BACKGROUND: Arthroscopic repair of anterior dislocation of the shoulder can fail. We hypothesized that patients who are at higher risk for redislocation following repair could be recognized preoperatively on the basis of their clinical history. The purpose of the present study was to identify the risk factors for recurrence in a community-based population of patients with traumatic unidirectional instability that was treated with a single arthroscopic technique. METHODS: From January 2000 to December 2003, 625 patients with anterior unidirectional instability were managed with an arthroscopic Bankart technique, and 385 met the criteria for inclusion in the study. Demographic data were collected, and clinical follow-up was performed at three, six, twelve, twenty-four, and thirty-six months. RESULTS: At thirty-six months, thirty-one patients (8.1%) had experienced a redislocation; the rate was 13.3% among patients who were twenty-two years of age and younger and 6.3% among older patients. Age at the time of the first dislocation, male sex, and the time from the first dislocation until surgery were significant risk factors for recurrence (p < 0.05 for all). CONCLUSIONS: Patients who are more likely to have a redislocation following arthroscopic repair of an anterior shoulder dislocation can be identified preoperatively on the basis of sex, age, and the time from the first dislocation to surgery.
BACKGROUND: Arthroscopic repair of anterior dislocation of the shoulder can fail. We hypothesized that patients who are at higher risk for redislocation following repair could be recognized preoperatively on the basis of their clinical history. The purpose of the present study was to identify the risk factors for recurrence in a community-based population of patients with traumatic unidirectional instability that was treated with a single arthroscopic technique. METHODS: From January 2000 to December 2003, 625 patients with anterior unidirectional instability were managed with an arthroscopic Bankart technique, and 385 met the criteria for inclusion in the study. Demographic data were collected, and clinical follow-up was performed at three, six, twelve, twenty-four, and thirty-six months. RESULTS: At thirty-six months, thirty-one patients (8.1%) had experienced a redislocation; the rate was 13.3% among patients who were twenty-two years of age and younger and 6.3% among older patients. Age at the time of the first dislocation, male sex, and the time from the first dislocation until surgery were significant risk factors for recurrence (p < 0.05 for all). CONCLUSIONS:Patients who are more likely to have a redislocation following arthroscopic repair of an anterior shoulder dislocation can be identified preoperatively on the basis of sex, age, and the time from the first dislocation to surgery.
Authors: Giuseppe Milano; Andrea Grasso; Domenico A Santagada; Maristella F Saccomanno; Laura Deriu; Carlo Fabbriciani Journal: Knee Surg Sports Traumatol Arthrosc Date: 2010-07-17 Impact factor: 4.342
Authors: W Barrett Payne; Matthew T Kleiner; Michelle H McGarry; James E Tibone; Thay Q Lee Journal: Knee Surg Sports Traumatol Arthrosc Date: 2015-12-12 Impact factor: 4.342
Authors: Miguel Angel Ruiz Ibán; Cristina Victoria Asenjo Gismero; Santos Moros Marco; Raquel Ruiz Díaz; Teresa Del Olmo Hernández; Gabriel Del Monte Bello; Miguel García Navlet; Jose Luis Ávila Lafuente; Jorge Díaz Heredia Journal: Knee Surg Sports Traumatol Arthrosc Date: 2019-04-06 Impact factor: 4.342
Authors: Mohammed Adam; Ahmed Khalil Attia; Abduljabbar Alhammoud; Osama Aldahamsheh; Mohammed Al Ateeq Al Dosari; Ghalib Ahmed Journal: Int Orthop Date: 2018-07-07 Impact factor: 3.075
Authors: Peter Brownson; Oliver Donaldson; Michael Fox; Jonathan L Rees; Amar Rangan; Anju Jaggi; Graham Tytherleigh-Strong; Julie McBernie; Michael Thomas; Rohit Kulkarni Journal: Shoulder Elbow Date: 2015-05-26