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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Arthroscopic stabilization for voluntary shoulder instability
Raymond Michael Greiwe1, Greg Galano, Jeff Grantham
1St Elizabeth's Hospital Medical Center and Commonwealth Orthopaedics, Edgewood, KY, USA.
Journal of Pediatric Orthopedics
|November 14, 2012
Summary
Arthroscopic stabilization offers good to excellent outcomes for patients with voluntary shoulder instability, showing significant improvements in pain and function. This minimally invasive approach appears effective for those who do not respond to non-operative treatments.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Voluntary shoulder instability involves patient-controlled subluxation via muscle manipulation.
- Open shoulder stabilization has shown high failure rates in this patient group.
- This study evaluates arthroscopic stabilization outcomes for voluntary shoulder instability.
Purpose of the Study:
- To report outcomes of arthroscopic stabilization for voluntary shoulder instability.
- To assess functional improvements and patient satisfaction post-arthroscopic surgery.
Main Methods:
- Retrospective review of 10 patients with voluntary instability treated arthroscopically (2006-2008).
- Preoperative and postoperative data collected included ASES scores, VAS pain, SST, and range of motion.
- Subjective outcomes like satisfaction and return to sport were also evaluated.
Main Results:
- Significant improvements observed in VAS pain (5.33 to 1.44), ASES scores (52.2 to 85.9), and SST (8.17 to 11.4).
- All functional scores improved significantly (P < 0.05).
- No postoperative dislocations or subluxations occurred; all patients reported excellent subjective outcomes and returned to sport.
Conclusions:
- Arthroscopic stabilization yields good to excellent results for voluntary shoulder instability.
- Improved outcomes may stem from enhanced patient selection, surgical technique, and rehabilitation.
- Arthroscopic stabilization is a viable treatment option for refractory voluntary shoulder instability.
