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[Shoulder arthroplasty for non-operated anterior shoulder instability with secondary osteoarthritis].

Identifieur interne : 000353 ( PubMed/Curation ); précédent : 000352; suivant : 000354

[Shoulder arthroplasty for non-operated anterior shoulder instability with secondary osteoarthritis].

Auteurs : J. Matsoukis [France] ; W. Tabib ; A. Mandelbaum ; G. Walch

Source :

RBID : pubmed:12610431

English descriptors

Abstract

The purpose of this study was to analyze the natural history of osteoarthritis of the shoulder joint secondary to non-operated anterior instability, to evaluate the clinical and radiological outcome after arthroplasty for this indication, and to compare results with data reported in the literature.

PubMed: 12610431

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pubmed:12610431

Le document en format XML

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<title xml:lang="en">[Shoulder arthroplasty for non-operated anterior shoulder instability with secondary osteoarthritis].</title>
<author>
<name sortKey="Matsoukis, J" sort="Matsoukis, J" uniqKey="Matsoukis J" first="J" last="Matsoukis">J. Matsoukis</name>
<affiliation wicri:level="1">
<nlm:affiliation>Département de Chirurgie Orthopédique et Traumatologique, Groupe hospitalier du Havre, Hôpital Jacques-Monod, BP 24, 76083 Le Havre Cedex. jmatsoukis@ch-havre.fr</nlm:affiliation>
<country wicri:rule="url">France</country>
</affiliation>
</author>
<author>
<name sortKey="Tabib, W" sort="Tabib, W" uniqKey="Tabib W" first="W" last="Tabib">W. Tabib</name>
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<author>
<name sortKey="Mandelbaum, A" sort="Mandelbaum, A" uniqKey="Mandelbaum A" first="A" last="Mandelbaum">A. Mandelbaum</name>
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<name sortKey="Walch, G" sort="Walch, G" uniqKey="Walch G" first="G" last="Walch">G. Walch</name>
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<title xml:lang="en">[Shoulder arthroplasty for non-operated anterior shoulder instability with secondary osteoarthritis].</title>
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<name sortKey="Matsoukis, J" sort="Matsoukis, J" uniqKey="Matsoukis J" first="J" last="Matsoukis">J. Matsoukis</name>
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<nlm:affiliation>Département de Chirurgie Orthopédique et Traumatologique, Groupe hospitalier du Havre, Hôpital Jacques-Monod, BP 24, 76083 Le Havre Cedex. jmatsoukis@ch-havre.fr</nlm:affiliation>
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<name sortKey="Tabib, W" sort="Tabib, W" uniqKey="Tabib W" first="W" last="Tabib">W. Tabib</name>
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<name sortKey="Mandelbaum, A" sort="Mandelbaum, A" uniqKey="Mandelbaum A" first="A" last="Mandelbaum">A. Mandelbaum</name>
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<name sortKey="Walch, G" sort="Walch, G" uniqKey="Walch G" first="G" last="Walch">G. Walch</name>
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<title level="j">Revue de chirurgie orthopedique et reparatrice de l'appareil moteur</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arthrography</term>
<term>Arthroplasty, Replacement (adverse effects)</term>
<term>Arthroplasty, Replacement (methods)</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Joint Instability (complications)</term>
<term>Joint Instability (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Osteoarthritis (etiology)</term>
<term>Osteoarthritis (physiopathology)</term>
<term>Osteoarthritis (radiography)</term>
<term>Pain (etiology)</term>
<term>Prosthesis Failure</term>
<term>Range of Motion, Articular</term>
<term>Retrospective Studies</term>
<term>Rotator Cuff (injuries)</term>
<term>Shoulder Joint</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Arthroplasty, Replacement</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Joint Instability</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Osteoarthritis</term>
<term>Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="injuries" xml:lang="en">
<term>Rotator Cuff</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Arthroplasty, Replacement</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Osteoarthritis</term>
</keywords>
<keywords scheme="MESH" qualifier="radiography" xml:lang="en">
<term>Osteoarthritis</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Joint Instability</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Arthrography</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prosthesis Failure</term>
<term>Range of Motion, Articular</term>
<term>Retrospective Studies</term>
<term>Shoulder Joint</term>
<term>Treatment Outcome</term>
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<front>
