Concomitant rotator cuff repair and instability surgery provide good patient-reported functional outcomes in patients aged 40 years or older with shoulder dislocation. (Record no. 9980)

000 -LEADER
fixed length control field 03884nam a22004337a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201231s20202020 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 33345217
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2666-6383
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.jseint.2020.08.006 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S2666-6383(20)30137-7 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC7738596 [pmc]
190 ## -
-- Chan WW
190 ## -
-- Brolin TJ
190 ## -
-- Thakar O
190 ## -
-- Patel MS
190 ## -
-- Sholder DS
190 ## -
-- Abboud JA
190 ## -
-- Getz CL
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Thakar, Ocean
245 ## - TITLE STATEMENT
Title Concomitant rotator cuff repair and instability surgery provide good patient-reported functional outcomes in patients aged 40 years or older with shoulder dislocation.
251 ## -
-- JSES International. 4(4):792-796, 2020 Dec.
252 ## -
-- JSES Int. 4(4):792-796, 2020 Dec.
253 ## -
-- JSES international
260 ## - PUBLICATION, DISTRIBUTION, ETC.
-- epublish
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020
269 ## -
-- FY2021
520 ## - SUMMARY, ETC.
Summary, etc. Background: Recurrent anterior shoulder dislocation in patients aged >= 40 years is not as rare as once thought. The mechanism of instability in this patient population is different-more likely to be attributed to rotator cuff pathology-compared with that in younger individuals. With an increasingly aging active population, surgical management has a rising role in preventing morbidity associated with recurrent instability. Our purpose was to evaluate outcomes of anterior shoulder instability repair (ie, Bankart or bony Bankart repair) with and without rotator cuff repair (RCR) in patients aged >= 40 years.
520 ## - SUMMARY, ETC.
Summary, etc. Methods: We conducted a retrospective chart review of all patients aged >= 40 years who underwent surgical repair for anterior shoulder instability from 2008-2016. Patients were categorized into 4 cohorts: Bankart repair only, bony Bankart repair only, Bankart repair with concomitant RCR, and bony Bankart repair with concomitant RCR. Demographic and history-of-instability data were collected. Clinical and functional outcomes assessed included the Single Assessment Numeric Evaluation score, American Shoulder and Elbow Surgeons score, Penn Shoulder Score, visual analog scale score for pain, Western Ontario Shoulder Instability Index score, and patient satisfaction score.
520 ## - SUMMARY, ETC.
Summary, etc. Results: A total of 146 patients were included in this study, with 103 patients (71%) having >=2-year outcome scores. Outcome scores were not significantly different among groups. For patients who underwent Bankart repair only, bony Bankart repair only, Bankart repair with RCR, and bony Bankart repair with RCR, the Single Assessment Numeric Evaluation scores were 80.8 +/- 19.7, 90.0 +/- 10.7, 79.3 +/- 29.4, and 87.2 +/- 10.6, respectively (P = .284); American Shoulder and Elbow Surgeons scores, 83.8 +/- 19.7, 92.4 +/- 17.4, 82.5 +/- 25.6, and 85.6 +/- 12.7, respectively (P = .114); Penn Shoulder Scores for function, 84.5 +/- 17.9, 90.9 +/- 15.3, 83.6 +/- 25.1, and 95.7 +/- 13.0, respectively (P = .286); and Western Ontario Shoulder Instability Index scores, 481.0 +/- 519.5, 292.1 +/- 414.3, 548.9 +/- 690.5, and 320.6 +/- 258.7, respectively (P = .713). Age at the time of surgery significantly differed between cohorts (P < .001). No patients had recurrence of instability during the study period.
520 ## - SUMMARY, ETC.
Summary, etc. Conclusion: Similar functional outcomes can be achieved in the surgical management of anterior instability in patients aged >= 40 years. Rotator cuff tears should be suspected and repaired in patients with anterior instability, especially those aged >= 50 years. Copyright (c) 2020 The Author(s).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Geographic name MedStar Union Memorial Hospital
657 ## - INDEX TERM--FUNCTION
Function Journal Article
857 ## -
-- https://dx.doi.org/10.1016/j.jseint.2020.08.006
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier https://dx.doi.org/10.1016/j.jseint.2020.08.006
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2020-12-31 33345217 2020-12-31 2020-12-31 Journal Article

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