View in EDS PDF Full Text

Impacto de lesiones asociadas en inestabilidad glenohumeral anterior operada con cirugía de Latarjet: resultados funcionales en seguimiento a 2 años.

Saved in:
Bibliographic Details
Title: Impacto de lesiones asociadas en inestabilidad glenohumeral anterior operada con cirugía de Latarjet: resultados funcionales en seguimiento a 2 años.
Alternate Title: Impact of associated injuries on anterior glenohumeral instability treated with Latarjet surgery: functional outcomes at 2-year follow-up.
Authors: V., De Vos1, S., Pavez1, R., Águila1, A., Viacava1, S., Coda1, C., Pérez1, V., Val1, J. T., Rojas1 jrojas@clinicasantamaria.cl
Source: Acta Ortopédica Mexicana. Mar/Apr2026, Vol. 40 Issue 2, p97-102. 6p.
Subjects: SHOULDER dislocations, SPORTS re-entry, WOUNDS & injuries, FUNCTIONAL status, DISEASE relapse, MAGNETIC resonance imaging
Abstract (English): Introduction: in anterior glenohumeral dislocation, in addition to classic lesions such as Hill-Sachs (HS), Bankart, or glenohumeral anteroinferior ligament injury, other associated lesion like superior labral (SLAP), osteocondral (LOC), or glenolabral articular disruption (GLAD) have been described. Although open Latarjet surgery yields excellent outcomes, it does not address these associated lesions. Objective: to compare functional outcomes, recurrence rate, persistent symptoms and return to sport in patients undergoing open Latarjet surgery with and without associated lesions diagnosed by preoperative magnetic resonance imaging (MRI). Material and methods: retrospective observational study. Patients who underwent open Latarjet surgery for anterior glenohumeral instability, with preoperative MRI and a minimum followup of two years, were included. Patients were divided into two groups, group 1: without associated lesions, and group 2: with associated lesions. Outcomes assessed included subjective shoulder value (SSV), visual analog scale (VAS), recurrence rate, persistent symptoms and return to sport. Results: 28 patients were evaluated (age: 32 ± 6.8 years; 27 males, 1 female): 22 in group 1 and six in group 2 (associated lesions: 5 SLAP, 2 LOC, 1 GLAD). No significant differences between groups were found in SSV (92 ± 8.9 vs 85 ± 15, p = 0.29), VAS (1 vs 1, p = 0.6), recurrence rate (1 [4.5%] vs 0 [0%], p = 0.79) and persistent symptoms (7 [31%] vs 2 [33%], p = 0.65). There was a lower return to sport rate in group 2 vs group 1 (20 [90%] vs 3 [50%], p = 0.05). Conclusions: patients with anterior glenohumeral dislocation treated with open Latarjet surgery and not treated associated injuries have lower return to sport rate after, with a minimum follow-up of two years. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: en la luxación glenohumeral anterior, además de las lesiones clásicas (Hill-Sachs [HS], Bankart o lesión de ligamentos glenohumerales anteroinferiores), se describen lesiones asociadas como lesiones labrales superiores (SLAP), osteocondrales (LOC) o disrupción articular glenolabral (GLAD), entre otras. La cirugía abierta de Latarjet tiene excelentes resultados, pero no permite el tratamiento de estas lesiones asociadas. Objetivo: comparar la evolución funcional, tasa de recidiva, síntomas persistentes y reintegro deportivo en pacientes operados con cirugía abierta Latarjet, con y sin lesiones asociadas diagnosticadas por resonancia magnética (RMN) preoperatoria. Material y métodos: estudio retrospectivo observacional. Se incluyeron pacientes operados por inestabilidad glenohumeral anterior con técnica abierta de Latarjet, con seguimiento mínimo de dos años y RMN preoperatoria. Se dividieron en dos grupos: grupo 1: sin lesiones asociadas y grupo 2: con lesiones asociadas. Se evaluó con Subjective Shoulder Value (SSV), escala visual analógica (EVA), tasa de recidiva, síntomas persistentes y reintegro deportivo. Resultados: se evaluaron 28 pacientes (edad: 32 ± 6.8 años; 27 hombres, 1 mujer): 22 en grupo 1 y seis en grupo 2 (lesiones asociadas: 5 SLAP, 2 LOC, 1 GLAD). Sin diferencia significativa entre grupos en SSV (92 ± 8.9 vs. 85 ± 15, p = 0.29), EVA (1 vs. 1, p = 0.6), tasa de recidiva (1 [4.5%] vs. 0 [0%], p = 0.79) ni en síntomas persistentes (7 [31%] vs. 2 [33%], p = 0.65). Hubo menor reintegro deportivo en grupo 2 vs. grupo 1 (20 [90%] vs. 3 [50%], p = 0.05). Conclusión: pacientes con luxación glenohumeral anterior operados con cirugía abierta de Latarjet y con lesiones asociadas no tratadas presentan menor tasa de reintegro deportivo en un seguimiento mínimo de dos años. [ABSTRACT FROM AUTHOR]
Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Introduction: in anterior glenohumeral dislocation, in addition to classic lesions such as Hill-Sachs (HS), Bankart, or glenohumeral anteroinferior ligament injury, other associated lesion like superior labral (SLAP), osteocondral (LOC), or glenolabral articular disruption (GLAD) have been described. Although open Latarjet surgery yields excellent outcomes, it does not address these associated lesions. Objective: to compare functional outcomes, recurrence rate, persistent symptoms and return to sport in patients undergoing open Latarjet surgery with and without associated lesions diagnosed by preoperative magnetic resonance imaging (MRI). Material and methods: retrospective observational study. Patients who underwent open Latarjet surgery for anterior glenohumeral instability, with preoperative MRI and a minimum followup of two years, were included. Patients were divided into two groups, group 1: without associated lesions, and group 2: with associated lesions. Outcomes assessed included subjective shoulder value (SSV), visual analog scale (VAS), recurrence rate, persistent symptoms and return to sport. Results: 28 patients were evaluated (age: 32 ± 6.8 years; 27 males, 1 female): 22 in group 1 and six in group 2 (associated lesions: 5 SLAP, 2 LOC, 1 GLAD). No significant differences between groups were found in SSV (92 ± 8.9 vs 85 ± 15, p = 0.29), VAS (1 vs 1, p = 0.6), recurrence rate (1 [4.5%] vs 0 [0%], p = 0.79) and persistent symptoms (7 [31%] vs 2 [33%], p = 0.65). There was a lower return to sport rate in group 2 vs group 1 (20 [90%] vs 3 [50%], p = 0.05). Conclusions: patients with anterior glenohumeral dislocation treated with open Latarjet surgery and not treated associated injuries have lower return to sport rate after, with a minimum follow-up of two years. [ABSTRACT FROM AUTHOR]
ISSN:23064102
DOI:10.35366/123054