Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes

Abstract Objectives To evaluate the muscular strength of the internal (IR) and external (ER) rotators of the shoulder after Bristow/Latarjet surgery. Methods Cross-sectional study with 18 patients (36 shoulders). The isokinetic evaluation was performed using the Biodex 3 System Pro dynamometer (Bi...

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Main Authors: Leandro Masini Ribeiro, Paulo Henrique Schmidt Lara, Alberto de Castro Pochini, Carlos Vicente Andreoli, Paulo Santoro Belangero, Benno Ejnisman
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2022-03-01
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100128&tlng=pt
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author Leandro Masini Ribeiro
Paulo Henrique Schmidt Lara
Alberto de Castro Pochini
Carlos Vicente Andreoli
Paulo Santoro Belangero
Benno Ejnisman
author_facet Leandro Masini Ribeiro
Paulo Henrique Schmidt Lara
Alberto de Castro Pochini
Carlos Vicente Andreoli
Paulo Santoro Belangero
Benno Ejnisman
author_sort Leandro Masini Ribeiro
collection DOAJ
description Abstract Objectives To evaluate the muscular strength of the internal (IR) and external (ER) rotators of the shoulder after Bristow/Latarjet surgery. Methods Cross-sectional study with 18 patients (36 shoulders). The isokinetic evaluation was performed using the Biodex 3 System Pro dynamometer (Biodex Medical System, Inc., Shirley, NY, USA). The athletic shoulder outcome rating scale (ASORS) and the visual analogue scale (VAS) were applied. Results The values of peak torque and maximum work in concentric and eccentric mode on the non-operated shoulder were higher than on the operated side for both the IR and ER (p< 0.01). The conventional and functional balance between the ER and IR showed no differences between the operated and the non-operated side. When comparing patients with postoperative time < 1 year or 1 year, no differences were observed in peak torque values at 60°/s and 240°/s and maximum work at 60°/s and 240°/s of the IR to the operated shoulder. However, the peak torque values of 60°/s and 240°/s and maximum work at 60°/s and 240°/s of the ER were higher in subjects with postoperative time ≥ 1 year in all variables (p< 0.05). Conclusions There was a decrease in the strength of the IR and ER in the operated shoulder compared with the healthy shoulder. However, the conventional and functional balance was maintained.
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spelling doaj.art-34f7878df98641f7bd6f08497c74c6302024-02-02T13:37:11ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782022-03-0157112813510.1055/s-0041-1726059Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in AthletesLeandro Masini Ribeirohttps://orcid.org/0000-0002-6714-8398Paulo Henrique Schmidt Larahttps://orcid.org/0000-0002-1623-2071Alberto de Castro Pochinihttps://orcid.org/0000-0003-3229-2063Carlos Vicente Andreolihttps://orcid.org/0000-0003-3761-0745Paulo Santoro Belangerohttps://orcid.org/0000-0003-4441-4742Benno Ejnismanhttps://orcid.org/0000-0002-3301-1457Abstract Objectives To evaluate the muscular strength of the internal (IR) and external (ER) rotators of the shoulder after Bristow/Latarjet surgery. Methods Cross-sectional study with 18 patients (36 shoulders). The isokinetic evaluation was performed using the Biodex 3 System Pro dynamometer (Biodex Medical System, Inc., Shirley, NY, USA). The athletic shoulder outcome rating scale (ASORS) and the visual analogue scale (VAS) were applied. Results The values of peak torque and maximum work in concentric and eccentric mode on the non-operated shoulder were higher than on the operated side for both the IR and ER (p< 0.01). The conventional and functional balance between the ER and IR showed no differences between the operated and the non-operated side. When comparing patients with postoperative time < 1 year or 1 year, no differences were observed in peak torque values at 60°/s and 240°/s and maximum work at 60°/s and 240°/s of the IR to the operated shoulder. However, the peak torque values of 60°/s and 240°/s and maximum work at 60°/s and 240°/s of the ER were higher in subjects with postoperative time ≥ 1 year in all variables (p< 0.05). Conclusions There was a decrease in the strength of the IR and ER in the operated shoulder compared with the healthy shoulder. However, the conventional and functional balance was maintained.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100128&tlng=ptshoulder dislocationorthopedic proceduresisokinetic evaluation
spellingShingle Leandro Masini Ribeiro
Paulo Henrique Schmidt Lara
Alberto de Castro Pochini
Carlos Vicente Andreoli
Paulo Santoro Belangero
Benno Ejnisman
Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
Revista Brasileira de Ortopedia
shoulder dislocation
orthopedic procedures
isokinetic evaluation
title Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
title_full Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
title_fullStr Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
title_full_unstemmed Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
title_short Isokinetic Evaluation of the Shoulder After Bristow/Latarjet Surgical Procedure in Athletes
title_sort isokinetic evaluation of the shoulder after bristow latarjet surgical procedure in athletes
topic shoulder dislocation
orthopedic procedures
isokinetic evaluation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100128&tlng=pt
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