Evolución clínica y funcional en pacientes operados vía artroscópica con inestabilidad unidireccional anterior del hombro

Content Provider	Semantic Scholar
Author	Barrios-Moyano, Antonio Negrete-Corona, Jorge Chávez-Hinojosa, Edgard
Copyright Year	2009
Abstract	Objective: Show the experience of the Orthopedics Service at Lic. Adolfo Lopez Mateos Regional ISSSTE Hospital, in the management of an- terior unidirectional shoulder instability with an ar- throscopic technique consisting of reattaching the la- brum in the glenoid with anchored sutures and capsular tightening with radiofrequency. Material and methods: Twenty-six patients with anterior uni- directional shoulder instability who were operated- on between August 2006 and November 2008 were included. Twelve patients underwent capsular re- tightening with radiofrequency and in 14 patients the latter was combined with sutured anchors. The pa- tients selected had a history of relapsing gleno- humeral dislocations and subluxations with anterior instability, with or without associated Bankart le- sions, and all of them were young. Results: The re- sults were assessed basically with the functional UCLA scale and considering the occurrence of any instability-related event during the postoperative fol- low-up; from this perspective, there were no cases of recurrent instability. Two cases reported severe post- operative pain, and one had irritation of the sutures; 6 patients had residual limitation of combined later- al rotation and abduction movements, with a mean of 10° compared with the sound contralateral limb. The most frequent incident was infiltration of solutions into the soft tissues due to the operative time. Conclu- sions: Capsular retightening with radiofrequency, whether combined or not with other repair tech- niques, has proven highly satisfactory from the per-
Starting Page	281
Ending Page	285
Page Count	5
File Format	PDF HTM / HTML
Volume Number	23
Alternate Webpage(s)	http://www.medigraphic.com/pdfs/ortope/or-2009/or095f.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article