Cited 27 times in
Arthroscopic Stabilization for Recurrent Shoulder Instability With Moderate Glenoid Bone Defect in Patients With Moderate to Low Functional Demand
DC Field | Value | Language |
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dc.contributor.author | 김성재 | - |
dc.contributor.author | 김성환 | - |
dc.contributor.author | 천용민 | - |
dc.date.accessioned | 2015-01-06T17:01:16Z | - |
dc.date.available | 2015-01-06T17:01:16Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0749-8063 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/99217 | - |
dc.description.abstract | PURPOSE: The purpose of this study was to investigate the functional outcomes of arthroscopic Bankart repair for recurrent shoulder instability in the setting of moderate glenoid bone defect ranging from 20% to 30% in patients with moderate to low functional demand. METHODS:This study included 36 patients with unilateral recurrent instability and glenoid bone defects of 20% to 30% treated with arthroscopic stabilization. Glenoid bone loss was estimated on the en-face view of preoperative 3-dimensional computed tomography. Joint laxity was assessed clinically by use of the Beighton and Horan criteria, and patients were divided into 2 groups based on the presence of excessive joint laxity, group L (n = 13), or absence of excessive joint laxity, group N (n = 23). Functional assessments were performed with the patient-reported activity level; subjective shoulder value; Rowe score; and University of California, Los Angeles shoulder score. RESULTS:The mean glenoid defect size was 25.1% (range, 20% to 29%), and the overall functional outcomes improved significantly after surgery. A return to greater than 90% of the premorbid activity level was reported by 72% of patients (26 of 36 patients), and patient satisfaction was 83% (30 of 36 patients). There was no significant difference in functional outcomes between groups L and N (subjective shoulder value, 85.0% for group L v 88.9% for group N, P = .397; Rowe score, 83.5 for group L v 92.8 for group N, P = .537; and University of California, Los Angeles shoulder score, 32.2 for group L v 31.9 for group N, P = .697). Recurrent instability occurred in 4 patients (11%), 3 patients in group L (3 of 13, 23%) and 1 patient in group N (1 of 23, 4%), but this difference was not statistically significant (P = .125). CONCLUSIONS:Arthroscopic stabilization for recurrent shoulder instability in patients with moderate to low functional demand produced satisfactory outcomes despite the presence of moderate glenoid bone defects of 20% to 30%. For patients with excessive joint laxity, however, arthroscopic stabilization may not be reliable, with a recurrence rate of 23%. LEVEL OF EVIDENCE:Level IV, therapeutic case series. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 921~927 | - |
dc.relation.isPartOf | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Arthroscopy | - |
dc.subject.MESH | Bone Resorption/diagnostic imaging* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Imaging, Three-Dimensional | - |
dc.subject.MESH | Joint Instability/physiopathology | - |
dc.subject.MESH | Joint Instability/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Recovery of Function | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Scapula/diagnostic imaging* | - |
dc.subject.MESH | Scapula/pathology | - |
dc.subject.MESH | Shoulder Dislocation/physiopathology | - |
dc.subject.MESH | Shoulder Dislocation/surgery* | - |
dc.subject.MESH | Shoulder Joint/physiopathology | - |
dc.subject.MESH | Shoulder Joint/surgery* | - |
dc.subject.MESH | Tomography, X-Ray Computed | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Young Adult | - |
dc.title | Arthroscopic Stabilization for Recurrent Shoulder Instability With Moderate Glenoid Bone Defect in Patients With Moderate to Low Functional Demand | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Orthopedic Surgery (정형외과학) | - |
dc.contributor.googleauthor | Sung-Jae Kim | - |
dc.contributor.googleauthor | Sung-Hwan Kim | - |
dc.contributor.googleauthor | Byoung-Kyu Park | - |
dc.contributor.googleauthor | Yong-Min Chun | - |
dc.identifier.doi | 10.1016/j.arthro.2014.03.023 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00583 | - |
dc.contributor.localId | A00592 | - |
dc.contributor.localId | A04028 | - |
dc.relation.journalcode | J00242 | - |
dc.identifier.eissn | 1526-3231 | - |
dc.identifier.pmid | 24857422 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0749806314002515 | - |
dc.contributor.alternativeName | Kim, Sung Jae | - |
dc.contributor.alternativeName | Kim, Sung Hwan | - |
dc.contributor.alternativeName | Chun, Yong Min | - |
dc.contributor.affiliatedAuthor | Kim, Sung Jae | - |
dc.contributor.affiliatedAuthor | Kim, Sung Hwan | - |
dc.contributor.affiliatedAuthor | Chun, Yong Min | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 30 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 921 | - |
dc.citation.endPage | 927 | - |
dc.identifier.bibliographicCitation | ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, Vol.30(8) : 921-927, 2014 | - |
dc.identifier.rimsid | 55940 | - |
dc.type.rims | ART | - |
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