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Arthroscopic Latarjet for Recurrent Shoulder Instability

Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion...

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Autores principales: Castricini, Roberto, Longo, Umile Giuseppe, Petrillo, Stefano, Candela, Vincenzo, De Benedetto, Massimo, Maffulli, Nicola, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781242/
https://www.ncbi.nlm.nih.gov/pubmed/31514425
http://dx.doi.org/10.3390/medicina55090582
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author Castricini, Roberto
Longo, Umile Giuseppe
Petrillo, Stefano
Candela, Vincenzo
De Benedetto, Massimo
Maffulli, Nicola
Denaro, Vincenzo
author_facet Castricini, Roberto
Longo, Umile Giuseppe
Petrillo, Stefano
Candela, Vincenzo
De Benedetto, Massimo
Maffulli, Nicola
Denaro, Vincenzo
author_sort Castricini, Roberto
collection PubMed
description Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist.
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spelling pubmed-67812422019-10-30 Arthroscopic Latarjet for Recurrent Shoulder Instability Castricini, Roberto Longo, Umile Giuseppe Petrillo, Stefano Candela, Vincenzo De Benedetto, Massimo Maffulli, Nicola Denaro, Vincenzo Medicina (Kaunas) Article Background and Objectives: The all-arthroscopic Latarjet (aL) procedure was introduced to manage recurrent shoulder instability. Our study aimed to report the outcomes of aL procedures with the Rowe, University of California-Los Angeles (UCLA), simple shoulder test (SST) scores, and range of motion (ROM) in external rotation at a minimum follow-up of 2 years. Material and Methods: A total of 44 patients presenting recurrent shoulder instability were managed with aL procedure. Clinical outcomes were assessed at a mean follow-up of 29.6 ± 6.9 months. The postoperative active ROM was measured and compared with the contralateral shoulder. The Rowe, UCLA, and SST scores were administered preoperatively and postoperatively. Results: No patients experienced infections or neuro-vascular injuries. Seven (15%) patients required revision surgery. After surgery, the external rotation was statistically lower compared to the contralateral shoulder, but it improved; clinical outcomes also improved in a statistically significant fashion. Conclusions: The aL produced good results in the management of recurrent shoulder instability, but the complication rate was still high even in the hands of expert arthroscopist. MDPI 2019-09-11 /pmc/articles/PMC6781242/ /pubmed/31514425 http://dx.doi.org/10.3390/medicina55090582 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Castricini, Roberto
Longo, Umile Giuseppe
Petrillo, Stefano
Candela, Vincenzo
De Benedetto, Massimo
Maffulli, Nicola
Denaro, Vincenzo
Arthroscopic Latarjet for Recurrent Shoulder Instability
title Arthroscopic Latarjet for Recurrent Shoulder Instability
title_full Arthroscopic Latarjet for Recurrent Shoulder Instability
title_fullStr Arthroscopic Latarjet for Recurrent Shoulder Instability
title_full_unstemmed Arthroscopic Latarjet for Recurrent Shoulder Instability
title_short Arthroscopic Latarjet for Recurrent Shoulder Instability
title_sort arthroscopic latarjet for recurrent shoulder instability
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6781242/
https://www.ncbi.nlm.nih.gov/pubmed/31514425
http://dx.doi.org/10.3390/medicina55090582
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