Aus der Abteilung für Unfallchirurgie Chirurgische Klinik mit ...

1.5 Zusammenfassung in Englisch
Background and intention:
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As a result of its anatomical structure, the shoulder joint is most frequently
affected by dislocation. With a rate of 95% the anterior-inferior shoulder
dislocation represents the most frequent form. The surgical Bankart repair for
posttraumatic recurrent anterior instability has become the procedure of choice.
Postoperative rehabilitation is very important in view of therapy success. The
purpose of this study was to explore the effect that postoperative mobilisation
has on joint stability and mobility when begun at various times through
questionnaires and physical examinations.
Methods:
In our retrospective study, we were able to re-examine 27 of 32 patients with
classic Bankart lesions who were operated in the Department of Trauma
Surgery at the University of Erlangen, resulting in a return rate of 79,4%. Neer
inferior capsular shift surgery was additionally performed on patients with an
intraoperative diagnosed antero-inferior instability additionally. 23 patients
(85%) underwent open Bankart repair, 4 patients (15%) received stabilization
with arthroscopic Bankart repair. The Matsen Simple-Shoulder-Test and the
score-based questionnaires, Constant and Rowe, were handed out and
answered before physical examination. All 27 patients suffered from anterior,
unidirectional and unilateral shoulder dislocations. The patients were divided
into groups of earlier- or later mobilized patients, depending on the day at which
they were enabled perform postoperative mobilization. The individual begin of
mobilization was determined by the surgeon and documented in the patient’s
medical record. This resulted in a group of earlier mobilized patients (n=8)
which started physiotherapy within 7 days after surgery, and a group of later
mobilized patients which started physiotherapy at least 10 days after surgery.