Kraeutler Matthew J, Aberle Nicholas S, Brown Colin C, Ptasinski Joseph J, McCarty Eric C
Department of Orthopaedic Surgery, Seton Hall-Hackensack Meridian School of Medicine, South Orange, New Jersey, USA.
Providence Medical Group, Kansas City, Kansas, USA.
Orthop J Sports Med. 2018 Apr 3;6(4):2325967118763754. doi: 10.1177/2325967118763754. eCollection 2018 Apr.
Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups.
To compare return-to-sport and other patient-reported outcomes in patients after primary arthroscopic anterior, posterior, and combined anterior and posterior shoulder stabilization.
Cohort study; Level of evidence, 3.
Patients who underwent primary arthroscopic anterior, posterior, or combined anterior and posterior shoulder stabilization were contacted at a minimum 2-year follow-up. Patients completed a survey that consisted of return-to-sport outcomes as well as the Western Ontario Shoulder Instability Index (WOSI), Single Assessment Numeric Evaluation (SANE), American Shoulder and Elbow Sur'geons (ASES) score, and Shoulder Activity Scale.
A total of 151 patients were successfully contacted (anterior: n = 81; posterior: n = 22; combined: n = 48) at a mean follow-up of 3.6 years. No significant differences were found between the groups with regard to age at the time of surgery or time to follow-up. No significant differences were found between the groups in terms of WOSI (anterior: 76; posterior: 70; combined: 78; = .28), SANE (anterior: 87; posterior: 85; combined: 87; = .79), ASES (anterior: 88; posterior: 83; combined: 91; = .083), or Shoulder Activity Scale (anterior: 12.0; posterior: 12.5; combined: 12.5; = .74) scores. No significant difference was found between the groups in terms of the rate of return to sport (anterior: 73%; posterior: 68%; combined: 75%; = .84).
Athletes undergoing arthroscopic stabilization of anterior, posterior, or combined shoulder instability can be expected to share a similar prognosis. High patient-reported outcome scores and moderate to high rates of return to sport were achieved by all groups.
肩肱关节不稳是一种常见的异常情况，在运动员中尤为常见。以往的研究评估了关节镜下稳定手术治疗前肩或后肩不稳患者的疗效，但未对不同组间的疗效进行比较。
比较初次关节镜下前路、后路以及前后联合入路治疗肩不稳患者的运动恢复情况和其他患者报告的结局。
队列研究；证据等级为3级。
对接受初次关节镜下前路、后路或前后联合入路肩稳定手术的患者进行至少2年的随访。患者完成一份调查问卷，内容包括运动恢复情况以及西安大略肩不稳指数（WOSI）、单项评估数值评定法（SANE）、美国肩肘外科医师（ASES）评分和肩部活动量表。
共成功联系到151例患者（前路组：n = 81；后路组：n = 22；联合组：n = 48），平均随访3.6年。各组在手术时的年龄或随访时间方面无显著差异。各组在WOSI（前路组：76；后路组：70；联合组：78；P = 0.28）、SANE（前路组：87；后路组：85；联合组：87；P = 0.79）、ASES（前路组：88；后路组：83；联合组：91；P = 0.083）或肩部活动量表（前路组：12.0；后路组：12.5；联合组：12.5；P = 0.74）评分方面均无显著差异。各组在运动恢复率方面也无显著差异（前路组：73%；后路组：68%；联合组：75%；P = 0.84）。
接受关节镜下前路、后路或联合入路治疗肩不稳的运动员预后相似。所有组的患者报告结局评分均较高，运动恢复率为中度到高度。
