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Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity
Purpose The Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affect...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2021-08, Vol.29 (8), p.2579-2586 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Sinha, Skand Kar, Santanu Naik, Ananta K. Kumar, Jaswant Goyal, Rakesh Jain, Vijay K. Arya, Rajendra K. |
| description | Purpose
The Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affecting the time to return to the previous level of activity.
Methods
Fifty-one consecutive patients who underwent the Latarjet procedure for recurrent dislocation of the shoulder were included prospectively. The ROM, strength, Walch-Duplay score, and Rowe score were measured every 3 months for 1 year and then every 6 months for 2 years. Radiological assessments were performed to confirm the graft location, union, and the humeral head position in abduction and external rotation (ER).
Results
Out of 51 patients, 49 completed all follow-ups. The median age was 27 years (17–45 years), and the dominant side was involved in 36 patients. The median number of dislocations was 11 (5–50). Twelve patients were sleep dislocators. There was a significant loss (
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| doi_str_mv | 10.1007/s00167-020-06414-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2478778807</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2554137701</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-22d976b118b8a0939e1efef608084f09a9d051ba5a8938273376c97c8efe2cfb3</originalsourceid><addsrcrecordid>eNp9kctu2zAQRYmgQew4-YEsCgLddKNk-JBILoOkbQoYyKZdExQ1smVYkktSLfz3oWO3AbrIio85c3mHl5AbBrcMQN1FAFapAjgUUEkmi-qMzJkUolBCqg9kDkbygkNZzchljBuAvJXmgsyEkKXRgs3J6hF9QBexof2YunGgf7q0psMYerelMQUcVvns2oSBLl1yYYOJ7sLosZkC0rWLtO-G7kB3_c75RLNGwDSFgaaR5ovud5f2V-S8dduI16d1QX5-_fLj4alYPn_7_nC_LLxQZSo4b4yqasZ0rR0YYZBhi20FGrRswTjTQMlqVzpthOZKCFV5o7zOFPdtLRbk81E3W_w1YUy276LH7dYNOE7Rcqm0UlqDyuin_9DNmF1nd5aXpWRCKWCZ4kfKhzHGgK3dhTxt2FsG9hCDPcZgcwz2NQZb5aaPJ-mp7rH51_L33zMgjkDMpWGF4e3td2RfAO44kzQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2554137701</pqid></control><display><type>article</type><title>Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>Springer Nature</source><source>Wiley-Blackwell Read & Publish Collection</source><creator>Sinha, Skand ; Kar, Santanu ; Naik, Ananta K. ; Kumar, Jaswant ; Goyal, Rakesh ; Jain, Vijay K. ; Arya, Rajendra K.</creator><creatorcontrib>Sinha, Skand ; Kar, Santanu ; Naik, Ananta K. ; Kumar, Jaswant ; Goyal, Rakesh ; Jain, Vijay K. ; Arya, Rajendra K.</creatorcontrib><description>Purpose
The Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affecting the time to return to the previous level of activity.
Methods
Fifty-one consecutive patients who underwent the Latarjet procedure for recurrent dislocation of the shoulder were included prospectively. The ROM, strength, Walch-Duplay score, and Rowe score were measured every 3 months for 1 year and then every 6 months for 2 years. Radiological assessments were performed to confirm the graft location, union, and the humeral head position in abduction and external rotation (ER).
Results
Out of 51 patients, 49 completed all follow-ups. The median age was 27 years (17–45 years), and the dominant side was involved in 36 patients. The median number of dislocations was 11 (5–50). Twelve patients were sleep dislocators. There was a significant loss (
p
< 0.0001) of abduction, forward flexion (FF), ER, and internal rotation (IR) in the affected shoulder compared to the contralateral shoulder. Recovery plateaued at 12 months. There was near complete recovery of muscle strength after the Latarjet procedure, and the difference between the affected and contralateral shoulders was not significant (n.s.). The modified Rowe score was excellent in 44 (90%) patients, and the Walch-Duplay score was excellent in 43 patients (88%) at 24 months. Suboptimal results were associated with non-compliance with rehabilitation in two (4%) patients and neglected unreduced dislocation in one (2%) patient. The coracoid graft position was below the equator in 44 patients (90%). Forty-six patients (94%) could return to the previous level of activity.
