PMID- 25567542
OWN - NLM
STAT- MEDLINE
DCOM- 20160809
LR  - 20181202
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 24
IP  - 2
DP  - 2016 Feb
TI  - Results of an open posterior bone block procedure for recurrent posterior 
      shoulder instability after a short- and long-time follow-up.
PG  - 618-24
LID - 10.1007/s00167-014-3495-2 [doi]
AB  - PURPOSE: The aim of the present study was to analyse and compare the clinical and 
      radiological results after open posterior bone block procedure at long- (LT) and 
      short-term (ST) follow-up. The hypothesis was that placement of a bone block at 
      the posterior glenoid rim in a technique of extending the glenoid surface will 
      create permanent joint stability even in cases with hyperlaxity without a 
      clinically relevant loss of motion or increase in osteoarthritis. METHODS: 
      Fifteen consecutive shoulders with recurrent posterior dislocation were evaluated 
      clinically and radiologically. The Rowe score, Western Ontario Shoulder Index, 
      Walch-Duplay score and the Constant-Murley score were used for clinical 
      evaluation. The patients were categorized according to their follow-up period as 
      either ST follow-up (min 12 months) or LT follow-up (min 42 months). RESULTS: The 
      clinical results showed no significant difference between ST (9) and LT (6) with 
      good to very good overall results in the subjective as well as the objective 
      scores (CS, RS, WDS). At LT, most patients felt mild to minor pain under strain. 
      The difference in pain between the groups was not significant. Active ranges of 
      motion and strength assessments were normal in all cases. In one case, recurrent 
      dislocations occurred after bone graft resorption 6 months post-operatively. Only 
      one patient presented mild osteoarthritis, without further progress at follow-up. 
      CONCLUSION: The open posterior bone block procedure can be a successful treatment 
      option for recurrent posterior shoulder instability at ST and LT follow-up. This 
      series showed a low rate of recurrent dislocations without development or 
      progression of osteoarthritis. Since soft tissue procedures do not always provide 
      satisfying results, the posterior bone block augmentation presents a reliable 
      technique for the treatment of symptomatic posterior instability. LEVEL OF 
      EVIDENCE: Case Series, Treatment Study, Level IV.
FAU - Struck, M
AU  - Struck M
AD  - Department Shoulder- and Knee Surgery and Sportsmedicine, Orthopaedic Clinic of 
      the Hanover Medical School in the Annastift Hospital, Anna-von-Borries Str. 1-7, 
      30625, Hannover, Germany.
FAU - Wellmann, M
AU  - Wellmann M
AD  - Department Shoulder- and Knee Surgery and Sportsmedicine, Orthopaedic Clinic of 
      the Hanover Medical School in the Annastift Hospital, Anna-von-Borries Str. 1-7, 
      30625, Hannover, Germany.
FAU - Becher, C
AU  - Becher C
AD  - Department Shoulder- and Knee Surgery and Sportsmedicine, Orthopaedic Clinic of 
      the Hanover Medical School in the Annastift Hospital, Anna-von-Borries Str. 1-7, 
      30625, Hannover, Germany.
FAU - Pastor, M F
AU  - Pastor MF
AD  - Department Shoulder- and Knee Surgery and Sportsmedicine, Orthopaedic Clinic of 
      the Hanover Medical School in the Annastift Hospital, Anna-von-Borries Str. 1-7, 
      30625, Hannover, Germany.
FAU - Smith, T
AU  - Smith T
AD  - Department Shoulder- and Knee Surgery and Sportsmedicine, Orthopaedic Clinic of 
      the Hanover Medical School in the Annastift Hospital, Anna-von-Borries Str. 1-7, 
      30625, Hannover, Germany. Tomas.Smith@ddh-gruppe.de.
LA  - eng
PT  - Journal Article
DEP - 20150108
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Adolescent
MH  - Bone Transplantation/*methods
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Joint Instability/diagnosis/*surgery
MH  - Male
MH  - Scapula/surgery
MH  - Shoulder Dislocation/diagnosis/*surgery
MH  - Shoulder Joint/*surgery
MH  - Young Adult
OTO - NOTNLM
OT  - Hyperlaxity
OT  - Osteoarthritis
OT  - Posterior bone block
OT  - Posterior shoulder instability
EDAT- 2015/01/09 06:00
MHDA- 2016/08/10 06:00
CRDT- 2015/01/09 06:00
PHST- 2014/07/17 00:00 [received]
PHST- 2014/12/18 00:00 [accepted]
PHST- 2015/01/09 06:00 [entrez]
PHST- 2015/01/09 06:00 [pubmed]
PHST- 2016/08/10 06:00 [medline]
AID - 10.1007/s00167-014-3495-2 [pii]
AID - 10.1007/s00167-014-3495-2 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2016 Feb;24(2):618-24. doi: 
      10.1007/s00167-014-3495-2. Epub 2015 Jan 8.