SHOULDER INSTABILITY – A FREQUENT PATHOLOGY – VARIOUS METHODS OF TREATMENT

Abstract

Purpose: The goal of this study is to present the results after different methods of surgical treatment of the unstable shoulder joint: arthroscopic stabilization; arthroscopic stabilization followed by the operative technique of Matev and the Latarjet procedure in cases of presence of bone defects. Material(s) and Method(s): For the period from 2004 to 2017, 291 patients between 15 and 35 years were operated at University Hospital "Prof. B. Boychev"- Medical University - Sofia. 247 of them were with anterior and 44 with combined shoulder instability. 173 of the patients were active athletes practicing different disciplines. The average age of appearance of the first dislocation was 17 years. In 172 patients, the first dislocation came without significant trauma, 124 of them had an anterior shoulder instability and 48- combined shoulder instability. In 120 patients with anterior dislocations, there was a serious injury during the first accident. The number of dislocations varied between ten and fifteen in all patients. For the same period, 45 patients with significant bone defects underwent open surgery (Latarjet - procedure). In the cases with bone defects, there were between 8 and 30 dislocations before the first examination. There were 11 patients, who underwent previous surgery in other hospitals andthey came in our clinic with a different number of postoperative reluxations. Result(s): The results were evaluatedradiographically and clinically. Functionally, the patients recovered according to a well-established protocol. Full range ofexternal rotation was observed. All of them returned to sports activity. Conclusion(s): This combined operative technique tends to be the most effective method in the treatment of shoulder dislocations, especially in people who want a quick return to active sports.Copyright © 2019, Peytchinski, Gospodin Iliev ET. All right reserved.