Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation
Purpose The primary aim of this study was to investigate medium-term survivorship following arthroscopic Bankart repair (ABR) for anterior glenohumeral instability. The secondary aim was to determine whether the pre-operative magnetic resonance (MR) arthrography glenoid track measurement predicted r...
Gespeichert in:
| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2022-10, Vol.32 (7), p.1313-1317 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1317 |
|---|---|
| container_issue | 7 |
| container_start_page | 1313 |
| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 32 |
| creator | Stirling, P. H. C. Crighton, E. A. Butterworth, G. Elias-Jones, C. Brooksbank, A. J. Jenkins, P. J. |
| description | Purpose
The primary aim of this study was to investigate medium-term survivorship following arthroscopic Bankart repair (ABR) for anterior glenohumeral instability. The secondary aim was to determine whether the pre-operative magnetic resonance (MR) arthrography glenoid track measurement predicted recurrent instability following ABR.
Methods
Over a 9-year period (2008–2017), 215 patients underwent ABR. Median age was 26 years (IQR 22–32.5; range 14–77). There were 173 males (81%). 175 patients (81%) had available pre-operative MR arthrography, which was used to determine the presence of “off-track” bone loss. Retrospective analysis was undertaken to determine recurrence of instability at a median follow-up of 76 months (range 21–125 months). Survivorship analysis was undertaken using Kaplan–Meier methodology: the endpoints examined were repeat dislocation, revision stabilisation, and symptomatic instability.
Results
56 patients (26%) presented with further instability, including 29 patients with recurrent dislocation and 15 patients required revision stabilisation. Cumulative incidence of instability was 10% at 1 year, 27% at 5 years and 28% at 7 years. No significant difference in instability was seen between men and women 7 years after stabilisation (19% vs 17%;
p
= 0.87). Age at time of surgery did not predict recurrence.
“Off-track” lesions were identified in 29 patients (16.1%). The incidence of redislocation was significantly higher in these patients (24% vs 3%;
p
= 0.01; relative risk 7.2; 95% CI 2.45–20.5;
p
= 0.001). Recurrent instability without frank redislocation was also significantly higher in this group (60% vs 18%; RR 3.33, 95% CI 2.02–5.20;
p
|
| doi_str_mv | 10.1007/s00590-021-03100-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2569383454</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2569383454</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-af14776c2d4871a69ec25b679e6d4cb3a07d424b168207eb82f4f50587216103</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhSMEEqXwAqwssWETuHb8kyxRBQWpUjfdW45zM-OSsYOvA5p34WHxMJWKWHRl6_g7R_f6NM1bDh84gPlIAGqAFgRvoatKK541F1x2ouWg--f_3F82r4juAbgauLpofl8vGFOYWMnOf2cHdLRlPGAsbKMQd-zgdhFL8CwjpeiiRxaqdnpyuexz2mW37o8sEFszTsGX8BNZmivvt5xPQSFScWNYQjmyOS1L-vXoJp_WGk77tC0TZvZAkishxdfNi9kthG8ezsvm7svnu6uv7c3t9berTzet75QorZu5NEZ7McnecKcH9EKN2gyoJ-nHzoGZpJAj170Ag2MvZjkrUL0RXHPoLpv359g1px8bUrGHQB6XxUVMG1mh9ND1nVSyou_-Q-_TlmMdzgoDvQYpelUpcaZ8XZAyznbN9dPy0XKwp77suS9b-7J_-7KimrqziSocd5gfo59w_QE0QpxP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2708604285</pqid></control><display><type>article</type><title>Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation</title><source>SpringerLink Journals</source><creator>Stirling, P. H. C. ; Crighton, E. A. ; Butterworth, G. ; Elias-Jones, C. ; Brooksbank, A. J. ; Jenkins, P. J.</creator><creatorcontrib>Stirling, P. H. C. ; Crighton, E. A. ; Butterworth, G. ; Elias-Jones, C. ; Brooksbank, A. J. ; Jenkins, P. J.</creatorcontrib><description>Purpose
The primary aim of this study was to investigate medium-term survivorship following arthroscopic Bankart repair (ABR) for anterior glenohumeral instability. The secondary aim was to determine whether the pre-operative magnetic resonance (MR) arthrography glenoid track measurement predicted recurrent instability following ABR.
Methods
Over a 9-year period (2008–2017), 215 patients underwent ABR. Median age was 26 years (IQR 22–32.5; range 14–77). There were 173 males (81%). 175 patients (81%) had available pre-operative MR arthrography, which was used to determine the presence of “off-track” bone loss. Retrospective analysis was undertaken to determine recurrence of instability at a median follow-up of 76 months (range 21–125 months). Survivorship analysis was undertaken using Kaplan–Meier methodology: the endpoints examined were repeat dislocation, revision stabilisation, and symptomatic instability.
