Shoulder Instability Clinical Trial
Official title:
Change of Strength and Range of Motion in Arthroscopic Latarjet Procedure - A Prospective Trial Involving the Four Muscles Altered
Open and arthroscopic Latarjet procedures are used to treat shoulder instability as primary
and salvage procedures. During surgery the coracoid process is detached and repositioned to
the anterior glenoid through a subscapularis split and fixed in place, resulting in an
enlarged glenoid and therefor articular surface. However, before this is done, the pectorals
minor, which inserts at the coracoid process, has to be detached and is left without further
treatment. Moreover, the conjoint tendon, the origin of the short head of the biceps and
coracobrachialis, is repositioned with the coracoid and therefor distalized and medialized.
No study currently followed up on the strength of the muscles altered. The aim of this study
is therefor, to prospectively measure range of motion and strength of the operated shoulder
at different time points pre- and postoperatively, comparing it with the healthy shoulder in
each individual.
Strength, range of motion and stability will be assessed pre-operatively and at 6 weeks, 12 weeks, 6 months, 12 months and 24 months post-operatively. Next to standard radiological follow up, including X-ray, arthrographic computed tomography as well as arthrographic magnetic resonance imaging, specific shoulder scores will be utilised. Strength for general shoulder motion as well as specifically for the subscapularis, the pectorals minor, the coracobrachialis and the biceps will be measured with a shoulder dynamometer. Data will be analysed and published. ;
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