METHODS: Two independent reviewers conducted a systematic literature search based on PRISMA guidelines, utilizing the MEDLINE database. Studies were eligible for inclusion if they reported postoperative outcomes for posterior shoulder instability following arthroscopic stabilization.
RESULTS: A total of 48 studies met inclusion criteria for review including 2307 shoulders. Majority of patients were male (83.3%), with an average age of 26.1 years and a mean follow-up of 46.8 months. The functional outcome score primarily utilized for postoperative assessment was ASES with an average of 84.77. Overall, 90.9% of patients reported being satisfied with their arthroscopic stabilization. Recurrent instability occurred in 7.4% of patients. The total revision rate was 5.2%. 16.6% of patients reported residual pain postoperatively. The rate of return to play was 86.4% with 68.0% of patients returning to play at the same or higher level of play.
CONCLUSIONS: Arthroscopic stabilization of posterior shoulder instability resulted in good outcomes with high patient satisfaction and low rates of recurrent instability, revisions, and residual pain.
方法:两名独立审稿人根据PRISMA指南进行了系统的文献检索,利用MEDLINE数据库。如果研究报告了关节镜稳定后肩后不稳定的术后结果,则有资格纳入研究。
结果:共有48项研究符合纳入标准,包括2307项。大多数患者为男性(83.3%),平均年龄26.1岁,平均随访46.8个月。主要用于术后评估的功能结局评分为ASES,平均为84.77。总的来说,90.9%的患者报告对他们的关节镜稳定感到满意。7.4%的患者出现复发性不稳定。总修订率为5.2%。16.6%的患者报告术后残留疼痛。比赛的恢复率为86.4%,其中68.0%的患者以相同或更高的比赛水平恢复比赛。
结论:关节镜下稳定治疗后肩关节不稳的结果良好,患者满意度高,不稳复发率低。修订,和残余的疼痛。