Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method / Joris Beckers in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 497-501 Titre : Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method Type de document : texte imprimé Auteurs : Joris Beckers, Auteur Année de publication : 2020 Article en page(s) : p. 497-501 Langues : Anglais (eng) Résumé : The Latarjet procedure alters scapulothoracic motion by releasing the pectoralis minor insertion to the coracoid process and by changing the vector of the conjoint tendon. The purpose of this study is to evaluate the feasibility of retaining the pectoralis minor insertion and a part of the conjoint tendon on to the remainder of the coracoid, and to evaluate the efficiency of the procedure in avoiding scapular dyskinesis, without concessions to glenohumeral stability. Since June 2017, a modification to the Latarjet pro- cedure has been used in the treatment of posttraumatic anterior shoulder instability. The pectoralis minor insertion and a part of the conjoint tendon is retained on its anatomical position, by harvesting only the lateral part of the coracoid. We retrospectively enrolled the first 9 consecutively treated shoulders with a minimum of 6 months follow up and recorded scapulothoracic position and scapulothoracic motion, patient satisfaction, Oxford score, and Short Form (SF)-36. All patients underwent a radiographic review at final follow up. No scapular dyskinesis was observed at final follow- up. Radiographies consistently showed a bony spur at the original osteotomy site, suggesting a functional attachment of the pectoralis minor tendon to the scapula. Harvesting only the lateral part of the coracoid is technically feasible, efficient in treating anterior shoulder instability and avoids scapular dyskinesis. Level of evidence : Level IV, Retrospective Cohort study, Treatment study. Permalink : ./index.php?lvl=notice_display&id=92018 [article] Coracoid process transfer for anterior shoulder instability : a pectoralis minor sparing method [texte imprimé] / Joris Beckers, Auteur . - 2020 . - p. 497-501. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 497-501 Résumé : The Latarjet procedure alters scapulothoracic motion by releasing the pectoralis minor insertion to the coracoid process and by changing the vector of the conjoint tendon. The purpose of this study is to evaluate the feasibility of retaining the pectoralis minor insertion and a part of the conjoint tendon on to the remainder of the coracoid, and to evaluate the efficiency of the procedure in avoiding scapular dyskinesis, without concessions to glenohumeral stability. Since June 2017, a modification to the Latarjet pro- cedure has been used in the treatment of posttraumatic anterior shoulder instability. The pectoralis minor insertion and a part of the conjoint tendon is retained on its anatomical position, by harvesting only the lateral part of the coracoid. We retrospectively enrolled the first 9 consecutively treated shoulders with a minimum of 6 months follow up and recorded scapulothoracic position and scapulothoracic motion, patient satisfaction, Oxford score, and Short Form (SF)-36. All patients underwent a radiographic review at final follow up. No scapular dyskinesis was observed at final follow- up. Radiographies consistently showed a bony spur at the original osteotomy site, suggesting a functional attachment of the pectoralis minor tendon to the scapula. Harvesting only the lateral part of the coracoid is technically feasible, efficient in treating anterior shoulder instability and avoids scapular dyskinesis. Level of evidence : Level IV, Retrospective Cohort study, Treatment study. Permalink : ./index.php?lvl=notice_display&id=92018

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Evaluation of the metaphyseal ulnar shortening technique according to Sennwald / Joris Beckers in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 280-286 Titre : Evaluation of the metaphyseal ulnar shortening technique according to Sennwald Type de document : texte imprimé Auteurs : Joris Beckers ; Bertram The ; Ilse Degreef ; Luc De Smet Année de publication : 2016 Article en page(s) : p. 280-286 Langues : Anglais (eng) Mots-clés : ulna  chirurgie Résumé : The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with regard to the functional results, pain relief and incidence of complications. Methods : We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion. Results : Only disability improved significantly with a DASH score of 42 (p = 0.03). The function and pain assessment scores did not improve in 3 patients. We found no correlation between change in functional scores and other measured variables. Six patients were reoperated for prominent screw heads or newonset distal radioulnar joint osteoarthritis. Conclusion : All osteomies healed fast and uneventfully and disability improved in most patients but 25% did not improve and 50% were re-operated. Further investigation is needed to evaluate the value of the metaphyseal osteotomy as an alternative treatment for ulnar abutment syndrome. Permalink : ./index.php?lvl=notice_display&id=46095 [article] Evaluation of the metaphyseal ulnar shortening technique according to Sennwald [texte imprimé] / Joris Beckers ; Bertram The ; Ilse Degreef ; Luc De Smet . - 2016 . - p. 280-286. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 280-286 Mots-clés : ulna  chirurgie Résumé : The outcome of a metaphyseal ulnar shortening osteotomy, reported by Sennwald as an alternative option for ulnar abutment syndrome, was evaluated with regard to the functional results, pain relief and incidence of complications. Methods : We conducted a review of 12 patients ; measured parameters were DASH score, PRWE, VAS for pain, grip force and wrist motion. Results : Only disability improved significantly with a DASH score of 42 (p = 0.03). The function and pain assessment scores did not improve in 3 patients. We found no correlation between change in functional scores and other measured variables. Six patients were reoperated for prominent screw heads or newonset distal radioulnar joint osteoarthritis. Conclusion : All osteomies healed fast and uneventfully and disability improved in most patients but 25% did not improve and 50% were re-operated. Further investigation is needed to evaluate the value of the metaphyseal osteotomy as an alternative treatment for ulnar abutment syndrome. Permalink : ./index.php?lvl=notice_display&id=46095

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