Frank Rachel M, Salem Hytham S, Richardson Catherine, O'Brien Michael, Newgren Jon M, Cole Brian J, Verma Nikhil N, Nicholson Gregory P, Romeo Anthony A
Department of Orthopaedic Surgery, School of Medicine, University of Colorado, Aurora, Colorado, USA.
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Orthop J Sports Med. 2021 May 13;9(5):23259671211007525. doi: 10.1177/23259671211007525. eCollection 2021 May.
Nearly all studies describing shoulder stabilization focus on male patients. Little is known regarding the clinical outcomes of female patients undergoing shoulder stabilization, and even less is understood about females with glenoid bone loss.
To assess the clinical outcomes of female patients with recurrent anterior shoulder instability treated with the Latarjet procedure.
Case series; Level of evidence, 4.
All cases of female patients who had recurrent anterior shoulder instability with ≥15% anterior glenoid bone loss and underwent the Latarjet procedure were analyzed. Patients were evaluated after a minimum 2-year postoperative period with scores of the American Shoulder and Elbow Surgeons form, Simple Shoulder Test, and pain visual analog scale.
Of the 22 patients who met our criteria, 5 (22.7%) were lost to follow-up, leaving 17 (77.2%) available for follow-up with a mean ± SD age of 31.7 ± 12.9 years. Among these patients, 16 (94.1%) underwent 1.6 ± 0.73 ipsilateral shoulder operations (range, 1-3) before undergoing the Latarjet procedure. Preoperative indications for surgery included recurrent instability with bone loss in all cases. After a mean follow-up of 40.2 ± 22.9 months, patients experienced significant score improvements in the American Shoulder and Elbow Surgeons form, Simple Shoulder Test, and pain visual analog scale ( < .05 for all). There were 2 reoperations (11.8%). There were no cases of neurovascular injuries or other complications.
Female patients with recurrent shoulder instability with glenoid bone loss can be successfully treated with the Latarjet procedure, with outcomes similar to those of male patients in the previously published literature. This information can be used to counsel female patients with recurrent instability with significant anterior glenoid bone loss.
几乎所有描述肩关节稳定术的研究都聚焦于男性患者。对于接受肩关节稳定术的女性患者的临床结局了解甚少，而对于存在肩胛盂骨缺损的女性患者了解更少。
评估采用Latarjet手术治疗复发性肩关节前脱位的女性患者的临床结局。
病例系列研究；证据等级为4级。
分析所有复发性肩关节前脱位且肩胛盂前部骨缺损≥15%并接受Latarjet手术的女性患者病例。术后至少2年对患者进行评估，采用美国肩肘外科医师协会评分表、简易肩关节测试以及疼痛视觉模拟量表进行评分。
符合我们纳入标准的22例患者中，5例（22.7%）失访，17例（77.2%）获得随访，平均年龄±标准差为31.7±12.9岁。在这些患者中，16例（94.1%）在接受Latarjet手术前同侧肩关节接受过1.6±0.73次（范围1 - 3次）手术。所有病例术前手术指征均为伴有骨缺损的复发性脱位。平均随访40.2±22.9个月后，患者在美国肩肘外科医师协会评分表、简易肩关节测试以及疼痛视觉模拟量表中的评分均有显著改善（均P<0.05）。有2例再次手术（11.8%）。无神经血管损伤或其他并发症发生。
存在肩胛盂骨缺损的复发性肩关节前脱位的女性患者可通过Latarjet手术成功治疗，其结局与既往文献报道的男性患者相似。该信息可用于为存在显著肩胛盂前部骨缺损的复发性脱位女性患者提供咨询。