Results
56 patients (26%) presented with further instability, including 29 patients with recurrent dislocation and 15 patients required revision stabilisation. Cumulative incidence of instability was 10% at 1 year, 27% at 5 years and 28% at 7 years. No significant difference in instability was seen between men and women 7 years after stabilisation (19% vs 17%;
p
= 0.87). Age at time of surgery did not predict recurrence.
“Off-track” lesions were identified in 29 patients (16.1%). The incidence of redislocation was significantly higher in these patients (24% vs 3%;
p
= 0.01; relative risk 7.2; 95% CI 2.45–20.5;
p
= 0.001). Recurrent instability without frank redislocation was also significantly higher in this group (60% vs 18%; RR 3.33, 95% CI 2.02–5.20;
p
< 0.0001).
Conclusions
This study has reported a significant rate of recurrent instability in longer-term follow-up after ABR. It has also identified pre-operative MR arthrography as an important predictor of recurrent instability, which may be used to risk stratify patients with anterior instability in a typical UK population.
Level of evidence
III (cohort study).</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-021-03100-2</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Age ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Original Article ; Orthopedics ; Patients ; Surgery ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2022-10, Vol.32 (7), p.1313-1317</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-af14776c2d4871a69ec25b679e6d4cb3a07d424b168207eb82f4f50587216103</citedby><cites>FETCH-LOGICAL-c352t-af14776c2d4871a69ec25b679e6d4cb3a07d424b168207eb82f4f50587216103</cites><orcidid>0000-0003-3857-8628</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-021-03100-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-021-03100-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids></links><search><creatorcontrib>Stirling, P. H. C.</creatorcontrib><creatorcontrib>Crighton, E. A.</creatorcontrib><creatorcontrib>Butterworth, G.</creatorcontrib><creatorcontrib>Elias-Jones, C.</creatorcontrib><creatorcontrib>Brooksbank, A. J.</creatorcontrib><creatorcontrib>Jenkins, P. J.</creatorcontrib><title>Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Purpose
The primary aim of this study was to investigate medium-term survivorship following arthroscopic Bankart repair (ABR) for anterior glenohumeral instability. The secondary aim was to determine whether the pre-operative magnetic resonance (MR) arthrography glenoid track measurement predicted recurrent instability following ABR.
Methods
Over a 9-year period (2008–2017), 215 patients underwent ABR. Median age was 26 years (IQR 22–32.5; range 14–77). There were 173 males (81%). 175 patients (81%) had available pre-operative MR arthrography, which was used to determine the presence of “off-track” bone loss. Retrospective analysis was undertaken to determine recurrence of instability at a median follow-up of 76 months (range 21–125 months). Survivorship analysis was undertaken using Kaplan–Meier methodology: the endpoints examined were repeat dislocation, revision stabilisation, and symptomatic instability.
Results
56 patients (26%) presented with further instability, including 29 patients with recurrent dislocation and 15 patients required revision stabilisation. Cumulative incidence of instability was 10% at 1 year, 27% at 5 years and 28% at 7 years. No significant difference in instability was seen between men and women 7 years after stabilisation (19% vs 17%;
p
= 0.87). Age at time of surgery did not predict recurrence.
“Off-track” lesions were identified in 29 patients (16.1%). The incidence of redislocation was significantly higher in these patients (24% vs 3%;
p
= 0.01; relative risk 7.2; 95% CI 2.45–20.5;
p
= 0.001). Recurrent instability without frank redislocation was also significantly higher in this group (60% vs 18%; RR 3.33, 95% CI 2.02–5.20;
p
< 0.0001).
Conclusions
This study has reported a significant rate of recurrent instability in longer-term follow-up after ABR. It has also identified pre-operative MR arthrography as an important predictor of recurrent instability, which may be used to risk stratify patients with anterior instability in a typical UK population.
