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Arthroscopic versus open shoulder stabilization: current practice patterns in the United States.

Alan L Zhang1, Scott R Montgomery1, Stephanie S Ngo1

  • 1Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|February 25, 2014
PubMed
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Arthroscopic shoulder stabilization nearly doubled in incidence between 2004 and 2009, becoming the dominant surgical approach. This trend highlights a significant shift in shoulder stabilization procedures in the United States.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Surgical Trends

Background:

  • Shoulder stabilization surgery aims to treat shoulder instability.
  • Both arthroscopic and open surgical techniques are available for shoulder stabilization.
  • Understanding current trends in surgical approach is crucial for healthcare planning.

Purpose of the Study:

  • To investigate the evolving trends in arthroscopic versus open shoulder stabilization procedures in the United States.
  • To analyze the changes in the incidence and proportion of these surgical techniques over a defined period.

Main Methods:

  • Retrospective analysis of a national database of insurance billing records from 2004 to 2009.
  • Identification of patients undergoing arthroscopic (CPT 29806) or open (CPT 23455, 23460, 23462) shoulder stabilization.

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  • Demographic data and procedural trends were extracted and analyzed.

    • Main Results:

    • Arthroscopic shoulder stabilization accounted for 84% of procedures, with incidence nearly doubling from 2004 to 2009.
    • The proportion of arthroscopic procedures increased from 71% to 89%, while open procedures decreased from 29% to 11%.
    • Younger age groups (10-19 and 20-29 years) showed the highest rates of surgery.

    Conclusions:

    • Arthroscopic shoulder stabilization has become the predominant surgical method, representing nearly 90% of procedures.
    • The study highlights a significant shift towards arthroscopic techniques in shoulder stabilization.
    • Further research is warranted to evaluate the long-term clinical outcomes of this prevalent practice pattern.