Issue: January 2017
November 28, 2016
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Short-term complications associated with glenoid bone block augmentation for shoulder instability

Issue: January 2017
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Results from this study indicated shoulder instability treated with anterior glenoid block augmentation allowed for return to physical function among U.S. military service members; however, significant short-term complications and morbidity were seen.

Using the from the Military Health System Management Analysis and Reporting Tool (M2), researchers retrospectively reviewed information for 64 U.S. military service members who underwent either anterior capsulorraphy with coracoid process transfer or anterior bone block augmentation for anterior shoulder instability. Investigators collected demographic, occupational and medical data from the U.S. Defense Manpower Data Center and medical records.

Results showed 19 perioperative complications in 16 patients, with eight neurologic injuries; six infections; and four hardware failures. At a mean follow-up of 2.4 years, investigators noted 15 patients said they had recurrent subluxation or feelings of apprehension and 21 patients said they had persistent shoulder pain.

According to researchers, 12 patients required secondary surgical procedures. Twenty patients in total had persistent shoulder disability and had a medical discharge from the military. by Monica Jaramillo

 

Disclosures: Waterman reports no relevant financial disclosures.  Please see the full study for a list of all other authors’ relevant financial disclosures.