Level of evidence
III (cohort study).</description><subject>Age</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Patients</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc1u1DAUhSMEEqXwAqwssWETuHb8kyxRBQWpUjfdW45zM-OSsYOvA5p34WHxMJWKWHRl6_g7R_f6NM1bDh84gPlIAGqAFgRvoatKK541F1x2ouWg--f_3F82r4juAbgauLpofl8vGFOYWMnOf2cHdLRlPGAsbKMQd-zgdhFL8CwjpeiiRxaqdnpyuexz2mW37o8sEFszTsGX8BNZmivvt5xPQSFScWNYQjmyOS1L-vXoJp_WGk77tC0TZvZAkishxdfNi9kthG8ezsvm7svnu6uv7c3t9berTzet75QorZu5NEZ7McnecKcH9EKN2gyoJ-nHzoGZpJAj170Ag2MvZjkrUL0RXHPoLpv359g1px8bUrGHQB6XxUVMG1mh9ND1nVSyou_-Q-_TlmMdzgoDvQYpelUpcaZ8XZAyznbN9dPy0XKwp77suS9b-7J_-7KimrqziSocd5gfo59w_QE0QpxP</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Stirling, P. H. C.</creator><creator>Crighton, E. A.</creator><creator>Butterworth, G.</creator><creator>Elias-Jones, C.</creator><creator>Brooksbank, A. J.</creator><creator>Jenkins, P. J.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3857-8628</orcidid></search><sort><creationdate>20221001</creationdate><title>Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation</title><author>Stirling, P. H. C. ; Crighton, E. A. ; Butterworth, G. ; Elias-Jones, C. ; Brooksbank, A. J. ; Jenkins, P. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-af14776c2d4871a69ec25b679e6d4cb3a07d424b168207eb82f4f50587216103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Patients</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stirling, P. H. C.</creatorcontrib><creatorcontrib>Crighton, E. A.</creatorcontrib><creatorcontrib>Butterworth, G.</creatorcontrib><creatorcontrib>Elias-Jones, C.</creatorcontrib><creatorcontrib>Brooksbank, A. J.</creatorcontrib><creatorcontrib>Jenkins, P. J.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stirling, P. H. C.</au><au>Crighton, E. A.</au><au>Butterworth, G.</au><au>Elias-Jones, C.</au><au>Brooksbank, A. J.</au><au>Jenkins, P. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><date>2022-10-01</date><risdate>2022</risdate><volume>32</volume><issue>7</issue><spage>1313</spage><epage>1317</epage><pages>1313-1317</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Purpose
The primary aim of this study was to investigate medium-term survivorship following arthroscopic Bankart repair (ABR) for anterior glenohumeral instability. The secondary aim was to determine whether the pre-operative magnetic resonance (MR) arthrography glenoid track measurement predicted recurrent instability following ABR.
Methods
Over a 9-year period (2008–2017), 215 patients underwent ABR. Median age was 26 years (IQR 22–32.5; range 14–77). There were 173 males (81%). 175 patients (81%) had available pre-operative MR arthrography, which was used to determine the presence of “off-track” bone loss. Retrospective analysis was undertaken to determine recurrence of instability at a median follow-up of 76 months (range 21–125 months). Survivorship analysis was undertaken using Kaplan–Meier methodology: the endpoints examined were repeat dislocation, revision stabilisation, and symptomatic instability.
Results
56 patients (26%) presented with further instability, including 29 patients with recurrent dislocation and 15 patients required revision stabilisation. Cumulative incidence of instability was 10% at 1 year, 27% at 5 years and 28% at 7 years. No significant difference in instability was seen between men and women 7 years after stabilisation (19% vs 17%;
p
= 0.87). Age at time of surgery did not predict recurrence.
“Off-track” lesions were identified in 29 patients (16.1%). The incidence of redislocation was significantly higher in these patients (24% vs 3%;
p
= 0.01; relative risk 7.2; 95% CI 2.45–20.5;
p
= 0.001). Recurrent instability without frank redislocation was also significantly higher in this group (60% vs 18%; RR 3.33, 95% CI 2.02–5.20;
p
< 0.0001).
Conclusions
This study has reported a significant rate of recurrent instability in longer-term follow-up after ABR. It has also identified pre-operative MR arthrography as an important predictor of recurrent instability, which may be used to risk stratify patients with anterior instability in a typical UK population.
Level of evidence
III (cohort study).</abstract><cop>Paris</cop><pub>Springer Paris</pub><doi>10.1007/s00590-021-03100-2</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-3857-8628</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1432-1068 |
| ispartof | European journal of orthopaedic surgery & traumatology, 2022-10, Vol.32 (7), p.1313-1317 |
| issn | 1432-1068 1633-8065 1432-1068 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2569383454 |
| source | SpringerLink Journals |
| subjects | Age Magnetic resonance imaging Medicine Medicine & Public Health Original Article Orthopedics Patients Surgery Surgical Orthopedics Traumatic Surgery |
| title | Glenoid track measurement using magnetic resonance imaging arthrography is predictive of recurrent instability following arthroscopic shoulder stabilisation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T03%3A42%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Glenoid%20track%20measurement%20using%20magnetic%20resonance%20imaging%20arthrography%20is%20predictive%20of%20recurrent%20instability%20following%20arthroscopic%20shoulder%20stabilisation&rft.jtitle=European%20journal%20of%20orthopaedic%20surgery%20&%20traumatology&rft.au=Stirling,%20P.%20H.%20C.&rft.date=2022-10-01&rft.volume=32&rft.issue=7&rft.spage=1313&rft.epage=1317&rft.pages=1313-1317&rft.issn=1432-1068&rft.eissn=1432-1068&rft_id=info:doi/10.1007/s00590-021-03100-2&rft_dat=%3Cproquest_cross%3E2569383454%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2708604285&rft_id=info:pmid/&rfr_iscdi=true |