Outcomes for Intra-substance Free Coracoid Graft in Patients with Antero-inferior Instability and Glenoid Bone Loss in a Population of High-risk Athletes at a Minimum Follow-up of 2 Years

Overview

Journal Shoulder Elbow

Date 2016 Sep 2

PMID 27582955

Citations 3

Authors

Afshin Arianjam

Simon N Bell

Jennifer Coghlan

Jason Old

Roger Sloan

Affiliations

Soon will be listed here.

Abstract

Background: The aim of this retrospective case series study was to assess the outcomes of patients with recurrent anterior shoulder instability with antero-inferior glenoid bone loss treated with a specific open stabilization technique using intra-substance coracoid bone-grafting and Bankart repair.

Methods: Over a 4-year period, 34 shoulders in all male patients of mean age 21 years were stabilized with this technique. Pre- and postoperative function, motion and stability were assessed as part of Rowe stability scoring, and American Shoulder and Elbow Surgeons (ASES) and Oxford Instability were recorded, with at least 2 years of follow-up in all patients. Union of the graft was determined by post-operative computed tomography (CT) of the affected shoulder.

Results: For all cases, two redislocations (5.9%) and two subluxations occurred when continuing high-risk sport after 2 years. Post-operative scores [median, mean (SD): Rowe 77.5, 77.2 (19.5); ASES 94.2, 92 (7.7); Oxford 43, 41.2 (6)]. CT scans on 28 shoulders at a mean of 4.5 months after surgery showed non-union in three cases (10%).

Conclusions: These results demonstrate a high rate of success in cases of glenoid bone loss in the young contact athlete with recurrent instability treated with open stabilization and bone grafting.

Citing Articles

Why do patients with anterior shoulder instability not return to sport after surgery? A systematic review of 63 studies comprising 3545 patients.

van Iersel T, van Spanning S, Verweij L, Priester-Vink S, van Deurzen D, van den Bekerom M JSES Int. 2023; 7(3):376-384.

PMID: 37266170 PMC: 10229421. DOI: 10.1016/j.jseint.2023.01.001.

Glenoid bone augmentation: a contemporary and comprehensive systematic review of open procedures.

Falbo R, Moore A, Singleton A, Steffenson A, Levine J, Miller R Orthop Rev (Pavia). 2022; 14(3):37834.

PMID: 36045697 PMC: 9425523. DOI: 10.52965/001c.37834.

Outcomes are comparable using free bone block autografts versus allografts for the management of anterior shoulder instability with glenoid bone loss: a systematic review and meta-analysis of "The Non-Latarjet".

Gilat R, Wong S, Lavoie-Gagne O, Haunschild E, Knapik D, Fu M Knee Surg Sports Traumatol Arthrosc. 2020; 29(7):2159-2174.

PMID: 32749510 DOI: 10.1007/s00167-020-06194-z.

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