Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleArthroscopic Stabilization of the Shoulder in Adolescent Athletes Participating in Overhead or Contact Sports
Section snippets
Patient Selection
In this retrospective cohort study, patients were identified from a database of 650 consecutive arthroscopic capsulolabral repairs for anterior recurrent shoulder instability, performed between September 2002 and December 2005. As defined by the American Academy of Pediatrics, 126 adolescents aged between 13 and 18 years were identified. Patients with significant bone loss of the glenoid (>25%), as evaluated arthroscopically according to Burkhart et al.,14 and patients with connective tissue
Results
All the patients indicated that a traumatic injury was responsible for the first dislocation that occurred during sports activities. In 53 patients there was a history of shoulder dislocation, whereas the other 12 patients described a history consistent with shoulder subluxation; the mean time elapsed from the time of injury to surgery was 17.6 months (range, 9 to 28 months).
No intraoperative or postoperative surgical complications were reported in this group of patients. In all 65 patients, at
Discussion
Many articles in the literature have analyzed the effectiveness of arthroscopic capsulorrhaphy in athletes participating in contact or overhead sports,2, 10, 11 few articles have analyzed the same procedure in an adolescent population,4, 6, 7, 12, 13 and only 1 article included both these groups; however, the level of sport involvement was not clearly defined.3
Ide et al.11 used a suture anchor technique for recurrent GH instability in a selected high-risk athletic population (21 contact, 25
Conclusions
Arthroscopic stabilization is a reasonable surgical option even in an adolescent population performing sports activities. However, it must be emphasized to the patients and their relatives that the recurrence rate that could be expected after an arthroscopic procedure is higher than in the adult population.
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Cited by (0)
The authors report no conflict of interest.