Functional Deficits After Open Latarjet Procedure and Dominance of the Operated Shoulder: An Analysis of 133 Patients
| العنوان: | Functional Deficits After Open Latarjet Procedure and Dominance of the Operated Shoulder: An Analysis of 133 Patients |
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| المؤلفون: | Isabelle Rogowski, Laurent Nové-Josserand, Arnaud Godenèche, Philippe Colotte, Gabriel Franger, Grégory Vigne, Thais Dutra Vieira, Yoann Blache, Lionel Neyton |
| المصدر: | The American Journal of Sports Medicine. 51:1277-1285 |
| بيانات النشر: | SAGE Publications, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine |
| الوصف: | Background: Return to sport after stabilization surgery using the open Latarjet procedure remains challenging. Additional knowledge is needed about postoperative shoulder functional deficits in order to better design return-to-sport programs. Purpose: To investigate the effects of the dominance status of the operated shoulder on the shoulder functional profile recovery at 4.5 months after open Latarjet procedure. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A retrospective analysis of prospectively collected data was performed. All patients who underwent the open Latarjet procedure between December 2017 and February 2021 were eligible for the study. Functional assessment at 4.5 months after the surgery was performed using the following tests: maximal voluntary isometric contractions in glenohumeral internal and external rotation, upper-quarter Y balance test, unilateral seated shot-put test, and modified closed kinetic chain upper extremity stability test, leading to 10 outcome measures. Patients whose dominant side had undergone surgery and those whose nondominant side had undergone surgery were compared with a group of 68 healthy control participants. Results: A total of 72 patients who underwent an open Latarjet procedure on the dominant side and 61 patients who underwent open Latarjet on the nondominant side were compared with 68 healthy control athletes. In patients whose dominant shoulder had undergone surgery, significant deficits for the dominant side ( P < .001) and for the nondominant side ( P < .001) were found in 9 of 10 functional outcome measures. Among patients whose operations were on the nondominant shoulder, significant deficits for the nondominant side ( P < .001) and for the dominant side ( P < .001) were found in 9 and 5 of the 10 functional outcome measures, respectively. Conclusion: Regardless of dominance of the stabilized shoulder, persistent deficits in strength, stability, mobility, power, and stroke frequency were observed at 4.5 months postoperatively. Stabilization of the dominant shoulder resulted in residual surgery-related functional impairments on both sides. However, stabilization of the nondominant shoulder resulted in impairments primarily noted in the nondominant, operative shoulder. Registration: NCT05150379 (ClinicalTrials.gov identifier). |
| تدمد: | 1552-3365 0363-5465 |
| DOI: | 10.1177/03635465231156181 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::4d363689e427abb88dc2cda1925dec8e https://doi.org/10.1177/03635465231156181 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi...........4d363689e427abb88dc2cda1925dec8e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15523365 03635465 |
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| DOI: | 10.1177/03635465231156181 |