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RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION.
Gracitelli, Mauro Emilio Conforto; Helito, Camilo Partezani; Malavolta, Eduardo Angeli; Neto, Arnaldo Amado Ferreira; Benegas, Eduardo; Prada, Flávia de Santis; de Sousa, Augusto Tadeu Barros; Assunção, Jorge Henrique; Sunada, Edwin Eiji.
Afiliação
  • Gracitelli ME; Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Helito CP; Resident Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Malavolta EA; Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Neto AA; Assistant Physician and Head of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Benegas E; Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Prada Fde S; Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • de Sousa AT; Orthopedist in Training of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Assunção JH; Orthopedists and Preceptors of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  • Sunada EE; Orthopedists and Preceptors of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
Rev Bras Ortop ; 46(6): 684-90, 2011.
Article em En | MEDLINE | ID: mdl-27027073
OBJECTIVE: To evaluate the clinical result from the filling ("remplissage") technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation. METHODS: Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior shoulder dislocation. All of them had a Bankart lesion, associated with a Hill-Sachs lesion showing the "engaging" sign. The Hill-Sachs lesion defect was measured and showed an average bone loss of 17.3% (7.7% to 26.7%) in relation to the diameter of the humeral head. All the cases underwent arthroscopic repair of the Bankart lesion, together with filling of the Hill-Sachs lesion by means of tenodesis of the infraspinatus. RESULTS: The Rowe score ranged from 22.5 (10 to 45) before the operation to 80.5 (5 to 100) after the operation (p > 0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p > 0.001). The measurements of external and internal rotation at abduction of 90° after the operation were 63.5° (45° to 90°) and 73° (50° to 92°) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation. CONCLUSION: Over the short term, the filling ("remplissage") arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop Ano de publicação: 2011 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Rev Bras Ortop Ano de publicação: 2011 Tipo de documento: Article País de publicação: Brasil