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Resultados funcionales y retorno al deporte luego de la estabilización artroscópica en pacientes con inestabilidad posterior de hombro / Functional outcomes and return to sport after arthroscopic stabilization in posterior glenohumeral instability
Puig Dubois, Julieta; Rossi, Luciano A; Tanoira, Ignacio; Alonso, Ignacio H; Bongiovanni, Santiago; Ranalletta, Maximiliano.
  • Puig Dubois, Julieta; Hospital Italiano de Buenos Aires. Buenos Aires. AR
  • Rossi, Luciano A; Hospital Italiano de Buenos Aires. Buenos Aires. AR
  • Tanoira, Ignacio; Hospital Italiano de Buenos Aires. Buenos Aires. AR
  • Alonso, Ignacio H; Hospital Italiano de Buenos Aires. Buenos Aires. AR
  • Bongiovanni, Santiago; Hospital Italiano de Buenos Aires. Buenos Aires. AR
  • Ranalletta, Maximiliano; Hospital Italiano de Buenos Aires. Buenos Aires. AR
Artrosc. (B. Aires) ; 24(4): 142-145, 2017.
Article in Spanish | LILACS, BINACIS | ID: biblio-907442
RESUMEN

Introducción:

El objetivo de este estudio es evaluar los resultados funcionales, el retorno al deporte y las complicacionesde una serie consecutiva de pacientes con inestabilidad glenohumeral posterior, luego de la estabilización artroscópica.La hipótesis del siguiente estudio es que la estabilización artroscópica produce mejorías funcionales importantes con unalto porcentaje de retorno al deporte y con un número mínimo de complicaciones.Material y

métodos:

Se evaluó una serie consecutiva de pacientes tratados con estabilizaciones artroscópicas porinestabilidad posterior de hombro unidireccional, entre enero del 2008 y junio del 2014. Se recolectó la historia clínica,los hallazgos intraoperatorios. Se evaluó en el preoperatorio y en el postoperatorio el rango de movilidad, la función delhombro con el score de Rowe y el dolor ante la actividad física con la Escala visual análoga. Se les realizó radiografíasy resonancia magnética preoperatoria. Se realizó una misma técnica quirúrgica y manejo postoperatorio en todos lospacientes. Se interrogó a los pacientes acerca de si pudieron retornar al deporte que realizaban antes de la lesión ysi pudieron volver al mismo nivel que tenían previo a la misma, y en el caso correspondiente el motivo de no retorno.Además se analizaron las complicaciones intraoperatorias y postoperatorias. El protocolo de investigación del siguientetrabajo fue aprobado por el comité de ética e investigación de nuestra institución IRB 00010193...
ABSTRACT

Purpose:

The purpose of this study is to evaluate functional results, the returning to sports activities and complications ofa consecutive number of patients with posterior glenohumeral instability, after the arthroscopic stabilization. Hypothesis ofthe following study is that arthroscopic stabilization produces important functional improvements with a high percentage ofreturning to sports activities and with a minimum number of complications.Material and

methods:

A consecutive series of patients treated with arthroscopic stabilization for unidirectional posteriorshoulder instability, were evaluated between January 2008 and June 2014. Medical history and intraoperative findingswere collected. Range of motion; shoulder function with Rowe Score; and pain on physical activity with Visual AnalogueScale during preoperative and postoperative periods, were evaluated. Preoperative X-Ray and Magnetic Resonance wereperformed. Patients underwent the same surgical technique and postoperative management. Patients were examined inorder to know whether they were able to return to the same sports activities they performed before the injury and whetherthey were able to return to the same level they had before the injury, and in the corresponding case the reason for nonreturning. Moreover, intraoperative and postoperative complications were analyzed. The ethics and research committee of ourinstitution IRB 00010193 approved the research protocol of the following work...
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Shoulder Dislocation / Shoulder Joint / Joint Instability Type of study: Practice guideline Limits: Adult Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2017 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Italiano de Buenos Aires/AR

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LILACS

LIS

Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Shoulder Dislocation / Shoulder Joint / Joint Instability Type of study: Practice guideline Limits: Adult Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2017 Type: Article Affiliation country: Argentina Institution/Affiliation country: Hospital Italiano de Buenos Aires/AR