PMID: 8952908Jan 1, 1996Paper

Arthroscopic aspects and chronologic outcome of lesions of the labro-ligament complex in post-traumatic antero-inferior instability of the shoulder. A prospective study of 91 cases

Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
P Gleyze, P Habermeyer

Abstract

The authors present a prospective and mono-operator study of 91 gleno-humeral arthroscopies for post-traumatic antero-inferior instability of the shoulder. The aim of the study was to obtain a dynamic understanding of the relationship between the anatomic lesions to allow the integration of all the described lesions into literature and to produce a natural history of lesions in antero-inferior shoulder instability. 91 endoscopies for post-traumatic instability of the shoulder were performed by the same surgeon. Revision chart comprised 67 purely descriptive items. For the purpose of the study, the patients were divided into 4 groups of dislocation (first dislocation: 9 cases, 1 to 2 recurrences: 12 cases; 3 to 5 recurrences: 23 cases; more than 5 recurrences: 32 cases) and 1 group of subluxation (15 cases). The statistical evaluation of each individual data item gathered value allowed the selection of the most significant lesions and to regroup them into "lesions families", relations to the same physiopathological mechanism (traumatic or degenerative). The correlation between each lesion in terms of evolution, age and number of recurrences was studied. The first and most constant lesion is the periosteal avulsion of the antero-...Continue Reading

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