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RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW
Paulo Henrique Schmidt Lara1, Leandro Masini Ribeiro1, Carlos Vicente Andreoli1
1Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|May 8, 2024
Summary
Arthroscopic and radiological indications for glenoid bone grafting yield better shoulder range of motion outcomes compared to combined clinical and radiological factors.
Area of Science:
- Orthopedic Surgery
- Shoulder Reconstruction
- Biomechanical Analysis
Background:
- Glenoid bone grafting is a surgical procedure to address bone loss in the shoulder joint.
- Determining optimal surgical indications is crucial for improving postoperative outcomes.
- Postoperative range of motion is a key metric for evaluating the success of shoulder surgeries.
Purpose of the Study:
- To identify surgical indications for glenoid bone grafting that correlate with improved postoperative shoulder range of motion.
- To systematically review existing literature on glenoid bone grafting outcomes based on different indication criteria.
Main Methods:
- A systematic review adhering to PRISMA guidelines was performed.
- Studies were categorized into three groups based on surgical indication criteria: radiological only (Group R), radiological plus clinical (Group R + C), and arthroscopic (Group A).
- Postoperative shoulder range of motion parameters were extracted and analyzed.
Main Results:
- Group A (arthroscopic indications) and Group R (radiological indications) demonstrated the most statistically positive results for range of motion.
- Group A showed benefits in elevation, loss of lateral rotation in adduction, and medial rotation in abduction.
- Group R showed benefits in lateral rotation in adduction and loss of lateral rotation in adduction; Group R + C had the most negative results.
Conclusions:
- Arthroscopic and radiological indications for glenoid bone grafting appear to be associated with better postoperative range of motion.
- Radiological indications specifically showed the best outcomes for lateral rotation.
- Combined radiological and clinical indications (Group R + C) were associated with poorer outcomes across multiple range of motion parameters.
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