[Chronic posttraumatic shoulder instability].
Chronische posttraumatische Schulterinstabilität
Publisher DOI
PubMed ID
36729203
Abstract
Chronic posttraumatic shoulder instability is characterized by trauma-associated, recurrent dislocations. Surgical treatment is indicated in most cases but it remains controversial how risk factors should be weighted to decide between arthroscopic Bankart repair (ABR), Latarjet or alternative procedures. Known risk factors for recurrence are patient age, hyperlaxity, sports profile and bone loss. Surgical techniques are discussed in detail. The ABR leads to high patient satisfaction and return to sports; however, in association with risk factors, recurrent dislocations are seen even several years later. Latarjet or bone block procedures lead to high patient satisfaction, sustainable stability as a revision procedure, but can also be primarily indicated for chronic instability depending on risk factors. Early complications are more frequent but of a minor nature in most cases. All techniques are known for a serious learning curve. If performed well, they do not seem to increase the risk of arthritis, which is most affected by the number of lifetime dislocations and higher energy trauma.
Date Issued
2023-02
Publication Type
Article
Subject(s)
Subjects
Arthropathy Bankartstabilisierung Latarjet operation Recurrence Shoulder dislocation
Language(s)
de
Author(s)
Bauer, S | |
Dietz, B | |
Collin, P | |
Neyton, L | |
Blakeney, W |
Additional Credits
Journal
Unfallchirurgie
Publisher
Springer
ISSN
2731-703X
Access(Rights)
open.access