Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patients 18 years old or younger

Clint J. Wooten, Aaron Krych, Cathy D. Schleck, Josh L. Hudgens, Jedediah H. May, Diane L. Dahm

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: The purpose of this study was to determine clinical outcomes for pain, function, instability, and return to activity level and sport in patients 18 years old or younger, treated with arthroscopic capsulolabral reconstruction for posterior instability of the shoulder. Methods: We retrospectively reviewed 22 athletes (25 shoulders) with unidirectional recurrent posterior shoulder instability treated with arthroscopic posterior capsulolabral reconstruction from 2002 to 2009. The study group included 19 males and 3 females with a mean age of 17 years. Patients were evaluated at a mean of 63 months postoperatively with American Shoulder and Elbow Surgeons (ASES) composite scores and subset scores for pain, stability, and function, as well as Marx activity scores. Statistical analysis was performed for continuous and categorical variables with significance set at α=0.05. Results: The overall mean postoperative ASES and Marx scores were 74.3 (SD±20) and 14.8 (SD±3.2), respectively. Twentythree shoulders were stable at the time of final follow-up (92%). Two shoulders had traumatic recurrent episodes of posterior instability. Return to sport at the same level was achieved in 67% of athletes. Overall postoperative ASES scores were significantly higher in male patients (P=0.04), those with traumatic injuries (P=0.03), and in contact athletes (P<0.01). Postoperative Marx scores were significantly higher in male patients (P<0.01). Preoperative and postoperative range of motion were assessed and without significant difference. Conclusion: Arthroscopic capsulolabral reconstruction is an effective treatment for symptomatic unidirectional posterior glenohumeral instability in 18 years old or younger. In distinction to treatment of anterior instability, outcomes in this series were improved in males, contact athletes, and patients with a traumatic etiology of posterior glenohumeral instability. Level of Evidence: Level IV.

Original languageEnglish (US)
Pages (from-to)462-466
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume35
Issue number5
DOIs
StatePublished - Sep 12 2014

Fingerprint

Athletes
Elbow
Pain
Articular Range of Motion
Sports
Wounds and Injuries
Therapeutics
Surgeons

Keywords

  • Arthroscopic capsulolabral reconstruction
  • Posterior Bankart lesion
  • Posterior instability in the adolescent shoulder

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patients 18 years old or younger. / Wooten, Clint J.; Krych, Aaron; Schleck, Cathy D.; Hudgens, Josh L.; May, Jedediah H.; Dahm, Diane L.

In: Journal of Pediatric Orthopaedics, Vol. 35, No. 5, 12.09.2014, p. 462-466.

Research output: Contribution to journalArticle

Wooten, Clint J. ; Krych, Aaron ; Schleck, Cathy D. ; Hudgens, Josh L. ; May, Jedediah H. ; Dahm, Diane L. / Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patients 18 years old or younger. In: Journal of Pediatric Orthopaedics. 2014 ; Vol. 35, No. 5. pp. 462-466.
@article{91b9d6679eba4cf2a149b0867bfc45cc,
title = "Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patients 18 years old or younger",
abstract = "Purpose: The purpose of this study was to determine clinical outcomes for pain, function, instability, and return to activity level and sport in patients 18 years old or younger, treated with arthroscopic capsulolabral reconstruction for posterior instability of the shoulder. Methods: We retrospectively reviewed 22 athletes (25 shoulders) with unidirectional recurrent posterior shoulder instability treated with arthroscopic posterior capsulolabral reconstruction from 2002 to 2009. The study group included 19 males and 3 females with a mean age of 17 years. Patients were evaluated at a mean of 63 months postoperatively with American Shoulder and Elbow Surgeons (ASES) composite scores and subset scores for pain, stability, and function, as well as Marx activity scores. Statistical analysis was performed for continuous and categorical variables with significance set at α=0.05. Results: The overall mean postoperative ASES and Marx scores were 74.3 (SD±20) and 14.8 (SD±3.2), respectively. Twentythree shoulders were stable at the time of final follow-up (92{\%}). Two shoulders had traumatic recurrent episodes of posterior instability. Return to sport at the same level was achieved in 67{\%} of athletes. Overall postoperative ASES scores were significantly higher in male patients (P=0.04), those with traumatic injuries (P=0.03), and in contact athletes (P<0.01). Postoperative Marx scores were significantly higher in male patients (P<0.01). Preoperative and postoperative range of motion were assessed and without significant difference. Conclusion: Arthroscopic capsulolabral reconstruction is an effective treatment for symptomatic unidirectional posterior glenohumeral instability in 18 years old or younger. In distinction to treatment of anterior instability, outcomes in this series were improved in males, contact athletes, and patients with a traumatic etiology of posterior glenohumeral instability. Level of Evidence: Level IV.",
keywords = "Arthroscopic capsulolabral reconstruction, Posterior Bankart lesion, Posterior instability in the adolescent shoulder",
author = "Wooten, {Clint J.} and Aaron Krych and Schleck, {Cathy D.} and Hudgens, {Josh L.} and May, {Jedediah H.} and Dahm, {Diane L.}",
year = "2014",
month = "9",
day = "12",
doi = "10.1097/BPO.0000000000000315",
language = "English (US)",
volume = "35",
pages = "462--466",
journal = "Journal of Pediatric Orthopaedics",
issn = "0271-6798",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Arthroscopic capsulolabral reconstruction for posterior shoulder instability in patients 18 years old or younger

AU - Wooten, Clint J.