<div type="abstract" xml:lang="en">The purpose of this study was to analyze the natural history of osteoarthritis of the shoulder joint secondary to non-operated anterior instability, to evaluate the clinical and radiological outcome after arthroplasty for this indication, and to compare results with data reported in the literature.</div>
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<PMID Version="1">12610431</PMID>
<DateCreated>
<Year>2003</Year>
<Month>2</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2003</Year>
<Month>03</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0035-1040</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>89</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2003</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Revue de chirurgie orthopedique et reparatrice de l'appareil moteur</Title>
<ISOAbbreviation>Rev Chir Orthop Reparatrice Appar Mot</ISOAbbreviation>
</Journal>
<ArticleTitle>[Shoulder arthroplasty for non-operated anterior shoulder instability with secondary osteoarthritis].</ArticleTitle>
<Pagination>
<MedlinePgn>7-18</MedlinePgn>
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<Abstract>
<AbstractText Label="PURPOSE OF THE STUDY" NlmCategory="OBJECTIVE">The purpose of this study was to analyze the natural history of osteoarthritis of the shoulder joint secondary to non-operated anterior instability, to evaluate the clinical and radiological outcome after arthroplasty for this indication, and to compare results with data reported in the literature.</AbstractText>
<AbstractText Label="MATERIAL AND METHODS" NlmCategory="METHODS">Twenty-eight Aequalis shoulder arthroplasties were performed for osteoarthritis secondary to anterior shoulder instability in patients who had not undergone any prior stabilizing surgical procedure. This multicentric series was reviewed retrospectively at a mean follow-up of 44 months (range 24-87 month). Preoperative and last follow-up clinical status was compared using the Constant score. Standard operative technique was used and anatomic position of the implants was achieved in 27 patients. Total shoulder arthroplasty was performed in eighteen patients and simple humeral implantation in ten. Patients were divided into two sub-groups for analysis of outcome (age at first dislocation > or < 40 years).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were four complications including one early loosening that required revision arthroplasty. Outcome was excellent or good in 54% of the cases. Group 1 (age at first dislocation < 40 years) included 17 patients and exhibited male predominance (13/17), young age at first dislocation (mean 28.5 years), high number of dislocations (mean 13), and a long natural history of osteoarthritis (mean 28 years). In this sub-group, imaging disclosed constructive osteoarthritis reflecting a long history. There was one case with a full-thickness tear of the supraspinatus. Outcome was excellent or good in 64% of these 17 patients (14 underwent total shoulder arthroplasty). The sub-group of 11 patients whose first dislocation occurred after the age of 40 years exhibited female predominance (9/11), a small number of dislocations (mean 1.3), and a short natural history of osteoarthritis (mean 6 years). In this sub-group, imaging disclosed six cases of basically chondrolytic osteoarthritis reflecting a short evolution. There were seven cases of full-thickness tears of the supraspinatus. Outcome was excellent or good in 36% of these 11 patients (4 underwent total shoulder arthroplasty).</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The forty-year age cutoff allowed us to distinguish two populations. The first population of patients whose first dislocation had occurred before the age of 40 years was predominantly male, with a long history of constructive osteoarthritis without rotator cuff tears. Most of these patients were treated with total shoulder arthroplasty which gave results similar to those obtained with arthroplasty for primary centered osteoarthritis. The second sub-group of patients aged over 40 years at the time of the first dislocation were predominantly female with a short history of minimally constructive osteoarthritis and frequent rotator cuff tears. Humeral implants were used for most of these patients and gave less favorable results than in the former sub-group, probably due to the high rate of rotator cuff tears.</AbstractText>
</Abstract>
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<LastName>Matsoukis</LastName>
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<Affiliation>Département de Chirurgie Orthopédique et Traumatologique, Groupe hospitalier du Havre, Hôpital Jacques-Monod, BP 24, 76083 Le Havre Cedex. jmatsoukis@ch-havre.fr</Affiliation>
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<VernacularTitle>Prothèse d'épaule sur omarthrose secondaire à une instabilité antérieure non opérée: à propos d'une série de 28 cas.</VernacularTitle>
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<Country>France</Country>
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