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Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects

BACKGROUND: The primary aim of this study was to evaluate mid- and long-term outcomes following microfracture in patients with glenohumeral chondral lesions. METHODS: This prospective cohort study assessed patients with shoulder pain who were treated with arthroscopic microfracture for full-thicknes...

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Autores principales: Hookway, Sam, Alder-Price, Angela, Gill, Stephen D., Mattin, Andrew, Page, Richard S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638574/
https://www.ncbi.nlm.nih.gov/pubmed/37969492
http://dx.doi.org/10.1016/j.jseint.2023.06.022
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author Hookway, Sam
Alder-Price, Angela
Gill, Stephen D.
Mattin, Andrew
Page, Richard S.
author_facet Hookway, Sam
Alder-Price, Angela
Gill, Stephen D.
Mattin, Andrew
Page, Richard S.
author_sort Hookway, Sam
collection PubMed
description BACKGROUND: The primary aim of this study was to evaluate mid- and long-term outcomes following microfracture in patients with glenohumeral chondral lesions. METHODS: This prospective cohort study assessed patients with shoulder pain who were treated with arthroscopic microfracture for full-thickness chondral lesions of the glenohumeral joint. Outcomes included the Simple Shoulder Test at baseline, mid-term (approximately 1 year) and long-term (approximately 10 years), and the Oxford Shoulder Score, shoulder pain (0-10 numerical scale) and radiological assessment using a modified Samilson & Prieto score at long-term follow-up. Data were analyzed with paired t-tests and Wilcoxon’s signed rank tests, which were considered significant if P < .05. RESULTS: Twenty-five patients with a mean age of 52.7 ± 12.1 were enrolled. The mean Simple Shoulder Test score improved from baseline to 1 year (6.7 ± 2.5 to 11.0 ± 1.4, P < .001), which was maintained at long-term follow-up (10.3 ± 2.1, P < .001). Additionally, at long-term follow-up, Oxford Shoulder Score and Verbal Pain Score scores were 43 ± 4.8 and 1.1 ± 1.5, respectively while median modified Samilson & Prieto scores increased from 1 preoperatively to 2 at 10 years (P < .001). CONCLUSION: Patients undergoing microfracture for full-thickness chondral lesions of the glenohumeral joint reported substantial improvements in shoulder pain and function at 1 and 10 years, despite progressive radiological degeneration.
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spelling pubmed-106385742023-11-15 Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects Hookway, Sam Alder-Price, Angela Gill, Stephen D. Mattin, Andrew Page, Richard S. JSES Int Shoulder BACKGROUND: The primary aim of this study was to evaluate mid- and long-term outcomes following microfracture in patients with glenohumeral chondral lesions. METHODS: This prospective cohort study assessed patients with shoulder pain who were treated with arthroscopic microfracture for full-thickness chondral lesions of the glenohumeral joint. Outcomes included the Simple Shoulder Test at baseline, mid-term (approximately 1 year) and long-term (approximately 10 years), and the Oxford Shoulder Score, shoulder pain (0-10 numerical scale) and radiological assessment using a modified Samilson & Prieto score at long-term follow-up. Data were analyzed with paired t-tests and Wilcoxon’s signed rank tests, which were considered significant if P < .05. RESULTS: Twenty-five patients with a mean age of 52.7 ± 12.1 were enrolled. The mean Simple Shoulder Test score improved from baseline to 1 year (6.7 ± 2.5 to 11.0 ± 1.4, P < .001), which was maintained at long-term follow-up (10.3 ± 2.1, P < .001). Additionally, at long-term follow-up, Oxford Shoulder Score and Verbal Pain Score scores were 43 ± 4.8 and 1.1 ± 1.5, respectively while median modified Samilson & Prieto scores increased from 1 preoperatively to 2 at 10 years (P < .001). CONCLUSION: Patients undergoing microfracture for full-thickness chondral lesions of the glenohumeral joint reported substantial improvements in shoulder pain and function at 1 and 10 years, despite progressive radiological degeneration. Elsevier 2023-07-22 /pmc/articles/PMC10638574/ /pubmed/37969492 http://dx.doi.org/10.1016/j.jseint.2023.06.022 Text en © 2023 The Authors 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
Hookway, Sam
Alder-Price, Angela
Gill, Stephen D.
Mattin, Andrew
Page, Richard S.
Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title_full Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title_fullStr Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title_full_unstemmed Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title_short Long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
title_sort long-term clinical and radiological outcomes following arthroscopic microfracture of the glenohumeral joint for chondral defects
topic Shoulder
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10638574/
https://www.ncbi.nlm.nih.gov/pubmed/37969492
http://dx.doi.org/10.1016/j.jseint.2023.06.022
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