AU - Krych, Aaron

AU - Schleck, Cathy D.

AU - Hudgens, Josh L.

AU - May, Jedediah H.

AU - Dahm, Diane L.

PY - 2014/9/12

Y1 - 2014/9/12

N2 - Purpose: The purpose of this study was to determine clinical outcomes for pain, function, instability, and return to activity level and sport in patients 18 years old or younger, treated with arthroscopic capsulolabral reconstruction for posterior instability of the shoulder. Methods: We retrospectively reviewed 22 athletes (25 shoulders) with unidirectional recurrent posterior shoulder instability treated with arthroscopic posterior capsulolabral reconstruction from 2002 to 2009. The study group included 19 males and 3 females with a mean age of 17 years. Patients were evaluated at a mean of 63 months postoperatively with American Shoulder and Elbow Surgeons (ASES) composite scores and subset scores for pain, stability, and function, as well as Marx activity scores. Statistical analysis was performed for continuous and categorical variables with significance set at α=0.05. Results: The overall mean postoperative ASES and Marx scores were 74.3 (SD±20) and 14.8 (SD±3.2), respectively. Twentythree shoulders were stable at the time of final follow-up (92%). Two shoulders had traumatic recurrent episodes of posterior instability. Return to sport at the same level was achieved in 67% of athletes. Overall postoperative ASES scores were significantly higher in male patients (P=0.04), those with traumatic injuries (P=0.03), and in contact athletes (P<0.01). Postoperative Marx scores were significantly higher in male patients (P<0.01). Preoperative and postoperative range of motion were assessed and without significant difference. Conclusion: Arthroscopic capsulolabral reconstruction is an effective treatment for symptomatic unidirectional posterior glenohumeral instability in 18 years old or younger. In distinction to treatment of anterior instability, outcomes in this series were improved in males, contact athletes, and patients with a traumatic etiology of posterior glenohumeral instability. Level of Evidence: Level IV.

AB - Purpose: The purpose of this study was to determine clinical outcomes for pain, function, instability, and return to activity level and sport in patients 18 years old or younger, treated with arthroscopic capsulolabral reconstruction for posterior instability of the shoulder. Methods: We retrospectively reviewed 22 athletes (25 shoulders) with unidirectional recurrent posterior shoulder instability treated with arthroscopic posterior capsulolabral reconstruction from 2002 to 2009. The study group included 19 males and 3 females with a mean age of 17 years. Patients were evaluated at a mean of 63 months postoperatively with American Shoulder and Elbow Surgeons (ASES) composite scores and subset scores for pain, stability, and function, as well as Marx activity scores. Statistical analysis was performed for continuous and categorical variables with significance set at α=0.05. Results: The overall mean postoperative ASES and Marx scores were 74.3 (SD±20) and 14.8 (SD±3.2), respectively. Twentythree shoulders were stable at the time of final follow-up (92%). Two shoulders had traumatic recurrent episodes of posterior instability. Return to sport at the same level was achieved in 67% of athletes. Overall postoperative ASES scores were significantly higher in male patients (P=0.04), those with traumatic injuries (P=0.03), and in contact athletes (P<0.01). Postoperative Marx scores were significantly higher in male patients (P<0.01). Preoperative and postoperative range of motion were assessed and without significant difference. Conclusion: Arthroscopic capsulolabral reconstruction is an effective treatment for symptomatic unidirectional posterior glenohumeral instability in 18 years old or younger. In distinction to treatment of anterior instability, outcomes in this series were improved in males, contact athletes, and patients with a traumatic etiology of posterior glenohumeral instability. Level of Evidence: Level IV.

KW - Arthroscopic capsulolabral reconstruction

KW - Posterior Bankart lesion

KW - Posterior instability in the adolescent shoulder

UR - http://www.scopus.com/inward/record.url?scp=84942610518&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942610518&partnerID=8YFLogxK

U2 - 10.1097/BPO.0000000000000315

DO - 10.1097/BPO.0000000000000315

M3 - Article

C2 - 25222189

AN - SCOPUS:84942610518

VL - 35

SP - 462

EP - 466

JO - Journal of Pediatric Orthopaedics

JF - Journal of Pediatric Orthopaedics

SN - 0271-6798

IS - 5

ER -