Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report
Background: Recurrent Anterior Shoulder Instability (RASI) is usually preceded by trauma. The incidence recurrence rate is high in trauma Induced RASI, especially in younger patients. The right diagnosis and management must be ruled out immediately for a better outcome. Case Report: The 28-year-old...
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Universitas Airlangga
2023-04-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/37560 |
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| author | Hastomo Agung Wibowo Dadang Rona Sasetyo Yusa muhammad Thoriq Felix Giovanni Hartono |
| author_facet | Hastomo Agung Wibowo Dadang Rona Sasetyo Yusa muhammad Thoriq Felix Giovanni Hartono |
| author_sort | Hastomo Agung Wibowo |
| collection | DOAJ |
| description | Background: Recurrent Anterior Shoulder Instability (RASI) is usually preceded by trauma. The incidence recurrence rate is high in trauma Induced RASI, especially in younger patients. The right diagnosis and management must be ruled out immediately for a better outcome.
Case Report: The 28-year-old man complained of right shoulder instability for the past eight years, which worsened in the last year. The patient had a history of trauma. Anterior apprehension and relocation test for the right shoulder showed a positive result. Radiologic imaging showed bony bankart loss (27%) and an on-track hillsach lesion of the humeral head. The Instability Severity Index Score (ISIS) is 7 points. Based on these results, an open surgery bone block-Latarjet procedure was done. The surgery was successfully performed, and there was no sign of recurrent instability and pain after one year.
Discussion: The number of recurrent shoulder dislocations is over 75%. Bone loss found in the patient will increase the chance of RASI. No block procedure effectively prevented future recurrence from the bone stop effect, which increases the glenoid cavity, stretching effect, and tensioning effect that prevents excessive humeral translation.
Conclusion: In the case of RASI, treatment decisions need to be based on the patient's exact condition. Bone block-Latarjet procedure is indicated in patients with bony bankart loss >25%, on track hillsach lesion, and >6 ISIS. In this research, the patient showed improved functional and clinical outcomes after eight years of chronic shoulder instability. |
| format | Article |
| id | doaj-art-9c818c1dd5424a02bb45b14e74c5f7da |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-9c818c1dd5424a02bb45b14e74c5f7da2025-02-12T07:28:05ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422023-04-01121162210.20473/joints.v12i1.2023.16-2235629Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case ReportHastomo Agung Wibowo0https://orcid.org/0000-0001-7453-5129Dadang Rona Sasetyo1https://orcid.org/0000-0002-9862-7527Yusa muhammad Thoriq2https://orcid.org/0000-0003-4036-7600Felix Giovanni Hartono3https://orcid.org/0000-0001-5496-0312Department of Orthopaedics and Traumatology, Dr. Soeradji Tirtonegoro General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, IndonesiaDepartment of Orthopaedics and Traumatology, Dr. Soeradji Tirtonegoro General Hospital, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta, IndonesiaSoeradji Tirtonegoro Sport Center and Research Unit, Dr. Soeradji Tirtonegoro General Hospital, Klaten, IndonesiaSoeradji Tirtonegoro Sport Center and Research Unit, Dr. Soeradji Tirtonegoro General Hospital, Klaten, IndonesiaBackground: Recurrent Anterior Shoulder Instability (RASI) is usually preceded by trauma. The incidence recurrence rate is high in trauma Induced RASI, especially in younger patients. The right diagnosis and management must be ruled out immediately for a better outcome. Case Report: The 28-year-old man complained of right shoulder instability for the past eight years, which worsened in the last year. The patient had a history of trauma. Anterior apprehension and relocation test for the right shoulder showed a positive result. Radiologic imaging showed bony bankart loss (27%) and an on-track hillsach lesion of the humeral head. The Instability Severity Index Score (ISIS) is 7 points. Based on these results, an open surgery bone block-Latarjet procedure was done. The surgery was successfully performed, and there was no sign of recurrent instability and pain after one year. Discussion: The number of recurrent shoulder dislocations is over 75%. Bone loss found in the patient will increase the chance of RASI. No block procedure effectively prevented future recurrence from the bone stop effect, which increases the glenoid cavity, stretching effect, and tensioning effect that prevents excessive humeral translation. Conclusion: In the case of RASI, treatment decisions need to be based on the patient's exact condition. Bone block-Latarjet procedure is indicated in patients with bony bankart loss >25%, on track hillsach lesion, and >6 ISIS. In this research, the patient showed improved functional and clinical outcomes after eight years of chronic shoulder instability.https://e-journal.unair.ac.id/JOINTS/article/view/37560shoulder instability orthopaedicsport injurytraffic accident |
| spellingShingle | Hastomo Agung Wibowo Dadang Rona Sasetyo Yusa muhammad Thoriq Felix Giovanni Hartono Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report Journal Orthopaedi and Traumatology Surabaya shoulder instability orthopaedic sport injury traffic accident |
| title | Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report |
| title_full | Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report |
| title_fullStr | Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report |
| title_full_unstemmed | Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report |
| title_short | Do We Need A Bone Block Procedure in Recurrent Anterior Shoulder Instability?: A Case Report |
| title_sort | do we need a bone block procedure in recurrent anterior shoulder instability a case report |
| topic | shoulder instability orthopaedic sport injury traffic accident |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/37560 |
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