Inestabilidad multidireccional atraumática de hombro

  • Angel Gonzalez Fernandez Socio
  • Alberto Izquierdo Fernández
Palabras clave: hombro, artroscopia, inestabilidad

Resumen

Se ha realizado un estudio prospectivo de una serie de casos consecutivos de pacientes con una inestabilidad atraumática de hombro, tratados mediante una plicatura capsular artroscópica anterior y posterior. El objetivo de este trabajo es evaluar los resultados de esta técnica. Para ello se analizó el balance articular, el test de Constant y la reincorporación laboral y deportiva. A los seis meses se obtuvieron unos resultados satisfactorios en la evaluación clínica de los pacientes, sin encontrar ninguna complicación. Creemos, que es, por tanto, una técnica quirúrgica apropiada para el tratamiento de esta patología

Citas

Alpert JM, Verma N, Wysocki R, Yanke AB, Romeo AA. Arthroscopic treatment of multidirectional shoulder instability with minimum 270 degrees labral repair:Minimum 2-year follow-up. Arthroscopy 2008;24:704-711. DOI:10.1016/j.arthro.2008.01.008 https://www.ncbi.nlm.nih.gov/pubmed/18514115

Longo UG, Rizzello G, Loppini M, Locher J, Buchmann S, Maffulli N, Denaro V. Multidirectional Instability of the Shoulder: A Systematic Review. Arthroscopy. 2015 Dec;31(12):2431-43. DOI: 10.1016/j.arthro.2015.06.006. https://www.ncbi.nlm.nih.gov/pubmed/26208802

Gerber C, Nyffeler RW. Classification of glenohumeral joint instability. Clinical Orthopaedics and Related Res. 2002;400:65- 76. https://www.ncbi.nlm.nih.gov/pubmed/12072747

Warby SA, Pizzari T, Ford JJ, Hahne AJ, Watson L. Exercise-based management versus surgery for multidirectional instability of the glenohumeral joint: a systematic review. Br J Sports Med. 2016 Sep;50(18):1115-23. DOI: 10.1136/bjsports-2015-094970. https://www.ncbi.nlm.nih.gov/pubmed/26701928

Warby SA, Pizzari T, Ford JJ, Hahne AJ, Watson L. The effect of exercise-based management for multidirectional instability of the glenohumeral joint: a systematic review. J Shoulder Elbow Surg. 2014;23:128-142. DOI: 10.1016/j.jse.2013.08.006. https://www.ncbi.nlm.nih.gov/pubmed/24331125

Kuroda S, Sumiyoshi T, Moriishi J, Maruta K, Ishige N. The natural course of atraumatic shoulder instability. J Shoulder Elbow Surg. 2001;10(2):100-1004. DOI: 10.1067/mse.2001.111962. https://www.ncbi.nlm.nih.gov/pubmed/?term=The+natural+course+of+atraumatic+shoulder+instability

Hewitt M, Getelman M, Snyder S. Arthroscopic management of multidirectional instability: pancapsular plication. Orthop Clin N Am, 2003;34:549–557. https://www.ncbi.nlm.nih.gov/pubmed/14984194

Constant CR, Gerber C, Emery RJ, et al. A review of the Constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 2008; 17(2): 355–361. DOI: 10.1016/j.jse.2007.06.022. https://www.ncbi.nlm.nih.gov/pubmed/18218327

Witney-Lagen C, Hassan A, Doodson A, Venkateswaran B. Arthroscopic plication for multidirectional instability: 50 patients with a minimum of 2 years of follow-up. J Shoulder Elbow Surg. 2017 Feb;26(2):e29-e36. doi: 10.1016/j.jse.2016.07.015. https://www.ncbi.nlm.nih.gov/pubmed/27727061

Gervasi E, Sebastiani E, Cautero E, Spicuzza A. Arthroscopic treatment of the atraumatic shoulder instability: a case series with two-year follow up evaluation. Muscles, Ligaments and Tendons Journal 2016;6 (4):433-439. DOI: 10.11138/mltj/2016.6.4.433. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310742/

Raynor MB, Horan MP, Greenspoon JA, Katthagen JC, Millett PJ. Outcomes After Arthroscopic Pancapsular Capsulorrhaphy With Suture Anchors for the Treatment of Multidirectional Glenohumeral Instability in Athletes. Am J Sports Med. 2016;44(12):3188-3197. DOI: 10.1177/0363546516659644. https://www.ncbi.nlm.nih.gov/pubmed/27543145

Gartsman GM, Roddey TS, Hammerman SM. Arthroscopic treatment of multidirectional glenohumeral instability: 2- to 5- year follow up. Arthroscopy. 2001;17(3):236-243. https://www.ncbi.nlm.nih.gov/pubmed/11239342

Ruiz-Iban MA, Barco Laakso R, García Navlet M, Cuellar Gutiérrez R, López Franco M, Gavín González C, Ávila Lafuente JL. Consenso AEA 2018 en inestabilidad multidireccional de hombro. Rev Esp Artrosc Cir Articul. 2018;25(3):246-57.

Garcia Navlet M, Asenjo-Gismero CV. Multidirectional Instability: Treatment. Open Orthop J. 2017;11:861-74. DOI: 10.2174/1874325001711010861. https://www.ncbi.nlm.nih.gov/pubmed/?term=Multidirectional+Shoulder+Instability+navlet

Lim CO, Park KJ, Cho B, Kim YM, Chun KA. A new screening method for multidirectional shoulder instability on magnetic resonance arthrography: labro-capsular distance. Skeletal Radiol. 2016;45:921-927. DOI: 10.1007/s00256-016-2364-0. https://www.ncbi.nlm.nih.gov/pubmed/?term=Lim+CO%2C+Park+KJ%2C+Cho+B%2C+Kim+YM%2C+Chun+KA.+A+new+screening+method+for+multidirectional+shoulder+instability+on+magnetic+resonance+arthrography%3A+labro-capsular+distance.+Skeletal+Radiol

Warby SA, Watson L, Ford JJ, Pizzarri T. Multidirectional instability of the glenohumeral joint: Etiology, classification, assessment, and management. J Hand Ther. 2017;30:175-181. DOI: 10.1016/j.jht.2017.03.005. https://www.ncbi.nlm.nih.gov/pubmed/28576345

Chen D, Goldberg J, Herald J, Critchley I, Barmare A. Effect of surgical management on multidirectional instability of the shoulder: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2016;24:630-639. DOI: 10.1007/s00167-015-3901-4. https://www.ncbi.nlm.nih.gov/pubmed/26658564

Coughlin RP, Bullock GS, Shanmugaraj A, Sell TC, Garrigues GE, Ledbetter L, Taylor DC.Outcomes After Arthroscopic Rotator Interval Closure for Shoulder Instability: A Systematic Review. Arthroscopy. 2018 Nov;34(11):3098-3108.e1. doi: 10.1016/j.arthro.2018.05.042.

Publicado
2019-07-18
Sección
Casos Clínicos