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Sex differences in outcomes after arthroscopic bankart repair
OBJECTIVES: Risk factors for anterior shoulder dislocation include young age, contact activities and male sex. The influence of sex on patient-reported outcomes of arthroscopic Bankart repair (ABR) is unclear, with few studies reporting potential differences. This study’s purpose was to compare pati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780536/ https://www.ncbi.nlm.nih.gov/pubmed/33437497 http://dx.doi.org/10.1136/bmjsem-2020-000965 |
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author | Lowenstein, Natalie A Ostergaard, Peter J Haber, Daniel B Garvey, Kirsten D Matzkin, Elizabeth G |
author_facet | Lowenstein, Natalie A Ostergaard, Peter J Haber, Daniel B Garvey, Kirsten D Matzkin, Elizabeth G |
author_sort | Lowenstein, Natalie A |
collection | PubMed |
description | OBJECTIVES: Risk factors for anterior shoulder dislocation include young age, contact activities and male sex. The influence of sex on patient-reported outcomes of arthroscopic Bankart repair (ABR) is unclear, with few studies reporting potential differences. This study’s purpose was to compare patient-reported outcomes of males and females following ABR. METHODS: Prospectively collected data was analysed for 281 patients (males: 206, females: 75) after ABR with preoperative, 1-year and 2-year follow-up responses. The Wilcoxon signed-rank and χ(2) tests, preoperative, 1 year and 2 year follow-up results were examined to determine differences of scores in males versus females. RESULTS: No statistically significant sex differences were observed in Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons (ASES), Visual Analogue Scale (VAS) or Single Assessment Numerical Evaluation (SANE) Scores at 1-year or 2-year follow-up. Females had lower Veterans RAND 12-item health survey (VR-12) mental health subscores at 2-year follow-up (females: 52.3±9.0, males: 55.8±7.6, p=0.0016). Females were more likely to report that treatment had ‘exceeded expectations’ at 2-year follow-up regarding motion, strength, function and normal sports activities. CONCLUSION: Results of study demonstrate that ABR has similar outcomes for both males and females. There were no statistically significant sex-related differences in SST, ASES, VAS or SANE scores following ABR. VR-12 mental health subscores showed a minimal difference at 2-year follow-up, with lower scores in females. LEVEL OF EVIDENCE: Retrospective cohort study; level II. |
format | Online Article Text |
id | pubmed-7780536 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-77805362021-01-11 Sex differences in outcomes after arthroscopic bankart repair Lowenstein, Natalie A Ostergaard, Peter J Haber, Daniel B Garvey, Kirsten D Matzkin, Elizabeth G BMJ Open Sport Exerc Med Short Report OBJECTIVES: Risk factors for anterior shoulder dislocation include young age, contact activities and male sex. The influence of sex on patient-reported outcomes of arthroscopic Bankart repair (ABR) is unclear, with few studies reporting potential differences. This study’s purpose was to compare patient-reported outcomes of males and females following ABR. METHODS: Prospectively collected data was analysed for 281 patients (males: 206, females: 75) after ABR with preoperative, 1-year and 2-year follow-up responses. The Wilcoxon signed-rank and χ(2) tests, preoperative, 1 year and 2 year follow-up results were examined to determine differences of scores in males versus females. RESULTS: No statistically significant sex differences were observed in Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons (ASES), Visual Analogue Scale (VAS) or Single Assessment Numerical Evaluation (SANE) Scores at 1-year or 2-year follow-up. Females had lower Veterans RAND 12-item health survey (VR-12) mental health subscores at 2-year follow-up (females: 52.3±9.0, males: 55.8±7.6, p=0.0016). Females were more likely to report that treatment had ‘exceeded expectations’ at 2-year follow-up regarding motion, strength, function and normal sports activities. CONCLUSION: Results of study demonstrate that ABR has similar outcomes for both males and females. There were no statistically significant sex-related differences in SST, ASES, VAS or SANE scores following ABR. VR-12 mental health subscores showed a minimal difference at 2-year follow-up, with lower scores in females. LEVEL OF EVIDENCE: Retrospective cohort study; level II. BMJ Publishing Group 2020-12-30 /pmc/articles/PMC7780536/ /pubmed/33437497 http://dx.doi.org/10.1136/bmjsem-2020-000965 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Short Report Lowenstein, Natalie A Ostergaard, Peter J Haber, Daniel B Garvey, Kirsten D Matzkin, Elizabeth G Sex differences in outcomes after arthroscopic bankart repair |
title | Sex differences in outcomes after arthroscopic bankart repair |
title_full | Sex differences in outcomes after arthroscopic bankart repair |
title_fullStr | Sex differences in outcomes after arthroscopic bankart repair |
title_full_unstemmed | Sex differences in outcomes after arthroscopic bankart repair |
title_short | Sex differences in outcomes after arthroscopic bankart repair |
title_sort | sex differences in outcomes after arthroscopic bankart repair |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780536/ https://www.ncbi.nlm.nih.gov/pubmed/33437497 http://dx.doi.org/10.1136/bmjsem-2020-000965 |
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