RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY
ABSTRACT Objective: This study aims to understand the way fighting athletes respond to bone block surgery in the treatment for shoulder instability. Methods: Prospective clinical study with competitive fighters with shoulder instability who underwent bone block surgery from 2013 to 2016, followed...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Ortopedia e Traumatologia
2022-04-01
|
| Series: | Acta Ortopédica Brasileira |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200206&tlng=en |
| _version_ | 1818027948478824448 |
|---|---|
| author | ARTHUR RODRIGUES BALDAN VITOR LUIS PEREIRA PAULO HENRIQUE SCHMIDT LARA BENNO EJNISMAN PAULO SANTORO BELANGERO |
| author_facet | ARTHUR RODRIGUES BALDAN VITOR LUIS PEREIRA PAULO HENRIQUE SCHMIDT LARA BENNO EJNISMAN PAULO SANTORO BELANGERO |
| author_sort | ARTHUR RODRIGUES BALDAN |
| collection | DOAJ |
| description | ABSTRACT Objective: This study aims to understand the way fighting athletes respond to bone block surgery in the treatment for shoulder instability. Methods: Prospective clinical study with competitive fighters with shoulder instability who underwent bone block surgery from 2013 to 2016, followed by a postoperative rehabilitation protocol. For the evaluation, eight combat athletes with anterior shoulder instability were treated, with a total of nine shoulders, since one athlete underwent bilateral surgery. All patients signed the Free and Informed Consent Form. The evaluation protocol included medical consultation, radiography of the operated shoulder, degree of active and passive lateral rotation; degree of active and passive elevation; visual analogue scale (VAS) for pain; Athletic Shoulder Outcome Rating Scale (EROE; acronym in Portuguese) scores; Western Ontario Shoulder Instability Index (WOSI), and American Shoulder and Elbow Surgeons (ASES). Results: We observed a decrease in the range of passive and active movement in the recent postoperative period. In later postoperative, values were close to those in the preoperative period at the end of the follow-up. There was improvement in pain, and in all ASES, WOSI and EROE scores no complications were documented. As for returning to sport, two athletes did not return, one of them due to shoulder pain and the other due to retirement. Conclusion: Bone block surgery has shown good functional results in uncomplicated combat athletes. Level of Evidence IV, Prospective Case Series. |
| first_indexed | 2024-12-10T04:56:00Z |
| format | Article |
| id | doaj.art-89c6cffeeac744c289f5dea513f3980d |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-10T04:56:00Z |
| publishDate | 2022-04-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-89c6cffeeac744c289f5dea513f3980d2022-12-22T02:01:30ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522022-04-0130210.1590/1413-785220223002244517RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDYARTHUR RODRIGUES BALDANhttps://orcid.org/0000-0002-1637-1434VITOR LUIS PEREIRAhttps://orcid.org/0000-0002-1121-996XPAULO HENRIQUE SCHMIDT LARAhttps://orcid.org/0000-0002-1623-2071BENNO EJNISMANhttps://orcid.org/0000-0002-3301-1457PAULO SANTORO BELANGEROhttps://orcid.org/0000-0003-4441-4742ABSTRACT Objective: This study aims to understand the way fighting athletes respond to bone block surgery in the treatment for shoulder instability. Methods: Prospective clinical study with competitive fighters with shoulder instability who underwent bone block surgery from 2013 to 2016, followed by a postoperative rehabilitation protocol. For the evaluation, eight combat athletes with anterior shoulder instability were treated, with a total of nine shoulders, since one athlete underwent bilateral surgery. All patients signed the Free and Informed Consent Form. The evaluation protocol included medical consultation, radiography of the operated shoulder, degree of active and passive lateral rotation; degree of active and passive elevation; visual analogue scale (VAS) for pain; Athletic Shoulder Outcome Rating Scale (EROE; acronym in Portuguese) scores; Western Ontario Shoulder Instability Index (WOSI), and American Shoulder and Elbow Surgeons (ASES). Results: We observed a decrease in the range of passive and active movement in the recent postoperative period. In later postoperative, values were close to those in the preoperative period at the end of the follow-up. There was improvement in pain, and in all ASES, WOSI and EROE scores no complications were documented. As for returning to sport, two athletes did not return, one of them due to shoulder pain and the other due to retirement. Conclusion: Bone block surgery has shown good functional results in uncomplicated combat athletes. Level of Evidence IV, Prospective Case Series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200206&tlng=enShoulder DislocationAthletic InjuriesReturn to Sport |
| spellingShingle | ARTHUR RODRIGUES BALDAN VITOR LUIS PEREIRA PAULO HENRIQUE SCHMIDT LARA BENNO EJNISMAN PAULO SANTORO BELANGERO RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY Acta Ortopédica Brasileira Shoulder Dislocation Athletic Injuries Return to Sport |
| title | RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY |
| title_full | RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY |
| title_fullStr | RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY |
| title_full_unstemmed | RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY |
| title_short | RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY |
| title_sort | result of bone blocking surgery in combat athletes with anterior shoulder instability a prospective study |
| topic | Shoulder Dislocation Athletic Injuries Return to Sport |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522022000200206&tlng=en |
| work_keys_str_mv | AT arthurrodriguesbaldan resultofboneblockingsurgeryincombatathleteswithanteriorshoulderinstabilityaprospectivestudy AT vitorluispereira resultofboneblockingsurgeryincombatathleteswithanteriorshoulderinstabilityaprospectivestudy AT paulohenriqueschmidtlara resultofboneblockingsurgeryincombatathleteswithanteriorshoulderinstabilityaprospectivestudy AT bennoejnisman resultofboneblockingsurgeryincombatathleteswithanteriorshoulderinstabilityaprospectivestudy AT paulosantorobelangero resultofboneblockingsurgeryincombatathleteswithanteriorshoulderinstabilityaprospectivestudy |