Journal article
Early return to baseline range of motion and strength after anterior shoulder instability surgery: a Multicenter Orthopaedic Outcomes Network (MOON) shoulder group cohort study
Journal of shoulder and elbow surgery, Vol.27(7), pp.1235-1242
07/2018
DOI: 10.1016/j.jse.2018.02.035
PMID: 29576339
Abstract
Patients often return to higher-level activities and sports at 4 to 8 months after anterior shoulder stabilization procedures. It is unknown what percentage of patients have regained normal function at this time frame and what factors predict residual deficits, range of motion (ROM), and strength after anterior shoulder instability surgery.
Ten participating sites throughout the United States enrolled patients in a prospective cohort study including primary, revision, arthroscopic, and open anterior stabilization procedures. Baseline demographic data and patient outcomes questionnaires were collected with initial physical examination, treatment, surgical findings, and surgical repair details. At the 6-month follow-up visit, ROM and strength measurements were collected and compared with preoperative measurements.
There were 348 patients identified who underwent surgical treatment for anterior shoulder instability. Of these, 259 patients (74.0%) returned to baseline, and 89 (26.0%) did not return to baseline shoulder ROM (≥20° loss of ROM) or strength. A higher Beighton score (P = .01) and number of dislocations (P < .01) were associated with failure to regain baseline ROM and strength at early follow-up. No surgical variables were found to influence return to baseline function, including open vs. arthroscopic surgery, primary vs. revision surgery, and number of suture anchors.
By 4 to 8 months postoperatively, 76% of patients return to baseline ROM, 98% return to baseline strength, and 74% return to both baseline ROM and strength. An increased number of dislocations and generalized joint laxity were associated with failure to return to baseline ROM and strength at early follow-up after anterior shoulder instability surgery.
Details
- Title: Subtitle
- Early return to baseline range of motion and strength after anterior shoulder instability surgery: a Multicenter Orthopaedic Outcomes Network (MOON) shoulder group cohort study
- Creators
- Joseph A Buckwalter V - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USABrian R Wolf - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USANatalie Glass - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USAMatt Bollier - Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USAJohn E Kuhn - Department of Orthopaedics and Rehabilitation, Vanderbilt University, Nashville, TN, USACarolyn M Hettrich - Department of Orthopaedics and Rehabilitation, University of Kentucky, Lexington, KY, USAMOON Shoulder Group
- Resource Type
- Journal article
- Publication Details
- Journal of shoulder and elbow surgery, Vol.27(7), pp.1235-1242
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.jse.2018.02.035
- PMID
- 29576339
- ISSN
- 1058-2746
- eISSN
- 1532-6500
- Language
- English
- Date published
- 07/2018
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984001152302771
Metrics
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