RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e273366

Paulo Henrique Schmidt Lara, Leandro Masini Ribeiro, Carlos Vicente Andreoli, Alberto de Castro Pochini, Paulo Santoro Belangero, Benno Ejnisman

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引用次数: 0

Abstract

Objective: to determine the surgical indications for glenoid bone grafting associated with better postoperative ranges of motion.

Methods: This systematic review was conducted according to PRISMA. The included studies were subdivided according to the criteria used to indicate glenoid bone graft surgery: group for radiological indications only (Group R), group for radiological indications associated with clinical indications (Group R + C), and group for arthroscopic indications (Group A). The extracted and evaluated data were the range of motion of the shoulder.

Results: in the electronic search conducted in October 2022, 1567 articles were selected. After applying the inclusion criteria, 14 articles were selected for the systematic review. Regarding the ranges of motion, group A had the highest number of statistically positive results together with group R. Group A showed positive results in elevation parameters, loss of lateral rotation in adduction, and medial rotation in abduction. Group R showed positive results in lateral rotation in adduction and loss of lateral rotation in adduction. On the other hand, Group R + C was the one that presented the highest number of statistically negative results, in the following parameters: elevation, lateral rotation in abduction, loss of lateral rotation in adduction, and medial rotation in abduction.

Conclusion: the subgroups presented variable results in the evaluated parameters; however, the groups with arthroscopic and radiological indications showed the highest number of positive results, with the latter group showing the best results regarding lateral rotation. Level of Evidence II, Systematic Reviews.

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肩关节不稳的骨块手术后的活动范围：系统综述。

目的：确定与更好的术后活动范围相关的盂兰盆骨移植手术适应症：本系统性综述根据PRISMA进行。根据盂骨移植手术的适应症标准，对纳入的研究进行了细分：仅有放射学适应症组（R组）、放射学适应症与临床适应症相关组（R+C组）和关节镜适应症组（A组）。结果：在2022年10月进行的电子检索中，共筛选出1567篇文章。在应用纳入标准后，有14篇文章被选中进行系统综述。在运动范围方面，A 组和 R 组的统计阳性结果数最多。A 组在抬高参数、内收侧旋损失和外展内旋方面显示出阳性结果。R 组在内收外侧旋转和内收外侧旋转损失方面显示出阳性结果。结论：各亚组在评估参数方面的结果各不相同；然而，具有关节镜和放射学适应症的亚组显示出最多的阳性结果，后一组在外侧旋转方面显示出最好的结果。证据等级 II，系统综述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.