PDF(Pubmed)
Abstract：
UNASSIGNED: There is a lack of data regarding the long-term clinical outcomes of open repair of humeral avulsion of the glenohumeral ligament (HAGL).
UNASSIGNED: To examine the long-term patient outcomes, prevalence of related shoulder lesions, and return to sports in patients who have had open HAGL repair.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: Included were 47 patients who underwent open repair of an HAGL lesion between 1995 and 2013. Clinical results were assessed using the Western Ontario Shoulder Instability Index (WOSI). Recurrence of instability, additional surgeries, confidence in the shoulder, level and type of sport before and after surgery, and return to sports were documented.
UNASSIGNED: The mean follow-up duration was 105 months (range, 16-247 months). The mean postoperative WOSI score was 410. Postoperatively, 10 patients experienced a recurrence of instability. Subgroup analysis of patients who reported recurrence demonstrated significantly worse WOSI scores compared with patients who did not experience recurrence (730 [95% CI, 470-990] vs 320 [95% CI, 210-430], respectively; P = .007). Before surgery, 33 patients participated in competitive sports, compared with 22 patients after surgery. No postoperative neurologic or vascular complications were recorded. In 51% of patients, a labral tear was noted as a concomitant injury.
UNASSIGNED: Open repair of an HAGL lesion restored shoulder stability with good results. However, recurrence was significant (21%) with longer follow-up, and return to sports was affected. Associated lesions were prevalent.
UNASSIGNED: To examine the long-term patient outcomes, prevalence of related shoulder lesions, and return to sports in patients who have had open HAGL repair.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: Included were 47 patients who underwent open repair of an HAGL lesion between 1995 and 2013. Clinical results were assessed using the Western Ontario Shoulder Instability Index (WOSI). Recurrence of instability, additional surgeries, confidence in the shoulder, level and type of sport before and after surgery, and return to sports were documented.
UNASSIGNED: The mean follow-up duration was 105 months (range, 16-247 months). The mean postoperative WOSI score was 410. Postoperatively, 10 patients experienced a recurrence of instability. Subgroup analysis of patients who reported recurrence demonstrated significantly worse WOSI scores compared with patients who did not experience recurrence (730 [95% CI, 470-990] vs 320 [95% CI, 210-430], respectively; P = .007). Before surgery, 33 patients participated in competitive sports, compared with 22 patients after surgery. No postoperative neurologic or vascular complications were recorded. In 51% of patients, a labral tear was noted as a concomitant injury.
UNASSIGNED: Open repair of an HAGL lesion restored shoulder stability with good results. However, recurrence was significant (21%) with longer follow-up, and return to sports was affected. Associated lesions were prevalent.
摘要：
■缺乏有关开放修复肱骨韧带撕脱伤（HAGL）的长期临床结果的数据。
■为了检查患者的长期预后，相关肩部病变的患病率，并在接受开放式HAGL修复的患者中恢复运动。
■案例系列；证据级别，4.
■包括在1995年至2013年间接受HAGL病变开放修复的47例患者。使用西安大略肩关节不稳定指数(WOSI)评估临床结果。不稳定的复发，额外的手术，对肩膀的信心，手术前后的运动水平和类型，并记录了重返体育运动的过程。
■平均随访时间为105个月（范围，16-247个月）。术后平均WOSI评分为410分。术后,10例患者经历了不稳定的复发。报告复发的患者的亚组分析显示，与未经历复发的患者相比，WOSI评分明显更差（730[95%CI,470-990]vs320[95%CI,210-430]，分别为；P=.007）。手术前,33名患者参加了竞技体育，与手术后的22例患者相比。没有记录到术后神经或血管并发症。在51%的患者中，唇撕裂被记录为伴随损伤。
■HAGL病变的开放式修复恢复了肩部的稳定性，效果良好。然而,随访时间较长，复发显著（21%），重返体育运动受到影响。相关病变普遍存在。
■为了检查患者的长期预后，相关肩部病变的患病率，并在接受开放式HAGL修复的患者中恢复运动。
■案例系列；证据级别，4.
■包括在1995年至2013年间接受HAGL病变开放修复的47例患者。使用西安大略肩关节不稳定指数(WOSI)评估临床结果。不稳定的复发，额外的手术，对肩膀的信心，手术前后的运动水平和类型，并记录了重返体育运动的过程。
■平均随访时间为105个月（范围，16-247个月）。术后平均WOSI评分为410分。术后,10例患者经历了不稳定的复发。报告复发的患者的亚组分析显示，与未经历复发的患者相比，WOSI评分明显更差（730[95%CI,470-990]vs320[95%CI,210-430]，分别为；P=.007）。手术前,33名患者参加了竞技体育，与手术后的22例患者相比。没有记录到术后神经或血管并发症。在51%的患者中，唇撕裂被记录为伴随损伤。
■HAGL病变的开放式修复恢复了肩部的稳定性，效果良好。然而,随访时间较长，复发显著（21%），重返体育运动受到影响。相关病变普遍存在。
