Shoulder instability. An analysis of family history.
A family history of shoulder instability in first-degree relatives was found in 24 of 100 patients who had been operated on for recurrent anterior shoulder instability. The patients with and without a family history were similar in respect of sex ratio, age at first dislocation and age at operation. The initial dislocation was non-traumatic in 22% of the patients with and in 13% of those without a positive family history (p = 0.3). Postoperative recurrence of instability was experienced by 34% of patients with and 33% of those without a family history (p = 0.9). In those with a family history, 13% of the recurrences were dislocations and 87% were subluxations. In patients without a family history 52% of the recurrences were dislocations and 48% were subluxations (p < 0.05). The contralateral shoulder was unstable in 50% of the patients with a family history and in 26% of those without (p = 0.03).
Dowdy
P A
PA
St Michael's Hospital, Canada.
O'Driscoll
S W
SW
D000328:Adult; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000601:surgery; D008297:Male; D012008:Recurrence; D012783:Shoulder Dislocation / Q000209:etiology; D012785:Shoulder Joint / Q000601:surgery