Cargando…

Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization

BACKGROUND: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups. PURPOSE: To compare return-to-...

Descripción completa

Detalles Bibliográficos
Autores principales: Kraeutler, Matthew J., Aberle, Nicholas S., Brown, Colin C., Ptasinski, Joseph J., McCarty, Eric C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
10
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888826/
https://www.ncbi.nlm.nih.gov/pubmed/29637085
http://dx.doi.org/10.1177/2325967118763754
_version_ 1783312609890533376
author Kraeutler, Matthew J.
Aberle, Nicholas S.
Brown, Colin C.
Ptasinski, Joseph J.
McCarty, Eric C.
author_facet Kraeutler, Matthew J.
Aberle, Nicholas S.
Brown, Colin C.
Ptasinski, Joseph J.
McCarty, Eric C.
author_sort Kraeutler, Matthew J.
collection PubMed
description BACKGROUND: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups. PURPOSE: To compare return-to-sport and other patient-reported outcomes in patients after primary arthroscopic anterior, posterior, and combined anterior and posterior shoulder stabilization. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients who underwent primary arthroscopic anterior, posterior, or combined anterior and posterior shoulder stabilization were contacted at a minimum 2-year follow-up. Patients completed a survey that consisted of return-to-sport outcomes as well as the Western Ontario Shoulder Instability Index (WOSI), Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Sur’geons (ASES) score, and Shoulder Activity Scale. RESULTS: A total of 151 patients were successfully contacted (anterior: n = 81; posterior: n = 22; combined: n = 48) at a mean follow-up of 3.6 years. No significant differences were found between the groups with regard to age at the time of surgery or time to follow-up. No significant differences were found between the groups in terms of WOSI (anterior: 76; posterior: 70; combined: 78; P = .28), SANE (anterior: 87; posterior: 85; combined: 87; P = .79), ASES (anterior: 88; posterior: 83; combined: 91; P = .083), or Shoulder Activity Scale (anterior: 12.0; posterior: 12.5; combined: 12.5; P = .74) scores. No significant difference was found between the groups in terms of the rate of return to sport (anterior: 73%; posterior: 68%; combined: 75%; P = .84). CONCLUSION: Athletes undergoing arthroscopic stabilization of anterior, posterior, or combined shoulder instability can be expected to share a similar prognosis. High patient-reported outcome scores and moderate to high rates of return to sport were achieved by all groups.
format Online
Article
Text
id pubmed-5888826
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-58888262018-04-10 Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization Kraeutler, Matthew J. Aberle, Nicholas S. Brown, Colin C. Ptasinski, Joseph J. McCarty, Eric C. Orthop J Sports Med 10 BACKGROUND: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups. PURPOSE: To compare return-to-sport and other patient-reported outcomes in patients after primary arthroscopic anterior, posterior, and combined anterior and posterior shoulder stabilization. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Patients who underwent primary arthroscopic anterior, posterior, or combined anterior and posterior shoulder stabilization were contacted at a minimum 2-year follow-up. Patients completed a survey that consisted of return-to-sport outcomes as well as the Western Ontario Shoulder Instability Index (WOSI), Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Sur’geons (ASES) score, and Shoulder Activity Scale. RESULTS: A total of 151 patients were successfully contacted (anterior: n = 81; posterior: n = 22; combined: n = 48) at a mean follow-up of 3.6 years. No significant differences were found between the groups with regard to age at the time of surgery or time to follow-up. No significant differences were found between the groups in terms of WOSI (anterior: 76; posterior: 70; combined: 78; P = .28), SANE (anterior: 87; posterior: 85; combined: 87; P = .79), ASES (anterior: 88; posterior: 83; combined: 91; P = .083), or Shoulder Activity Scale (anterior: 12.0; posterior: 12.5; combined: 12.5; P = .74) scores. No significant difference was found between the groups in terms of the rate of return to sport (anterior: 73%; posterior: 68%; combined: 75%; P = .84). CONCLUSION: Athletes undergoing arthroscopic stabilization of anterior, posterior, or combined shoulder instability can be expected to share a similar prognosis. High patient-reported outcome scores and moderate to high rates of return to sport were achieved by all groups. SAGE Publications 2018-04-03 /pmc/articles/PMC5888826/ /pubmed/29637085 http://dx.doi.org/10.1177/2325967118763754 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle 10
Kraeutler, Matthew J.
Aberle, Nicholas S.
Brown, Colin C.
Ptasinski, Joseph J.
McCarty, Eric C.
Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title_full Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title_fullStr Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title_full_unstemmed Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title_short Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization
title_sort clinical outcomes and return to sport after arthroscopic anterior, posterior, and combined shoulder stabilization
topic 10
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888826/
https://www.ncbi.nlm.nih.gov/pubmed/29637085
http://dx.doi.org/10.1177/2325967118763754
work_keys_str_mv AT kraeutlermatthewj clinicaloutcomesandreturntosportafterarthroscopicanteriorposteriorandcombinedshoulderstabilization
AT aberlenicholass clinicaloutcomesandreturntosportafterarthroscopicanteriorposteriorandcombinedshoulderstabilization
AT browncolinc clinicaloutcomesandreturntosportafterarthroscopicanteriorposteriorandcombinedshoulderstabilization
AT ptasinskijosephj clinicaloutcomesandreturntosportafterarthroscopicanteriorposteriorandcombinedshoulderstabilization
AT mccartyericc clinicaloutcomesandreturntosportafterarthroscopicanteriorposteriorandcombinedshoulderstabilization