Shoulder Instability – Results of Different Methods of Treatment

The aim of this study is to present results after different procedures of surgical treatment of the unstable shoulder joint: arthroscopic stabilization; arthroscopic stabilization followed by the operative technique by Matev; the Latarjet procedure in cases with the presence of bone defects. From 20...

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Autor principal:	Matev B.
Formato:	article
Lenguaje:	EN
Publicado:	Sciendo 2019
Materias:	shoulder instability arthroscopic stabilization combined operative technique latarjet procedure Medicine R
Acceso en línea:	https://doaj.org/article/f1daa39eeb224b46bd5fa52cc0b3f76e
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spelling	oai:doaj.org-article:f1daa39eeb224b46bd5fa52cc0b3f76e2021-12-02T14:59:50ZShoulder Instability – Results of Different Methods of Treatment0324-175010.2478/amb-2019-0015https://doaj.org/article/f1daa39eeb224b46bd5fa52cc0b3f76e2019-05-01T00:00:00Zhttps://doi.org/10.2478/amb-2019-0015https://doaj.org/toc/0324-1750The aim of this study is to present results after different procedures of surgical treatment of the unstable shoulder joint: arthroscopic stabilization; arthroscopic stabilization followed by the operative technique by Matev; the Latarjet procedure in cases with the presence of bone defects. From 2004 to 2017 291 patients aged between 15 and 35 years were operated at the University Hospital “Prof. B. Boychev”, Medical University − Sofia. 247 patients had anterior and 44 − combined shoulder instability. 173 of the patients were active athletes practicing different disciplines. The average age at the time of the first dislocation was 17 years. In 172 patients, the first dislocation occurred without significant trauma, 124 of them had anterior shoulder instability and 48 – combined shoulder instability. In 120 patients with anterior dislocations, there was history of a serious injury during the first accident. The number of dislocations varied between ten and fifteen in all patients. For the same period, 45 patients with significant bone defects requiring open surgery (Latarjet procedure) were operated. Among the patients with bone defects, the dislocations were between 8 and 30 before the first examination. There were 11 patients, who had undergone previous surgery in different hospitals and different number of relaxations after surgery were found. The data were evaluated radiographically and clinically. Functionally, the patients recovered according to a well-established protocol of physiotherapy and the external rotation regained the full range of motion. The patients were able to return to their sports activity. The successful results in all patients show that these combined operative techniques can be the method of choice in the treatment of a greater number of dislocations of the shoulder, especially in people who seek to quickly return to active sport activities.Matev B.Sciendoarticleshoulder instabilityarthroscopic stabilizationcombined operative techniquelatarjet procedureMedicineRENActa Medica Bulgarica, Vol 46, Iss 2, Pp 30-35 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	shoulder instability arthroscopic stabilization combined operative technique latarjet procedure Medicine R
spellingShingle	shoulder instability arthroscopic stabilization combined operative technique latarjet procedure Medicine R Matev B. Shoulder Instability – Results of Different Methods of Treatment
description	The aim of this study is to present results after different procedures of surgical treatment of the unstable shoulder joint: arthroscopic stabilization; arthroscopic stabilization followed by the operative technique by Matev; the Latarjet procedure in cases with the presence of bone defects. From 2004 to 2017 291 patients aged between 15 and 35 years were operated at the University Hospital “Prof. B. Boychev”, Medical University − Sofia. 247 patients had anterior and 44 − combined shoulder instability. 173 of the patients were active athletes practicing different disciplines. The average age at the time of the first dislocation was 17 years. In 172 patients, the first dislocation occurred without significant trauma, 124 of them had anterior shoulder instability and 48 – combined shoulder instability. In 120 patients with anterior dislocations, there was history of a serious injury during the first accident. The number of dislocations varied between ten and fifteen in all patients. For the same period, 45 patients with significant bone defects requiring open surgery (Latarjet procedure) were operated. Among the patients with bone defects, the dislocations were between 8 and 30 before the first examination. There were 11 patients, who had undergone previous surgery in different hospitals and different number of relaxations after surgery were found. The data were evaluated radiographically and clinically. Functionally, the patients recovered according to a well-established protocol of physiotherapy and the external rotation regained the full range of motion. The patients were able to return to their sports activity. The successful results in all patients show that these combined operative techniques can be the method of choice in the treatment of a greater number of dislocations of the shoulder, especially in people who seek to quickly return to active sport activities.
format	article
author	Matev B.
author_facet	Matev B.
author_sort	Matev B.
title	Shoulder Instability – Results of Different Methods of Treatment
title_short	Shoulder Instability – Results of Different Methods of Treatment
title_full	Shoulder Instability – Results of Different Methods of Treatment
title_fullStr	Shoulder Instability – Results of Different Methods of Treatment
title_full_unstemmed	Shoulder Instability – Results of Different Methods of Treatment
title_sort	shoulder instability – results of different methods of treatment
publisher	Sciendo
publishDate	2019
url	https://doaj.org/article/f1daa39eeb224b46bd5fa52cc0b3f76e
work_keys_str_mv	AT matevb shoulderinstabilityresultsofdifferentmethodsoftreatment
_version_	1718389238102228992

Shoulder Instability – Results of Different Methods of Treatment

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