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Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair

BACKGROUND: The glenoid index (GI) (glenoid height to width ratio) has been shown to be a risk factor for instability in young healthy athletes. Nevertheless, whether the altered GI is a risk factor for recurrence after a Bankart repair remains unknown. METHODS: Between 2014 and 2018, 148 patients ≥...

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Autores principales: Albani-Forneris, Agustin, Bruchmann, María Guillermina, Rossi, Luciano A., Brandariz, Rodrigo, Di Memmo, Damián, Tanoira, Ignacio, Ranalletta, Maximiliano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328783/
https://www.ncbi.nlm.nih.gov/pubmed/37426923
http://dx.doi.org/10.1016/j.jseint.2023.02.020
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author Albani-Forneris, Agustin
Bruchmann, María Guillermina
Rossi, Luciano A.
Brandariz, Rodrigo
Di Memmo, Damián
Tanoira, Ignacio
Ranalletta, Maximiliano
author_facet Albani-Forneris, Agustin
Bruchmann, María Guillermina
Rossi, Luciano A.
Brandariz, Rodrigo
Di Memmo, Damián
Tanoira, Ignacio
Ranalletta, Maximiliano
author_sort Albani-Forneris, Agustin
collection PubMed
description BACKGROUND: The glenoid index (GI) (glenoid height to width ratio) has been shown to be a risk factor for instability in young healthy athletes. Nevertheless, whether the altered GI is a risk factor for recurrence after a Bankart repair remains unknown. METHODS: Between 2014 and 2018, 148 patients ≥ 18 years old with anterior glenohumeral instability underwent a primary arthroscopic Bankart repair in our institution. We assessed return to sports, functional outcomes, and complications. We evaluate the association between the altered GI and the probabilities of recurrence in the postoperative period. Intraclass correlation coefficient was used to determine interobserver reliability. RESULTS: The mean age at the time of surgery was 25.6 years old (19 to 29), and the mean follow-up was 53.3 months (29 to 89). The 95 shoulders who met the inclusion criteria were divided into 2 cohorts, 47 shoulders had a GI ≤ 1.58 (group A) and 48 had a GI > 1.58 (group B). At the final follow-up, 5 shoulders in group A (10.6%) and 17 shoulders in group B (35.4%) suffered a recurrence of instability. Those patients with a GI > 1.58 had a hazard ratio of 3.86 (95% confidence interval: 1.42-10.48) (P = .004) compared with those with a GI ≤ 1.58 of suffering a recurrence. When correlating GI measurements between raters, we observed an intraclass correlation coefficient of 0.76 (95% confidence interval: 0.63-0.84), these results fall under the qualitative definition of good interobserver agreement. CONCLUSION: In young active patients with an arthroscopic Bankart repair, an increased GI was associated with a significantly higher rate of postoperative recurrences. Specifically, those subjects with a GI > 1.58 had 3.86 times the risk of recurrence than those subjects with a GI ≤ 1.58.
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spelling pubmed-103287832023-07-09 Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair Albani-Forneris, Agustin Bruchmann, María Guillermina Rossi, Luciano A. Brandariz, Rodrigo Di Memmo, Damián Tanoira, Ignacio Ranalletta, Maximiliano JSES Int Shoulder BACKGROUND: The glenoid index (GI) (glenoid height to width ratio) has been shown to be a risk factor for instability in young healthy athletes. Nevertheless, whether the altered GI is a risk factor for recurrence after a Bankart repair remains unknown. METHODS: Between 2014 and 2018, 148 patients ≥ 18 years old with anterior glenohumeral instability underwent a primary arthroscopic Bankart repair in our institution. We assessed return to sports, functional outcomes, and complications. We evaluate the association between the altered GI and the probabilities of recurrence in the postoperative period. Intraclass correlation coefficient was used to determine interobserver reliability. RESULTS: The mean age at the time of surgery was 25.6 years old (19 to 29), and the mean follow-up was 53.3 months (29 to 89). The 95 shoulders who met the inclusion criteria were divided into 2 cohorts, 47 shoulders had a GI ≤ 1.58 (group A) and 48 had a GI > 1.58 (group B). At the final follow-up, 5 shoulders in group A (10.6%) and 17 shoulders in group B (35.4%) suffered a recurrence of instability. Those patients with a GI > 1.58 had a hazard ratio of 3.86 (95% confidence interval: 1.42-10.48) (P = .004) compared with those with a GI ≤ 1.58 of suffering a recurrence. When correlating GI measurements between raters, we observed an intraclass correlation coefficient of 0.76 (95% confidence interval: 0.63-0.84), these results fall under the qualitative definition of good interobserver agreement. CONCLUSION: In young active patients with an arthroscopic Bankart repair, an increased GI was associated with a significantly higher rate of postoperative recurrences. Specifically, those subjects with a GI > 1.58 had 3.86 times the risk of recurrence than those subjects with a GI ≤ 1.58. Elsevier 2023-04-05 /pmc/articles/PMC10328783/ /pubmed/37426923 http://dx.doi.org/10.1016/j.jseint.2023.02.020 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Shoulder
Albani-Forneris, Agustin
Bruchmann, María Guillermina
Rossi, Luciano A.
Brandariz, Rodrigo
Di Memmo, Damián
Tanoira, Ignacio
Ranalletta, Maximiliano
Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title_full Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title_fullStr Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title_full_unstemmed Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title_short Glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic Bankart repair
title_sort glenoid index: a new risk factor for recurrence of glenohumeral instability after arthroscopic bankart repair
topic Shoulder
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328783/
https://www.ncbi.nlm.nih.gov/pubmed/37426923
http://dx.doi.org/10.1016/j.jseint.2023.02.020
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