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- Title
Patients Undergoing Shoulder Stabilization Surgery Have Elevated Shoulder Activity Compared With Sex- and Age-Matched Healthy Controls.
- Authors
Brophy, Robert H.; Hettrich, Carolyn M.; Ortiz, Shannon; Wolf, Brian R.; Baumgarten, Keith M.; Bedi, Asheesh; Bishop, Julie Y.; Bollier, Matthew J.; Bravman, Jonathan T.; Carey, James L.; Cox, Charlie L.; Dunn, Warren; Feeley, Brian T.; Jones, Grant L.; Kelly, John D.; Kuhn, John E.; Benjamin Ma, C.; Marx, Robert G.; Miller, Bruce S.; Sennett, Brian J.
- Abstract
Background: Shoulder activity level may be a risk factor for shoulder instability, an indication for surgical intervention, and a risk factor for failure of operative stabilization. Hypothesis: Patients undergoing shoulder stabilization surgery have a higher activity level compared with sex- and age-matched healthy controls. Study Design: Cross-sectional study. Level of Evidence: Level 2. Methods: Patients undergoing shoulder stabilization surgery aged 18 to 50 years were prospectively enrolled. As part of data collection, patients completed a previously validated shoulder activity scale, which generates a score reporting frequency of activity ranging from 0 (least active) to 20 (most active). The activity level of these patients was compared with sex- and age-matched norms for a healthy population with no history of shoulder disorders. Results: A total of 409 subjects (343 male, 66 female) undergoing shoulder instability surgery completed the activity scale. Seventy-seven percent of patients had higher shoulder activity level than sex- and age-matched controls. Seventy-nine percent aged 18 to 30 years had a higher shoulder activity level than controls, with an identical distribution for men (79%) and women (79%). Among patients aged 31 to 50 years, 70% had higher activity than controls. However, men were more likely to have a higher activity level than controls (72%) versus women (59%). In patients aged 18 to 30 years, median activity level for instability patients was 14 in men compared with 10 in controls, and 13 in women compared with 8 in controls. In patients aged 31 to 50 years, median activity level was 13 in men compared with 10 in controls and 10 in women compared with 8 in controls. Conclusion: Patients undergoing shoulder stabilization surgery have a higher activity level than sex- and age-matched healthy controls. Clinical Relevance: Shoulder activity is especially elevated in younger, male instability patients.
- Subjects
SHOULDER surgery; SHOULDER dislocations; LABRAL injuries; THERAPEUTICS; INJURY risk factors; SHOULDER joint surgery; SHOULDER joint; JOINT hypermobility; LONGITUDINAL method; SEX distribution; SHOULDER injuries; ACQUISITION of data; CROSS-sectional method; DESCRIPTIVE statistics; PHYSIOLOGY
- Publication
Sports Health: A Multidisciplinary Approach, 2017, Vol 9, Issue 1, p59
- ISSN
1941-7381
- Publication type
Article
- DOI
10.1177/1941738116676810