Atraumatic Shoulder Instability: Patient Characteristics, Co-morbidities & Disability

Moritz Lebe ◽  
Sophia A. Burns ◽  
Mark Falworth ◽  
Deborah S. Higgs ◽  
Will BJ. Rudge. ◽  
2013 ◽  
Vol 22 (10) ◽  
pp. 1310-1319 ◽  
Derk A. van Kampen ◽  
Tobias van den Berg ◽  
Henk Jan van der Woude ◽  
René M. Castelein ◽  
Caroline B. Terwee ◽  

2018 ◽  
Vol 11 (4) ◽  
pp. 265-274 ◽  
Just A van der Linde ◽  
Judith E Bosmans ◽  
Dirk P ter Meulen ◽  
Derk A van Kampen ◽  
Derek FP van Deurzen ◽  

Background Shoulder instability is associated with decreased functioning. The associated costs could be substantial and interesting to clinicians, researchers, and policy makers. This prospective observational study aims to (1) estimate productivity losses and healthcare expenses following the nonoperative treatment of shoulder instability and (2) identify patient characteristics that influence societal costs. Methods One hundred and thirty-two patients completed a questionnaire regarding production losses and healthcare utilization following consecutive episodes of shoulder instability. Productivity losses were calculated using the friction cost approach. Healthcare utilization was evaluated using standard costs. analysis of variance test was used to assess which patient characteristics are related to productivity losses and healthcare expenses. Societal costs were assessed using multilevel analyses. Bootstrapping was used to estimate statistical uncertainty. Results Mean productivity losses are €1469, €881, and €728 and mean healthcare expenses are €3759, €3267, and €2424 per patient per dislocation for the first, second, and third dislocation. Productivity losses decrease significantly after the second (mean difference €−1969, 95%CI= −3680 to −939) and third (mean difference €−2298, 95%CI= −4092 to −1288) compared to the first dislocation. Conclusions Nonoperative treatment of shoulder instability has substantial societal costs. Level of Evidence III, economic analysis.

Yoann Bohu ◽  
Pierre Abadie ◽  
Floris van Rooij ◽  
Luca Nover ◽  

Abstract Purpose Systematic reviews report return to play (RTP) within 5.8 months (range, 3–8) following the Latarjet procedure, but the factors that influence RTP remain unknown. The present study aimed to report the rate and time of return to play (RTP) during the first 8 months following the Latarjet procedure, and to determine the influence of sport type or patient characteristics. Methods The authors retrospectively collected the records of patients that underwent Latarjet procedures for anterior shoulder instability between 2015 and 2017. Patients were excluded if they had any concomitant rotator cuff tendon lesions, or previous ipsilateral shoulder surgery. The authors retrieved patient demographics, time from injury to surgery, type of sport practiced (overhead/non-overhead, contact/non-contact), as well as pre- and postoperative Western Ontario Shoulder Instability index (WOSI), Shoulder Instability-Return to Sport After Injury index (SIRSI), and Rowe score. Results A total of 217 patients (217 shoulders) were eligible for inclusion, comprising 184 males and 33 females, aged 26.8 ± 7.3 years at index surgery. The main sport practiced prior to surgery involved overhead (n = 173, 80%) and/or contact (n = 152, 70%) activities. By 8 month follow-up, 158 patients (73%) resumed their main sport, at a mean of 5.1 ± 1.5 months. Multivariable analysis revealed that RTP was more likely in patients with higher preoperative Rowe score (OR, 1.02; p = 0.024) and SIRSI score (OR, 1.02; p = 0.008). Conclusions By 8 months following the Latarjet procedure, 73% of patients had resumed their main sport. The likelihood of RTP was significantly associated with preoperative Rowe and SIRSI scores, but not with sport type. Level of evidence IV.

2013 ◽  
Vol 31 (6) ◽  
pp. 962-968 ◽  
Carrie A. Rainis ◽  
Daniel P. Browe ◽  
Patrick J. McMahon ◽  
Richard E. Debski

2007 ◽  
Vol 15 (3) ◽  
pp. 111-115 ◽  
Andre C. Grant ◽  
Armando F. Vidal ◽  
Eric C. McCarty

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