FUNCTIONAL OUTCOME OF WEBER OSTEOTOMY IN CHRONIC ANTERIOR GLENOHUMERAL DISLOCATION IN YOUNG PATIENTS.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2026-09-25 eCollection Date: 2026-01-01 DOI:10.1590/1413-785220263402e297312

Felipe Bosco Mendes da Silva, Stela da Silva Chiquetto, Marcio Alves Cruz, Fernando Kenji Kikuta, Sergio de Paula Coelho, Guilherme Grisi Mouraria

{"title":"FUNCTIONAL OUTCOME OF WEBER OSTEOTOMY IN CHRONIC ANTERIOR GLENOHUMERAL DISLOCATION IN YOUNG PATIENTS.","authors":"Felipe Bosco Mendes da Silva, Stela da Silva Chiquetto, Marcio Alves Cruz, Fernando Kenji Kikuta, Sergio de Paula Coelho, Guilherme Grisi Mouraria","doi":"10.1590/1413-785220263402e297312","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to evaluate the functional outcomes of humeral head derotational osteotomy according to the Weber technique as a therapeutic alternative for the treatment of chronic anterior shoulder dislocation in young patients.Methods: This prospective case series included patients younger than 50 years who underwent clinical and radiographic evaluation. Outcomes were assessed using plain radiographs, computed tomography (CT), the Visual Analog Scale (VAS) for pain, the 36-Item Short Form Health Survey (SF-36), and range of motion measurements. The mean age of the participants was 47.67 years.Results: The procedure resulted in a significant reduction in pain, with a mean decrease of 5.7 points on the VAS, as well as improvements of 30° in extension and 28° in external rotation (p < 0.05). The SF-36 demonstrated an average improvement of 27 points in overall quality of life and functional status, and 54 points in the pain domain. No cases of recurrent dislocation were observed.Conclusion: Weber humeral head derotational osteotomy provides satisfactory functional recovery, significant pain relief, and may be considered a viable treatment option for chronic anterior glenohumeral dislocation in young patients. Level of Evidence IV; Case Series.","PeriodicalId":55563,"journal":{"name":"Acta Ortopedica Brasileira","volume":"34 spe2","pages":"e297312"},"PeriodicalIF":0.6000,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614724/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Ortopedica Brasileira","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-785220263402e297312","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to evaluate the functional outcomes of humeral head derotational osteotomy according to the Weber technique as a therapeutic alternative for the treatment of chronic anterior shoulder dislocation in young patients.

Methods: This prospective case series included patients younger than 50 years who underwent clinical and radiographic evaluation. Outcomes were assessed using plain radiographs, computed tomography (CT), the Visual Analog Scale (VAS) for pain, the 36-Item Short Form Health Survey (SF-36), and range of motion measurements. The mean age of the participants was 47.67 years.

Results: The procedure resulted in a significant reduction in pain, with a mean decrease of 5.7 points on the VAS, as well as improvements of 30° in extension and 28° in external rotation (p < 0.05). The SF-36 demonstrated an average improvement of 27 points in overall quality of life and functional status, and 54 points in the pain domain. No cases of recurrent dislocation were observed.

Conclusion: Weber humeral head derotational osteotomy provides satisfactory functional recovery, significant pain relief, and may be considered a viable treatment option for chronic anterior glenohumeral dislocation in young patients. Level of Evidence IV; Case Series.

查看原文本刊更多论文

年轻慢性盂肱前脱位韦伯截骨术的功能效果。

目的：本研究旨在评估基于Weber技术的肱骨头旋转截骨术作为治疗年轻慢性肩关节前脱位的替代疗法的功能结果。方法：该前瞻性病例系列包括年龄小于50岁并接受临床和影像学评估的患者。通过x线平片、计算机断层扫描（CT）、疼痛视觉模拟量表（VAS）、36项简短健康调查（SF-36）和活动范围测量来评估结果。参与者的平均年龄为47.67岁。结果：手术显著减轻了疼痛，VAS评分平均下降5.7分，伸展30°和外旋28°改善（p < 0.05）。SF-36在整体生活质量和功能状态方面平均改善了27分，在疼痛领域平均改善了54分。无复发性脱位病例。结论：Weber肱骨头旋转截骨术功能恢复满意，疼痛明显减轻，是治疗年轻慢性肱骨前脱位的可行方法。证据水平IV；系列。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.