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Functional outcome after arthroscopic repair of triple shoulder instability()

OBJECTIVE: To evaluate the functional outcomes of patients submitted to arthroscopic repair of triple labral lesion. METHODS: This was an analytical retrospective study of patients who underwent arthroscopic treatment of triple labral lesion from March 2005 to December 2014. Patients with at least o...

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Autores principales: Godinho, Glaydson Gomes, França, Flávio de Oliveira, Freitas, José Márcio Alves, Pinto, Lander Braga Calais Correia, Simionatto, Carolina Lima, Viana Filho, Pedro Paulo Gomes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5380796/
https://www.ncbi.nlm.nih.gov/pubmed/28409136
http://dx.doi.org/10.1016/j.rboe.2017.02.004
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author Godinho, Glaydson Gomes
França, Flávio de Oliveira
Freitas, José Márcio Alves
Pinto, Lander Braga Calais Correia
Simionatto, Carolina Lima
Viana Filho, Pedro Paulo Gomes
author_facet Godinho, Glaydson Gomes
França, Flávio de Oliveira
Freitas, José Márcio Alves
Pinto, Lander Braga Calais Correia
Simionatto, Carolina Lima
Viana Filho, Pedro Paulo Gomes
author_sort Godinho, Glaydson Gomes
collection PubMed
description OBJECTIVE: To evaluate the functional outcomes of patients submitted to arthroscopic repair of triple labral lesion. METHODS: This was an analytical retrospective study of patients who underwent arthroscopic treatment of triple labral lesion from March 2005 to December 2014. Patients with at least one year of postoperative follow-up were included. A total of nine patients were evaluated. The mean age was 32.3 years and the dominant side was affected in five patients. Patients were functionally assessed regarding the range of motion (ROM) in elevation, external rotation with the arm close to the body the arm in abduction of 90°, and internal rotation, and by the Carter–Rowe score. The degree of satisfaction was assessed at the end of the follow-up period. RESULTS: Three patients had less than five episodes of instability, four patients had between five and ten episodes, and two patients had more than ten episodes. Seven patients had positive O’Brien test for SLAP lesions and positive apprehension test in abduction and external rotation, and only one patient had apprehension in adduction and internal rotation. Three patients persisted with positive O’Brien test and one with apprehension in abduction and external rotation at the end of follow-up. The range of motion was complete in all cases. The median Carter–Rowe score increased from 40 preoperatively to 90 (p = 0.008). CONCLUSION: The arthroscopic repair of triple labral lesions allows for the restoration of the stability of the glenohumeral joint, achieving excellent functional results.
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spelling pubmed-53807962017-04-13 Functional outcome after arthroscopic repair of triple shoulder instability() Godinho, Glaydson Gomes França, Flávio de Oliveira Freitas, José Márcio Alves Pinto, Lander Braga Calais Correia Simionatto, Carolina Lima Viana Filho, Pedro Paulo Gomes Rev Bras Ortop Original Article OBJECTIVE: To evaluate the functional outcomes of patients submitted to arthroscopic repair of triple labral lesion. METHODS: This was an analytical retrospective study of patients who underwent arthroscopic treatment of triple labral lesion from March 2005 to December 2014. Patients with at least one year of postoperative follow-up were included. A total of nine patients were evaluated. The mean age was 32.3 years and the dominant side was affected in five patients. Patients were functionally assessed regarding the range of motion (ROM) in elevation, external rotation with the arm close to the body the arm in abduction of 90°, and internal rotation, and by the Carter–Rowe score. The degree of satisfaction was assessed at the end of the follow-up period. RESULTS: Three patients had less than five episodes of instability, four patients had between five and ten episodes, and two patients had more than ten episodes. Seven patients had positive O’Brien test for SLAP lesions and positive apprehension test in abduction and external rotation, and only one patient had apprehension in adduction and internal rotation. Three patients persisted with positive O’Brien test and one with apprehension in abduction and external rotation at the end of follow-up. The range of motion was complete in all cases. The median Carter–Rowe score increased from 40 preoperatively to 90 (p = 0.008). CONCLUSION: The arthroscopic repair of triple labral lesions allows for the restoration of the stability of the glenohumeral joint, achieving excellent functional results. Elsevier 2017-03-06 /pmc/articles/PMC5380796/ /pubmed/28409136 http://dx.doi.org/10.1016/j.rboe.2017.02.004 Text en © 2016 Sociedade Brasileira de Ortopedia e Traumatologia. Published by Elsevier Editora Ltda. http://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 Original Article
Godinho, Glaydson Gomes
França, Flávio de Oliveira
Freitas, José Márcio Alves
Pinto, Lander Braga Calais Correia
Simionatto, Carolina Lima
Viana Filho, Pedro Paulo Gomes
Functional outcome after arthroscopic repair of triple shoulder instability()
title Functional outcome after arthroscopic repair of triple shoulder instability()
title_full Functional outcome after arthroscopic repair of triple shoulder instability()
title_fullStr Functional outcome after arthroscopic repair of triple shoulder instability()
title_full_unstemmed Functional outcome after arthroscopic repair of triple shoulder instability()
title_short Functional outcome after arthroscopic repair of triple shoulder instability()
title_sort functional outcome after arthroscopic repair of triple shoulder instability()
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5380796/
https://www.ncbi.nlm.nih.gov/pubmed/28409136
http://dx.doi.org/10.1016/j.rboe.2017.02.004
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