title: Long-term outcome of a transglenoid suture technique for anterior shoulder instability in young adults.
abstract: We reviewed the outcome of arthroscopic stabilisation of anterior glenohumeral instability in young adults using the transglenoid suture technique. A questionnaire was sent to 455 consecutive patients who had undergone this procedure between 1992 and 2000. Of these, 312 patients (68.5%) with 313 affected shoulders and a mean age of 20 years (18 to 28) responded. Outcome was determined by the number of re-dislocations or, in patients who had not re-dislocated, by the disease-specific quality of life as measured by the Western Ontario Shoulder Instability index. During a mean follow-up of 6.4 years (1 to 14), 177 patients (56%) sustained a re-dislocation, including 70 who required a further operation. In 136 patients (44%) who reported neither re-dislocation nor re-operation, the index scores were good (median 90.4%; 28.9% to 100%). No significant peri- or pre-operative predictors of re-dislocation or re-operation were found. We found a high rate of re-dislocation after transglenoid suture repair in young, physically active patients.
authors.affiliation: Töölö Hospital, Helsinki University Central Hospital, PO Box 266, Helsinki, FIN-0029, Finland.
authors.forename: T
authors.initials: T
authors.lastname: Söderlund
authors.forename: V M
authors.initials: VM
authors.lastname: Mattila
authors.forename: T I
authors.initials: TI
authors.lastname: Visuri
authors.forename: H K
authors.initials: HK
authors.lastname: Pihlajamäki
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000601:surgery*; D008297:Male; D018570:Risk Assessment; D055502:Secondary Prevention; D012783:Shoulder Dislocation / Q000150:complications / Q000601:surgery*; D013536:Suture Techniques / Q000009:adverse effects*; D016896:Treatment Outcome