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Related Experiment Videos

A salvage procedure for refractory shoulder instability.

Albert W Pearsall1, Christopher A Jarrett

  • 1Department of Orthopaedic Surgery, University of South Alabama Medical Center, 3421 Medical Park Drive, 2 Medical Park, Mobile, AL 36693, USA. apearsal@usouthal.edu

Clinical Orthopaedics and Related Research
|February 3, 2005
PubMed
Summary

This case study shows that staged bilateral glenoid bone augmentation can effectively treat refractory multidirectional shoulder instability. The patient achieved pain-free, stable shoulders with restored function after surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Regenerative Medicine

Background:

  • Multidirectional shoulder instability (MDI) can be challenging to treat, often requiring surgical intervention.
  • Previous arthroscopic and open procedures may fail in cases of refractory MDI.
  • Glenoid bone loss is a significant factor in shoulder instability, necessitating bone augmentation techniques.

Observation:

  • A patient with symptomatic refractory MDI underwent staged bilateral anterior and posterior glenoid bone augmentation.
  • The patient had a history of failed prior surgical treatments for shoulder instability.
  • Postoperative follow-up at 24 months demonstrated significant improvement in shoulder stability and function.

Findings:

  • The patient reported being pain-free with no recurrence of shoulder instability in either shoulder.

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  • Near-full, symmetric shoulder range of motion was achieved without apprehension.
  • High functional outcome scores (Constant-Murley: 77/79, UCLA: 29/29) and patient satisfaction (SF-36: 105) were reported.
  • Implications:

    • Anterior and posterior glenoid bone augmentation can be a viable salvage procedure for carefully selected patients with refractory MDI.
    • This technique may offer a solution for complex shoulder instability cases with significant bone deficiency.
    • Further research into glenoid bone augmentation for MDI is warranted to establish its efficacy in a broader patient population.