Conclusion
The Latarjet procedure results in a restricted ROM of the shoulder, but there is no loss of muscle strength.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-020-06414-6</identifier><identifier>PMID: 33459831</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dislocation ; Equator ; Humerus ; Medicine ; Medicine & Public Health ; Muscle strength ; Orthopedics ; Position (location) ; Range of motion ; Recovery ; Recovery (Medical) ; Rehabilitation ; Rotation ; Shoulder ; Sports Medicine</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-08, Vol.29 (8), p.2579-2586</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-22d976b118b8a0939e1efef608084f09a9d051ba5a8938273376c97c8efe2cfb3</citedby><cites>FETCH-LOGICAL-c375t-22d976b118b8a0939e1efef608084f09a9d051ba5a8938273376c97c8efe2cfb3</cites><orcidid>0000-0002-8403-0367</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33459831$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sinha, Skand</creatorcontrib><creatorcontrib>Kar, Santanu</creatorcontrib><creatorcontrib>Naik, Ananta K.</creatorcontrib><creatorcontrib>Kumar, Jaswant</creatorcontrib><creatorcontrib>Goyal, Rakesh</creatorcontrib><creatorcontrib>Jain, Vijay K.</creatorcontrib><creatorcontrib>Arya, Rajendra K.</creatorcontrib><title>Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affecting the time to return to the previous level of activity.
Methods
Fifty-one consecutive patients who underwent the Latarjet procedure for recurrent dislocation of the shoulder were included prospectively. The ROM, strength, Walch-Duplay score, and Rowe score were measured every 3 months for 1 year and then every 6 months for 2 years. Radiological assessments were performed to confirm the graft location, union, and the humeral head position in abduction and external rotation (ER).
Results
Out of 51 patients, 49 completed all follow-ups. The median age was 27 years (17–45 years), and the dominant side was involved in 36 patients. The median number of dislocations was 11 (5–50). Twelve patients were sleep dislocators. There was a significant loss (
p
< 0.0001) of abduction, forward flexion (FF), ER, and internal rotation (IR) in the affected shoulder compared to the contralateral shoulder. Recovery plateaued at 12 months. There was near complete recovery of muscle strength after the Latarjet procedure, and the difference between the affected and contralateral shoulders was not significant (n.s.). The modified Rowe score was excellent in 44 (90%) patients, and the Walch-Duplay score was excellent in 43 patients (88%) at 24 months. Suboptimal results were associated with non-compliance with rehabilitation in two (4%) patients and neglected unreduced dislocation in one (2%) patient. The coracoid graft position was below the equator in 44 patients (90%). Forty-six patients (94%) could return to the previous level of activity.
Conclusion
The Latarjet procedure results in a restricted ROM of the shoulder, but there is no loss of muscle strength.
Level of evidence
III.</description><subject>Dislocation</subject><subject>Equator</subject><subject>Humerus</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle strength</subject><subject>Orthopedics</subject><subject>Position (location)</subject><subject>Range of motion</subject><subject>Recovery</subject><subject>Recovery (Medical)</subject><subject>Rehabilitation</subject><subject>Rotation</subject><subject>Shoulder</subject><subject>Sports Medicine</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kctu2zAQRYmgQew4-YEsCgLddKNk-JBILoOkbQoYyKZdExQ1smVYkktSLfz3oWO3AbrIio85c3mHl5AbBrcMQN1FAFapAjgUUEkmi-qMzJkUolBCqg9kDkbygkNZzchljBuAvJXmgsyEkKXRgs3J6hF9QBexof2YunGgf7q0psMYerelMQUcVvns2oSBLl1yYYOJ7sLosZkC0rWLtO-G7kB3_c75RLNGwDSFgaaR5ovud5f2V-S8dduI16d1QX5-_fLj4alYPn_7_nC_LLxQZSo4b4yqasZ0rR0YYZBhi20FGrRswTjTQMlqVzpthOZKCFV5o7zOFPdtLRbk81E3W_w1YUy276LH7dYNOE7Rcqm0UlqDyuin_9DNmF1nd5aXpWRCKWCZ4kfKhzHGgK3dhTxt2FsG9hCDPcZgcwz2NQZb5aaPJ-mp7rH51_L33zMgjkDMpWGF4e3td2RfAO44kzQ</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Sinha, Skand</creator><creator>Kar, Santanu</creator><creator>Naik, Ananta K.</creator><creator>Kumar, Jaswant</creator><creator>Goyal, Rakesh</creator><creator>Jain, Vijay K.</creator><creator>Arya, Rajendra K.