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Versión glenoidea y luxación anterior recurrente de hombro: un estudio de casos y controles

Yusuf Altuntas1, Ismail Tugay Yagci2, Enver Ipek3

  • 1Department of Orthopedics and Traumatology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey. dryusufaltuntas@gmail.com.

BMC musculoskeletal disorders
|February 9, 2026
PubMed
Resumen

Un aumento de la versión glenoidea anterior se asocia con la inestabilidad recurrente del hombro. Este hallazgo sugiere que la versión glenoidea puede ayudar a predecir el riesgo de inestabilidad en los pacientes.

Palabras clave:
lesión de Bankartarticulación glenohumerallesión de Hill–Sachsanatomía escapularluxación de hombro

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Área de la Ciencia:

  • Ortopedia
  • Radiología
  • Biomecánica

Sus antecedentes:

  • El papel de la versión glenoidea en la inestabilidad anterior del hombro es objeto de debate.
  • Estudios previos muestran resultados contradictorios sobre su asociación con la inestabilidad.

Objetivo del estudio:

  • Investigar si la versión glenoidea medida por TC varía con diferentes patrones de lesión.
  • Determinar si la anteversión glenoidea aumentada se correlaciona con luxaciones anteriores recurrentes del hombro.

Principales métodos:

  • Estudio retrospectivo de casos y controles de 214 pacientes con inestabilidad anterior del hombro y 104 controles.
  • Se utilizaron TC axiales estandarizadas para medir la versión glenoidea (método de Friedman).
  • Análisis de los patrones de lesión (Bankart aislado vs. Bankart + Hill-Sachs) y correlación con la frecuencia de luxación.

Principales resultados:

  • Se encontraron diferencias significativas en la versión glenoidea entre los grupos (p < 0,001).
  • Las luxaciones recurrentes mostraron una mayor anteversión glenoidea (0,47°) en comparación con los eventos únicos (-5,30°).
  • Fuerte correlación positiva (r=0,654, p<0,001) entre el número de luxaciones y la versión glenoidea.

Conclusiones:

  • La elevación de la versión glenoidea anterior se asocia significativamente con la inestabilidad anterior recurrente del hombro.
  • La versión glenoidea puede servir como un parámetro adicional para la estratificación clínica del riesgo en la inestabilidad del hombro.