Does Shoulder Stabilizations Stabilize Shoulders?
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|ClinicalTrials.gov Identifier: NCT02725333|
Recruitment Status : Completed
First Posted : April 1, 2016
Last Update Posted : May 19, 2016
Background: There is no evidence that shoulder stabilization effectively corrects the glenohumeral translation in unstable shoulders, explaining residual apprehension in certain patients. The purpose of this study was to analyze the effect of surgical stabilization on glenohumeral translation.
Methods: Anteroposterior and superoinferior translations were assessed in patients, before and after shoulder stabilization, through a dedicated patient-specific measurement technique based on optical motion capture and computed tomography.
|Condition or disease||Intervention/treatment||Phase|
|Shoulder Dislocation Shoulder Pain Joint Instability Syndrome||Procedure: Shoulder Stabilization||Not Applicable|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||11 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||Does Shoulder Stabilizations Stabilize Shoulders?|
|Study Start Date :||October 2014|
|Actual Primary Completion Date :||January 2015|
|Actual Study Completion Date :||March 2016|
Anteroposterior and superoinferior translations were assessed in patients, before and after shoulder stabilization, through a dedicated patient-specific measurement technique based on optical motion capture and computed tomography.
Procedure: Shoulder Stabilization
Open Latarjet was performed as the standard and well-described Latarjet-Patte procedure with subscapularis split and triple locking mechanism.14 The graft was intra-articular in every case, the capsule was systematically reattached to glenoid according to Favard's modification,15 and a capsular shift was added. Arthroscopic Latarjet was carried out in one case according to a modified Lafosse technique.16 In the latter treatment option, no reattachment of the capsule was realized. The arthroscopic Bankart repair consisted in a mobilization of the anteroinferior capsule and the labrum with an arthroscopic elevator. The glenoid rim and neck were then prepared with a mechanical shaver device. Two loaded anchors were inserted at the 5 and 3 o'clock position, and sutures were shuttled across the inferior glenohumeral ligament and labrum, starting at the inferior position and progressing in a superior direction.
- Comparison of ipsilateral glenohumeral translation (unstable side) pre- and postoperatively. [ Time Frame: 1 year ]Percentage of glenohumeral translation.
- Comparison of glenohumeral translation between ipsilateral side (unstable side) and contralateral (stable) side. [ Time Frame: 1 year ]Percentage of glenohumeral translation
- Prevalence of postoperative apprehension, new dislocation or subluxation in relation to the main outcomes of interest. [ Time Frame: 1 year ]
- Range of motion [ Time Frame: 1 year ]Comparison of glenohumeral range of motion pre-postoperatively
- Age, sex, shoulder side, and limb dominance [ Time Frame: 1 year ]Baseline characteristics