.0; posterior: 12.5; combined: 12.5; P = .74) scores. No significant difference was found between the groups in terms of the rate of return to sport (anterior: 73%; posterior: 68%; combined: 75%; P = .84). Conclusion: Athletes undergoing arthroscopic stabilization of anterior, posterior, or combined shoulder instability can be expected to share a similar prognosis. High patient-reported outcome scores and moderate to high rates of return to sport were achieved by all groups.

scholarly journals Risk Factors for Revision Posterior Shoulder Stabilization in Throwing Athletes

2020 ◽  
Vol 8 (12) ◽  
pp. 232596712096765
Author(s):  
Ravi Vaswani ◽  
Justin Arner ◽  
Halle Freiman ◽  
James P. Bradley
Keyword(s):  
Risk Factors ◽  
Revision Surgery ◽  
Sport Participation ◽  
Female Athletes ◽  
Revision Rate ◽  
Return To Sports ◽  
Shoulder Stabilization ◽  
Bone Width ◽  
Posterior Shoulder ◽  
Significant Difference

Background: Revision posterior shoulder capsulolabral repair has inferior outcomes compared with primary surgery. Risk factors for revision in throwing athletes are unknown. Purpose/Hypothesis: The purpose of this study was to characterize the revision rate and risk factors for revision surgery in throwing athletes. It was hypothesized that female athletes and those with smaller glenoid bone width would be at higher risk for revision surgery. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 105 throwing athletes who underwent arthroscopic posterior capsulolabral repair of their throwing shoulder were reviewed at a minimum of 2-year follow-up, and patients who required a revision were compared with those who did not. Collected data compared between the revision and no-revision groups included age, sex, contact sport participation, and return to sport (RTS). American Shoulder and Elbow Surgeons (ASES) score, Kerlan-Jobe Orthopaedic Clinic (KJOC) score, stability, pain, strength, range of motion (ROM), and patient satisfaction. Radiographic parameters including glenoid bone version, cartilage version, labral version, bone width, labral width, glenoid labral version and width weight were also compared between both groups. Results: Nine throwers required revision (8.6%) at an average of 2.8 years postoperatively. There were more female athletes in the revision than no-revision group (55.5% vs 23.4%; P = .03). There was no significant difference in age, proportion of contact athletes, rotator cuff tears, glenoid bone version, cartilage version, labral version, labral version weight, bone width, labral width, or labral width weight. Both groups had similar preoperative, postoperative, and change in ASES, KJOC, pain, strength, stability, and ROM scores. The proportion of patients with full strength and with full ROM, as well as patients who were satisfied with outcomes was similar between groups. Fewer patients in the revision group returned to sports compared with those in the no-revision group (14.3% vs 83.6%; P < .001), although return to sports at same level was not significantly different between groups (14.3% vs 37.2%; P = .41). Conclusion: The revision rate of arthroscopic posterior shoulder stabilization in throwers was 8.6%. Female athletes were at higher risk for revision, and return to sports was lower in patients who underwent revision surgery.

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