关键词: Bony Bankart dislocation elderly patients reverse shoulder arthroplasty

来  源:   DOI:10.1177/24715492231199344   PDF(Pubmed)

Abstract:
UNASSIGNED: One of the most frequent complications in patients affected by traumatic anterior dislocations is bony Bankart lesion. This study evaluates the clinical and functional outcomes of 10 patients with isolated large glenoid fracture and acute glenohumeral dislocation treated with reverse shoulder arthroplasty.
UNASSIGNED: Patients older than 69 years who underwent reverse shoulder arthroplasty after isolated large glenoid fracture and acute glenohumeral dislocation between 2016 and 2022 at the same institute were selected. Shoulder range of motion and pain level was assessed. The impact on quality of life has been evaluated through four measures: the constant scale, the simple shoulder test (SST), the OXFORD scale, and The University of California-Los Angeles (UCLA) shoulder scale.
UNASSIGNED: The mean Constant score was 77.1 (range 68-84), the mean SST score was 9.4 (range 8-10), the Oxford score was 44.3 (range 35-48), and the UCLA shoulder scale was 27.1 (range 24-30). No reoperation was performed on any patient in this series.
UNASSIGNED: Reverse shoulder arthroplasty for elderly patients with bony Bankart lesion and acute glenohumeral dislocation represents a valuable option in terms of clinical results, patient satisfaction and early- to medium-term complications.
摘要:
创伤性前脱位患者最常见的并发症之一是骨Bankart病变。这项研究评估了10例接受反向肩关节置换术治疗的孤立性大关节盂骨折和急性肱骨脱位患者的临床和功能结果。
选择了在2016年至2022年在同一研究所进行的69岁以上的患者,这些患者在孤立的大型关节盂骨折和急性肱骨脱位后接受了反向肩关节置换术。评估肩关节的活动范围和疼痛程度。对生活质量的影响已经通过四种措施进行了评估:恒定量表,简单的肩膀测试(SST),牛津量表,和加州大学洛杉矶分校(UCLA)的肩秤。
平均常数分数为77.1(范围68-84),SST平均得分为9.4(范围8-10),牛津得分为44.3(35-48),加州大学洛杉矶分校肩部评分为27.1(范围24-30)。本系列中的任何患者均未进行再手术。
对于骨性Bankart病变和急性肱骨脱位的老年患者,反向肩关节置换术在临床结果方面是一个有价值的选择,患者满意度和早期至中期并发症。
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