Functional Outcome of Arthroscopic Stabilization of Shoulder Instability.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2018, Vol 30, Issue 04
Abstract
Objective: The objective of this study was to determine the functional outcome of arthroscopic stabilization of anterior shoulder instability using anchor sutures. Methods: It was a prospective study done at Hand and Upper Limb Surgery (HULS) Center CMH Lahore Medical College, from January 2017 till July 2018. We included 60 patients who underwent arthroscopic stabilization with the help of anchor sutures. Pre-operative assessment included detailed history, physical examination, joint hyper laxity, plain radiographs, MR-arthrogram and in some cases CT scan of the shoulder joint. Post operatively; functional outcome was evaluated by complete examination of both shoulders mobility, Rowe score, Oxford shoulder instability score and Constant score. Comparison was made with the normal one. Data was analyzed with SPSS ver. 21. Results: Total patients were 60 (57 male and 3 female) and mean age at the time of operation 41.35±13.86 (range17-78) years. Right side was involved in 66.7% and dominant side in 70% patients. All patients were followed for minimum one year and mean follow up was 18.25 ±3.5 (range 11-22 months).At final visit in the follow up the mean Rowe score was 92.48 ±6.5 and 88.3% (53), 8.3% (5), 3.3% (2) belong to excellent, good and fair group respectively. Mean Oxford shoulder instability score was 43.03±5.99 and 83.4% (50), 13.3% (8) and 3.3% (10) belong to excellent, good and fair group respectively. Mean Contant score was 91.7±11.6 and 80% (48), 10% (6) 6.7% (4) and 3.3% (2) belong to excellent, good, fair and poor group respectively. Conclusion: Arthroscopic shoulder stabilization is an expedient procedure with excellent functional results for recurrent shoulder dislocation. We strongly recommend it for anterior shoulder instability.
Authors and Affiliations
Latif Khan,Col. Khalid Masood, Kamran Butt, Khalid Zulfiqar Qureshi, Muhammad Kashif Shafi, Belal Saadat,Karam Rasool Basra
Keywords
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