Relationship between strength and functional indexes (Rowe and Walch-Duplay scores) after shoulder surgical stabilization by the Latarjet technique.
BACKGROUND
The rotator cuff muscles help stabilize the glenohumeral joint. Postoperative recovery of rotator cuff muscle strength appears to be an important factor for optimal joint stabilization and the resumption of professional and/or sports activities.


OBJECTIVE
To study the relationship between internal rotator (IR) and external rotator (ER) muscle strength, shoulder function and the resumption of sports activities (as typically evaluated with functional scores) following surgical stabilization with the Bristow-Latarjet procedure in cases of chronic shoulder instability.


METHODS
Twenty patients with anterior, post-traumatic, chronic shoulder instability were included prospectively in a cohort study. The Rowe and Walch-Duplay functional scores were rated for the operated shoulder and the isokinetic IR and ER peak torque values were evaluated with a Con-Trex(®) dynamometer before surgery and then 3, 6 and 21 months afterwards. The isokinetic evaluation was performed (at 180°/s, 120°/s and 60°/s) in the seated position, with the arms in 45° of abduction and 30° of antepulsion in the plane of the scapula.


RESULTS
There were no significant postoperative correlations between shoulder function (as judged by the Rowe and Walch-Duplay scores) and IR or ER muscle strength.


CONCLUSIONS
This study did not provide evidence for a correlation between IR and ER muscle strength and functional scores after surgical stabilization of the shoulder. However, it is necessary to objectively measure the rotator cuff strength recovery to adequate the strengthening of rotator muscle prior to the resumption of sports activities. Isokinetic strength assessment may thus be a valuable decision support tool for the resumption of sports activities and would complement the functional scores studied here.
Edouard
P
P
Service de médecine physique et de réadaptation, hôpital Bellevue, CHU de Saint-Étienne, 42055 Saint-Étienne cedex 2, France. Pascal.Edouard42@gmail.com
Beguin
L
L
Fayolle-Minon
I
I
Degache
F
F
Farizon
F
F
Calmels
P
P
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength / Q000502:physiology*; D053581:Muscle Strength Dynamometer; D019637:Orthopedic Procedures / Q000379:methods; D020127:Recovery of Function / Q000502:physiology*; D017006:Rotator Cuff / Q000502:physiology; D012782:Shoulder / Q000502:physiology* / Q000601:surgery; D012785:Shoulder Joint / Q000601:surgery*; D019415:Torque; D055815:Young Adult