[Chronic posttraumatic shoulder instability].

Bauer, S; Dietz, B; Collin, P; Neyton, L; Blakeney, W; Zumstein, Matthias (2023). [Chronic posttraumatic shoulder instability]. Unfallchirurgie, 126(2), pp. 145-154. Springer 10.1007/s00113-022-01283-9

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Chronic posttraumatic shoulder instability is characterized by trauma-associated, recurrent dislocations. Surgical treatment is indicated in most cases but it remains controversial how risk factors should be weighted to decide between arthroscopic Bankart repair (ABR), Latarjet or alternative procedures. Known risk factors for recurrence are patient age, hyperlaxity, sports profile and bone loss. Surgical techniques are discussed in detail. The ABR leads to high patient satisfaction and return to sports; however, in association with risk factors, recurrent dislocations are seen even several years later. Latarjet or bone block procedures lead to high patient satisfaction, sustainable stability as a revision procedure, but can also be primarily indicated for chronic instability depending on risk factors. Early complications are more frequent but of a minor nature in most cases. All techniques are known for a serious learning curve. If performed well, they do not seem to increase the risk of arthritis, which is most affected by the number of lifetime dislocations and higher energy trauma.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Zumstein, Matthias

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2731-703X

Publisher:

Springer

Language:

German

Submitter:

Pubmed Import

Date Deposited:

07 Feb 2023 12:38

Last Modified:

08 Feb 2023 15:24

Publisher DOI:

10.1007/s00113-022-01283-9

PubMed ID:

36729203

Uncontrolled Keywords:

Arthropathy Bankartstabilisierung Latarjet operation Recurrence Shoulder dislocation

BORIS DOI:

10.48350/178311

URI:

https://boris.unibe.ch/id/eprint/178311

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