Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Journal Abstract
Arthroscopy surgery of atraumatic instability of the shoulder
Robert Spławski, Przemysław Lubiatowski, Leszek Romanowski, Władysław Manikowski
Ortop Traumatol Rehabil 2003; 5(4):433-439
ICID: 11005
Article type: Original article
IC™ Value: 5.82
Abstract provided by Publisher
Backround. Atraumatic shoulder instability makes roughly 4% of all instability cases. Subluxation or dislocation may either have no actual cause or be the result of minor accident. Because of its multi-directional character and coexisting disturbances, atraumatic instability is a serious therapeutic issue. The basics of the treatment are strengthening the shoulder stabilizing muscles and exercises aimed at optimising nerve-muscle control.
Material and methods. 6 patients – 10 shoulders, who suffered non-traumatic multi-directional shoulder instability were operated on at our Dept. Lack of positive results after at least 6 months' rehabilitation was the direct indication for surgery, along with night and activity related pain. Three patients from the above mentioned group suffered additionally single sided idiopathic instability.
Arthroscopy was carried from three portals: two front and one back. During the surgery we observed high capsule laxity, generally hypoplastic labrum, and partial cartilage loss within the humeral head. Non-absorbing sutures – Ethiobond 2, anchors, and screws we used to stabilize the capsule and labrum. After inserting the scope we made 3-4 anchors and sutures of capsule and labrum at the anterior and posterior aspect of the glenoid. The next thing to do was to apply sutures closing rotator intervals. Remaining, non-sutured parts of the capsule, were thermally shrunk.
Results. The observation covers period from six months to two years after the surgery. The decrease of pain score has been observed from 4 points before surgery to 0.33 points after the treatment. The UCLA score increased after the surgery by about 13 points. In Simple Shoulder Test the score of positive answers increased from 7 to 11. Results of the treatment were lack off pain and restored stability of the shoulder. There was stronger patients' motivation to exercise in order to strengthen the muscles and muscle coordination.
Conclusions. Arthroscopic stabilization of shoulder joint is a encouraging method in atraumatic instability of the shoulder. In case of any failure, the method doesn't exclude the option of open-surgery methods.

ICID 11005
PMID 18034042 - click here to show this article in PubMed

Related articles
  • in IndexCopernicus™
         Arthroscopy [191 related records]
         atraumatic instability [1 related records]
         Shoulder [68 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.