Lower socioeconomic status may be associated with recurrent shoulder instability
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Key takeaways:
- Higher area deprivation index was associated with more dislocation events and recurrent instability.
- Higher social vulnerability socioeconomic subscores were associated with recurrent instability.
DENVER —Lower socioeconomic status may be associated with a higher likelihood of additional dislocation events and recurrent instability prior to shoulder stabilization surgery, according to results presented here.
“Lower socioeconomic status is an independent predictor of high likelihood of recurrent instability before surgery,” Vasilios Moutzouros, MD, chief of sports medicine at Henry Ford Health, said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting. “Recognizing this relationship can allow us to change the way we practice, create better systems to get these individuals to be assessed in a more timely fashion and understand the consequence of their original instability event.”
Moutzouros and colleagues retrospectively reviewed data from 106 patients who underwent shoulder stabilization surgery due to an instability event between January 2021 and April 2023. Outcomes included area deprivation index [ADI] and social vulnerability index socioeconomic subscores [SVISC].
According to Moutzouros, higher ADI was associated with a higher likelihood of a patient having more shoulder dislocation events prior to seeking treatment. In addition, higher ADI, higher SVISC, decreasing age and decreasing BMI were associated with recurrent instability prior to stabilization, Moutzouros said.
“The relationship between [social determinants of health] SDOH and the number of preoperative instability events are likely multifactorial,” Moutzouros said. “This is related to access to health care, insurance coverage, financial instability and it is also related to some medical education and bias issues. We have to be able to create an environment for which these individuals will seek their care after their first event because there are consequences to not having definitive care.”
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Moutzouros V, et al. Paper 6. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 10-14, 2024; Denver.
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