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Combined arthroscopic shoulder stabilization and rotator cuff repair in athletes
Author(s):
Osti L. (Italy)
Osti L. (Italy)
Affiliations:
ESSKA Academy. Osti L. 05/09/18; 209880; P21-1685 Topic: Shoulder
Prof. Leonardo Osti
Prof. Leonardo Osti
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Abstract
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Objectives: Rotator cuff tears combined with Bankart lesion rarely occur in younger population after traumatic dislocation or recurrent instability. The surgical treatment, possibly arthroscopic, is advocated in active young athletes. However, in literature persist a continue debate about the treatment timing and in the choice between combined (one-stage) or two stage treatment with few results reported.
The purpose of this study is to report the combined arthroscopic treatment of Bankart and rotator cuff lesions results of athlete series.

Methods: Exclusion criteria were shoulders with consistent gleno-humeral (GH) bone defects, poor quality of the capsular tissues, engaging lesions and GH arthritis, follow-up less than 2 years.
All patients were undergone a similar rehab program with delayed return to sports at a minimum of 6 months. At the last follow-up were evaluated according to L'Insalata and American Society of Shoulder and Elbow Surgeons scores.

Results: A series of 26 patients (average age, 26.7 years) with combined rotator cuff and labral lesions were evaluated at a mean follow-up of 5.8 year (range 2.2 - 10.6). The mean L'Insalata and American Society of Shoulder and Elbow Surgeons scores were respectively 92.5 and 93.4. Significant improvements in forward flexion and external rotation were observed. Twenty-two patients (84.6%) reported satisfaction grade between good to excellent, with 19 patients (73%) returned to their preinjury athletic level.

Conclusions: In patients with rotator cuff and labral lesions, arthroscopic combined treatment of rotator cuff and labral lesions yields good clinical outcomes, motion recovery and high degree of patient satisfaction

Keywords:
shoulder, instability, rotator cuff, athletes
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