DMCA
Open Access Arthroscopic Treatment of Multidirectional Glenohumeral Instability in Young Overhead Athletes
BibTeX
@MISC{Voigt_openaccess,
author = {C. Voigt and A. P. Schulz and H. Lill},
title = {Open Access Arthroscopic Treatment of Multidirectional Glenohumeral Instability in Young Overhead Athletes},
year = {}
}
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Abstract
Abstract: Purpose: This prospective case series evaluates the outcome, and the return to sports of young overhead athletes with a persistent, symptomatic multidirectional instability (MDI) with hyperlaxity type Gerber B5 treated with an arthroscopic anteroposteroinferior capsular plication and rotator interval closure. Methods: 9 young overhead athletes (10 shoulders) with the rare diagnosis of MDI (Gerber B5) and an indication for operative treatment, after a failed physiotherapy program were physically examined 3, 6 and 12 months postoperatively by a physical examination, and got a final phone interview after median 39 months. Results: At the final follow-up all patients were satisfied; Rowe Score showed 7 “excellent ” and “good ” results; Constant Score was “excellent ” and “good ” in 6, and “fair ” in 1 patient. 7/9 returned to their previous sports, 3/9 at a reduced level. Conclusion: Symptomatic MDI requires an individual indication for surgical treatment after a primary conservative treatment. The described arthroscopic technique stabilizes glenohumeral joint. A return to overhead sports is possible but often at a reduced level; returning to high-performance sports cannot be recommended because of the high risk of reinstability.
Keyphrases
young overhead athlete open access arthroscopic treatment multidirectional glenohumeral instability reduced level hyperlaxity type gerber b5 operative treatment symptomatic mdi gerber b5 arthroscopic anteroposteroinferior capsular plication final follow-up good result failed physiotherapy program primary conservative treatment rotator interval closure prospective case series high risk high-performance sport cannot previous sport described arthroscopic technique individual indication physical examination rowe score glenohumeral joint constant score symptomatic multidirectional instability final phone interview surgical treatment rare diagnosis
