Risk Factors and Outcomes of Revision Arthroscopic Posterior Shoulder Capsulolabral Repair

The American Journal of Sports Medicine
James P BradleyDharmesh Vyas

Abstract

Risk factors and outcomes of revision arthroscopic posterior capsulolabral repair of the shoulder are currently not well defined. Athletes who require revision arthroscopic posterior unidirectional capsulolabral repair will have poorer outcomes and return to play when compared with those undergoing primary procedures, with risk factors including younger age, injury size, bone loss, and anchor number. Case-control study; Level of evidence, 3. A total of 297 shoulders that underwent arthroscopic posterior capsulolabral repair at minimum 2-year follow-up were reviewed. In addition to surgical data, the American Shoulder and Elbow Surgeons scoring system with subjective stability, range of motion, strength, and pain scores as well as return to sport were compared pre- and postoperatively between those who did and did not require revision surgery. Magnetic resonance arthrogram measurements of glenoid labral, chondral, and bone version and labral and bone width were also compared. Nineteen shoulders required revision surgery (6.4%) at 8.9-year follow-up. Significant risk factors included female sex ( P = .001), dominant shoulder ( P = .005), and concomitant rotator cuff injury ( P = .029). Patients with ≤3 anchors were more likely to...Continue Reading

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Citations

Oct 17, 2019·The American Journal of Sports Medicine·Travis J DekkerMatthew T Provencher
Dec 18, 2020·Orthopaedic Journal of Sports Medicine·Ravi VaswaniJames P Bradley
Nov 12, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Erik Hohmann
Jun 4, 2021·The American Journal of Sports Medicine·Justin W ArnerMatthew T Provencher

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