Male Sex, Western Ontario Shoulder Instability Index Score, and Sport as Predictors of Large Labral Tears of the Shoulder: A Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability Cohort Study

被引：4

作者：

Cronin, Kevin J. ^{[1
]}

Magnuson, Justin A. ^{[1
]}

Wolf, Brian R. ^{[2
]}

Hawk, Gregory S. ^{[3
]}

Thompson, Katherine L. ^{[3
]}

Jacobs, Cale A. ^{[1
]}

Hettrich, Carolyn M. ^{[4
]}

Bishop, Julie Y. ^{[5
]}

Bollier, Matthew J. ^{[6
]}

Baumgarten, Keith M. ^{[7
]}

Bravman, Jonathan T. ^{[8
]}

Brophy, Robert H. ^{[9
]}

Cox, Charles L. ^{[10
]}

Feeley, Brian T. ^{[11
]}

Frank, Rachel M. ^{[8
]}

Grant, John A. ^{[12
]}

Jones, Grant L. ^{[5
]}

Kuhn, John E. ^{[10
]}

Ma, C. Benjamin ^{[11
]}

Marx, Robert G. ^{[13
]}

McCarty, Eric C. ^{[8
]}

Miller, Bruce S. ^{[12
]}

Neviaser, Andrew S. ^{[5
]}

Seidl, Adam J. ^{[8
]}

Smith, Matthew V. ^{[9
]}

Wright, Rick W. ^{[9
]}

Zhang, Alan L. ^{[11
]}

机构：

[1] Univ Kentucky, Dept Orthopaed Surg & Sports Med, 740 S Limestone,K403, Lexington, KY 40536 USA

[2] Univ Iowa, Dept Orthopaed, Iowa City, IA USA

[3] Univ Kentucky, Dept Stat, Lexington, KY USA

[4] Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA

[5] Ohio State Univ Sports Med Ctr, Columbus, OH USA

[6] Univ Iowa Hosp & Clin, Iowa City, IA USA

[7] Orthoped Inst, Sioux Falls, SD USA

[8] Univ Colorado Sch Med, Dept Orthoped, Aurora, CO USA

[9] Washington Univ St Louis, Dept Orthoped, St Louis, MO USA

[10] Vanderbilt Univ Sch Med, Dept Orthopaed Surg & Rehabilitat, Nashville, TN USA

[11] Univ Calif San Francisco, Department of Orthopaed Surg, San Francisco, CA USA

[12] Univ Michigan, Dept Orthopaed Surg, MedSport, Ann Arbor, MI USA

[13] Hosp Special Surg, Dept Sports Med, New York, NY USA

来源：

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2021年 / 37卷 / 06期

关键词：

ARTHROSCOPIC REPAIR; DISLOCATIONS; ANTERIOR; LESIONS; YOUNG;

D O I：

10.1016/j.arthro.2021.01.007

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Purpose: To identify factors predictive of a large labral tear at the time of shoulder instability surgery. Methods: As part of the Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort, patients undergoing open or arthroscopic shoulder instability surgery for a labral tear were evaluated. Patients with >270 degrees tears were defined as having large labral tears. To build a predictive logistic regression model for large tears, the Feasible Solutions Algorithm was used to add significant interaction effects. Results: After applying exclusion criteria, 1235 patients were available for analysis. There were 222 females (18.0%) and 1013 males (82.0%) in the cohort, with an average age of 24.7 years (range 12 to 66). The prevalence of large tears was 4.6% (n = 57), with the average tear size being 141.9 degrees. Males accounted for significantly more of the large tears seen in the cohort (94.7%, P = .01). Racquet sports (P = .01), swimming (P = .02), softball (P = .05), skiing (P = .04), and golf (P = .04) were all associated with large labral tears, as was a higher Western Ontario Shoulder Instability Index (WOSI; P = .01). Age, race, history of dislocation, and injury during sport were not associated with having a larger tear. Using our predictive logistic regression model for large tears, patients with a larger body mass index (BMI) who played contact sports were also more likely to have large tears (P = .007). Conclusions: Multiple factors were identified as being associated with large labral tears at the time of surgery, including male sex, preoperative WOSI score, and participation in certain sports including racquet sports, softball, skiing, swimming, and golf. Level of Evidence: I, prognostic study.

引用

页码：1740 / 1744

页数：5