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Microfracture of chondral lesions of the glenohumeral joint

OBJECTIVE: To determine if microfracture is successful in treating chondral lesions of the shoulder. DESIGN: Case series. SETTING: Tertiary referral practice. PATIENTS: From June 2005 to November 2006, eight patients underwent shoulder arthroscopy with arthroscopic microfracture to treat full-thickn...

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Detalles Bibliográficos
Autores principales: Snow, Martyn, Funk, Lennard
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840829/
https://www.ncbi.nlm.nih.gov/pubmed/20300322
http://dx.doi.org/10.4103/0973-6042.44142
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author Snow, Martyn
Funk, Lennard
author_facet Snow, Martyn
Funk, Lennard
author_sort Snow, Martyn
collection PubMed
description OBJECTIVE: To determine if microfracture is successful in treating chondral lesions of the shoulder. DESIGN: Case series. SETTING: Tertiary referral practice. PATIENTS: From June 2005 to November 2006, eight patients underwent shoulder arthroscopy with arthroscopic microfracture to treat full-thickness chondral lesions of less than 4 cm(2) size. The study group consisted of six men and two women. The mean age at surgery was 37 years (range: 27–55 years). One patient (12.5%) had an isolated chondral defect and seven patients (87.5%) had associated conditions treated simultaneously: two patients had arthroscopic subacromial decompressions, two had capsular plications for multidirectional instability, and three had anterior stabilization done (one with an associated superior labrum anterior to posterior repair and one with repair of a small rotator cuff tear). Five patients had humeral head defects and three had glenoid defects. INTERVENTION: Microfracture. MAIN OUTCOME MEASURES: Constant score and Oxford score. RESULTS: The mean follow-up period was 15.4 months, with a range of 12–27 months. The mean preoperative Constant score was 43.88 (range: 28–70) and at final follow-up the mean Constant score was 90.25 (range: 85–100); this difference was significant (P<0.005). The mean preoperative Oxford score was 25.75 (range: 12–37) and the mean postoperative Oxford score at final follow-up was 17 (range: 11–27); the difference was significant (P<0.005). There were no complications. Two patients underwent reoperation which allowed assessment of the lesion; in both cases the lesions showed good filling with fibrocartilage. CONCLUSION: Microfracture has been shown to be a reliable method of treatment for chondral lesions within the knee. We believe that this technique may also be applied to the shoulder; however, further study is required to assess its efficacy in this joint. LEVEL OF EVIDENCE: IV
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spelling pubmed-28408292010-03-18 Microfracture of chondral lesions of the glenohumeral joint Snow, Martyn Funk, Lennard Int J Shoulder Surg Original Article OBJECTIVE: To determine if microfracture is successful in treating chondral lesions of the shoulder. DESIGN: Case series. SETTING: Tertiary referral practice. PATIENTS: From June 2005 to November 2006, eight patients underwent shoulder arthroscopy with arthroscopic microfracture to treat full-thickness chondral lesions of less than 4 cm(2) size. The study group consisted of six men and two women. The mean age at surgery was 37 years (range: 27–55 years). One patient (12.5%) had an isolated chondral defect and seven patients (87.5%) had associated conditions treated simultaneously: two patients had arthroscopic subacromial decompressions, two had capsular plications for multidirectional instability, and three had anterior stabilization done (one with an associated superior labrum anterior to posterior repair and one with repair of a small rotator cuff tear). Five patients had humeral head defects and three had glenoid defects. INTERVENTION: Microfracture. MAIN OUTCOME MEASURES: Constant score and Oxford score. RESULTS: The mean follow-up period was 15.4 months, with a range of 12–27 months. The mean preoperative Constant score was 43.88 (range: 28–70) and at final follow-up the mean Constant score was 90.25 (range: 85–100); this difference was significant (P<0.005). The mean preoperative Oxford score was 25.75 (range: 12–37) and the mean postoperative Oxford score at final follow-up was 17 (range: 11–27); the difference was significant (P<0.005). There were no complications. Two patients underwent reoperation which allowed assessment of the lesion; in both cases the lesions showed good filling with fibrocartilage. CONCLUSION: Microfracture has been shown to be a reliable method of treatment for chondral lesions within the knee. We believe that this technique may also be applied to the shoulder; however, further study is required to assess its efficacy in this joint. LEVEL OF EVIDENCE: IV Medknow Publications 2008 /pmc/articles/PMC2840829/ /pubmed/20300322 http://dx.doi.org/10.4103/0973-6042.44142 Text en © International Journal of Shoulder Surgery http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Snow, Martyn
Funk, Lennard
Microfracture of chondral lesions of the glenohumeral joint
title Microfracture of chondral lesions of the glenohumeral joint
title_full Microfracture of chondral lesions of the glenohumeral joint
title_fullStr Microfracture of chondral lesions of the glenohumeral joint
title_full_unstemmed Microfracture of chondral lesions of the glenohumeral joint
title_short Microfracture of chondral lesions of the glenohumeral joint
title_sort microfracture of chondral lesions of the glenohumeral joint
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840829/
https://www.ncbi.nlm.nih.gov/pubmed/20300322
http://dx.doi.org/10.4103/0973-6042.44142
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