Sella Guilherme do Val, da Silva Luciana Andrade, Almeida Gabriel Ximenes, Santana Dinah Santos, Barela Ana Maria Forti, Miyazaki Alberto Naoki
Faculdade de Ciências Médicas da Santa Casa de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Irmandade da Santa Casa de Misericórdia de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Acta Ortop Bras. 2022 May 23;30(3):e245237. doi: 10.1590/1413-785220223003e245237. eCollection 2022.
To quantitatively assess the scapular movement of patients who underwent Latarjet surgery and to identify if they present scapular dyskinesia (SD), as well as correlate with the clinic state and the elevation degree of the shoulder.
A cross-sectional study was carried out at the Movement Analysis Laboratory (LAM), at the Institute of Physical Activity and Sport Sciences, that quantitatively evaluated, using spherical retroreflective markers, the scapular movements of the control group (10 volunteers) and 22 patients (23 operated shoulders) that had been submitted to Latarjet surgery, between 2011 and 2016, with at least one year postoperative. The results of the control group were used as a parameter of normality and compared to those of the operated group. Posterior inclination, superior rotation, and medial rotation of the scapula were evaluated at angles of 60°, 90°, and 120° of elevation, both in ascending and descending phases. The statistical analysis used was the multivariate variance (MANOVA), comparing the right and left sides of the control group and, subsequently, the control group with the postoperative group (p = 0.05 in all tests).
When comparing the mean of the results of the quantitative evaluation of the control group with the operated group, no statistically significant differences were found between the two groups and between the dominant and non-dominant sides of the control group.
Latarjet surgery does not cause SD, although there are alterations in some plane of the scapular movements in the ascending and/or descending phase.
定量评估接受Latarjet手术患者的肩胛骨运动情况,确定他们是否存在肩胛骨运动障碍(SD),并将其与临床状态和肩部抬高程度相关联。
在体育活动与运动科学研究所的运动分析实验室(LAM)进行了一项横断面研究,该研究使用球形反光标记物对2011年至2016年间接受Latarjet手术且术后至少一年的对照组(10名志愿者)和22例患者(23个手术肩部)的肩胛骨运动进行了定量评估。将对照组的结果用作正常参数,并与手术组的结果进行比较。在肩胛骨抬高60°、90°和120°时,分别在上升和下降阶段评估肩胛骨的后倾、上旋和内旋。所采用的统计分析方法是多变量方差分析(MANOVA),比较对照组的左右两侧,随后将对照组与术后组进行比较(所有测试中p = 0.05)。
将对照组定量评估结果的平均值与手术组进行比较时,两组之间以及对照组的优势侧和非优势侧之间均未发现统计学上的显著差异。
Latarjet手术不会导致SD,尽管在上升和/或下降阶段肩胛骨运动的某些平面存在改变。