Rodeo athletes: management of shoulder instability.
Abstract: The aim of this study was to describe epidemiological data and evaluate the clinical results of traumatic anterior glenohumeral instability in rodeo athletes. Methods: Thirteen patients, all male, with a mean age of 23.2 (18-31) years old, with anterior glenohumeral instability were include in this study. In 9 patients, the right side was affected. The mean time elapsed between injury and undergoing surgery was 56 months (24-120 months). The surgical technique used (arthroscopic or open bone block procedure) was chosen based on the ISIS (Instability Severity Index Score). Only professional athletes who had been in the sport for at least 60 months were included. Functional evaluation was conducted using the UCLA scale, after a 24-month follow-up period. Results: The number of dislocation episodes varied from 10 to 100 (mean 27 episodes). All of the patients were submitted a surgical treatment open bone block procedure, due to their degree of sport participation, type of sport (forced overhead and collision) and the presence of associated bone defect lesions. According to UCLA criteria, the results were excellent in 12 patients and good in one. The mean time elapsed before returning to the sport was five months, varying between two and ten months. Complications included one patient developing axillary neuropraxia, which was completely resolved six months after the operation, and another patient developed a superficial skin infection. Conclusions: The rodeo athletes with anterior shoulder instability had serious associated bony lesions and has good outcome after bone block procedure.
Publication Date: 2015-05-25 PubMed ID: 26004040
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- Journal Article
Summary
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The study examines the incidents of shoulder instability in rodeo athletes and assesses the effectiveness of corrective surgery.
Participants and Methodology
- The study was carried out on 13 male rodeo athletes aged 18 to 31 years, with the average age of the participants being 23.2 years.
- Most participants had instability in their right shoulder.
- The participants had been professional athletes for a minimum of 60 months and had suffered from shoulder instability for an average period of 56 months before undergoing surgery.
- The type of surgery (arthroscopic or open bone block procedure) was determined based on the severity of instability, which was measured using the Instability Severity Index Score (ISIS).
- The researchers conducted a functional evaluation of the athletes 24 months after the surgery by using the UCLA scale.
Results
- The athletes had experienced between 10 and 100 instances of shoulder dislocation, with the average number of episodes being 27.
- All participants underwent an open bone block procedure for their treatment.
- This specific surgical intervention was selected due to the level of the athletes’ involvement in their sport, the nature of their sport (which involves overhead and collision motions), and the presence of associated bone defect lesions.
- Based on the UCLA criteria, 12 athletes had excellent results from the surgery and one had good results. “Excellent” and “good” are terms used by the UCLA scale to evaluate post-op recovery and functional improvement.
Post-Surgery Outcome
- The average time taken for the patients to return to their sport was five months, ranging from two to ten months.
- One patient developed axillary neuropraxia (a condition affecting the nerves), which completely resolved six months after the operation.
- Another patient had a superficial skin infection as a surgical complication.
Conclusion
- The results of the study show that treating anterior shoulder instability in rodeo athletes, especially those with severe bony lesions, through bone block procedure can yield satisfactory outcomes.
Cite This Article
APA
Figueiredo EA, Belangero PS, Cohen C, Louchard RL, Terra BB, Pochini AC, Andreoli CV, Cohen M, Ejnisman B.
(2015).
Rodeo athletes: management of shoulder instability.
J Sports Med Phys Fitness, 56(5), 560-564.
Publication
Researcher Affiliations
- Center of Sports Traumatology (CETE), Department of Orthopedics and Traumatology, São Paulo Federal University (UNIFESP), São Paulo, Brazil - eduardoafigueiredo@terra.com.br.
MeSH Terms
- Adolescent
- Adult
- Animals
- Arthroscopy / methods
- Athletes
- Athletic Injuries / diagnostic imaging
- Athletic Injuries / physiopathology
- Athletic Injuries / surgery
- Female
- Horses
- Humans
- Joint Instability / diagnostic imaging
- Joint Instability / physiopathology
- Joint Instability / surgery
- Male
- Middle Aged
- Radiography
- Range of Motion, Articular
- Shoulder Dislocation / diagnostic imaging
- Shoulder Dislocation / physiopathology
- Shoulder Dislocation / surgery
- Shoulder Injuries
- Shoulder Joint / diagnostic imaging
- Shoulder Joint / surgery
- Sports
- Sports Medicine
- Treatment Outcome
- United States
- Young Adult
Citations
This article has been cited 6 times.- Baldan AR, Pereira VL, Lara PHS, Ejnisman B, Belangero PS. RESULT OF BONE BLOCKING SURGERY IN COMBAT ATHLETES WITH ANTERIOR SHOULDER INSTABILITY: A PROSPECTIVE STUDY. Acta Ortop Bras 2022;30(2):e244517.
- Belangero PS, Lara PHS, Figueiredo EA, Andreoli CV, de Castro Pochini A, Ejnisman B, Smith RL. Bristow versus Latarjet in high-demand athletes with anterior shoulder instability: a prospective randomized comparison. JSES Int 2021 Mar;5(2):165-170.
- Gil JA, DeFroda S, Owens BD. Current Concepts in the Diagnosis and Management of Traumatic, Anterior Glenohumeral Subluxations. Orthop J Sports Med 2017 Mar;5(3):2325967117694338.
- Terra BB, Sassine TJ, Aihara A, Belangero PS, Pochini AC, Ejnisman B. SHORT-TERM MRI EVALUATION OF CAPSULOLABRAL REPAIR IN ATHLETES WITH ANTERIOR GLENOHUMERAL INSTABILITY: CORRELATION WITH CLINICAL OUTCOMES. Acta Ortop Bras 2025;33(5):e287110.
- Box MW, Wilson F, Pasque CB, Smith CD. Characteristics of Rodeo Injuries and Suggestions for Injury Prevention: A Systematic Review. Orthop J Sports Med 2024 Apr;12(4):23259671241227217.
- Araujo BV, Lara PHS, Pochini AC, Ejnisman B, Figueiredo EA, Belangero PS. Bristow-Latarjet Surgery: A Current Overview in Brazil. Rev Bras Ortop (Sao Paulo) 2023 Oct;58(5):e734-e741.
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