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8403-0367</orcidid></search><sort><creationdate>20210801</creationdate><title>Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity</title><author>Sinha, Skand ; Kar, Santanu ; Naik, Ananta K. ; Kumar, Jaswant ; Goyal, Rakesh ; Jain, Vijay K. ; Arya, Rajendra K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-22d976b118b8a0939e1efef608084f09a9d051ba5a8938273376c97c8efe2cfb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Dislocation</topic><topic>Equator</topic><topic>Humerus</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle strength</topic><topic>Orthopedics</topic><topic>Position (location)</topic><topic>Range of motion</topic><topic>Recovery</topic><topic>Recovery (Medical)</topic><topic>Rehabilitation</topic><topic>Rotation</topic><topic>Shoulder</topic><topic>Sports Medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sinha, Skand</creatorcontrib><creatorcontrib>Kar, Santanu</creatorcontrib><creatorcontrib>Naik, Ananta K.</creatorcontrib><creatorcontrib>Kumar, Jaswant</creatorcontrib><creatorcontrib>Goyal, Rakesh</creatorcontrib><creatorcontrib>Jain, Vijay K.</creatorcontrib><creatorcontrib>Arya, Rajendra K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Physical Education Index</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</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)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</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>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</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>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sinha, Skand</au><au>Kar, Santanu</au><au>Naik, Ananta K.</au><au>Kumar, Jaswant</au><au>Goyal, Rakesh</au><au>Jain, Vijay K.</au><au>Arya, Rajendra K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>29</volume><issue>8</issue><spage>2579</spage><epage>2586</epage><pages>2579-2586</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affecting the time to return to the previous level of activity.
Methods
Fifty-one consecutive patients who underwent the Latarjet procedure for recurrent dislocation of the shoulder were included prospectively. The ROM, strength, Walch-Duplay score, and Rowe score were measured every 3 months for 1 year and then every 6 months for 2 years. Radiological assessments were performed to confirm the graft location, union, and the humeral head position in abduction and external rotation (ER).
Results
Out of 51 patients, 49 completed all follow-ups. The median age was 27 years (17–45 years), and the dominant side was involved in 36 patients. The median number of dislocations was 11 (5–50). Twelve patients were sleep dislocators. There was a significant loss (
p
< 0.0001) of abduction, forward flexion (FF), ER, and internal rotation (IR) in the affected shoulder compared to the contralateral shoulder. Recovery plateaued at 12 months. There was near complete recovery of muscle strength after the Latarjet procedure, and the difference between the affected and contralateral shoulders was not significant (n.s.). The modified Rowe score was excellent in 44 (90%) patients, and the Walch-Duplay score was excellent in 43 patients (88%) at 24 months. Suboptimal results were associated with non-compliance with rehabilitation in two (4%) patients and neglected unreduced dislocation in one (2%) patient. The coracoid graft position was below the equator in 44 patients (90%). Forty-six patients (94%) could return to the previous level of activity.
Conclusion
The Latarjet procedure results in a restricted ROM of the shoulder, but there is no loss of muscle strength.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33459831</pmid><doi>10.1007/s00167-020-06414-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8403-0367</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021-08, Vol.29 (8), p.2579-2586 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2478778807 |
| source | EBSCOhost SPORTDiscus with Full Text; Springer Nature; Wiley-Blackwell Read & Publish Collection |
| subjects | Dislocation Equator Humerus Medicine Medicine & Public Health Muscle strength Orthopedics Position (location) Range of motion Recovery Recovery (Medical) Rehabilitation Rotation Shoulder Sports Medicine |
| title | Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity |
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