The stabilization surgical treatment by open Latarjet procedure is one of the reference treatments after anterior glenohumeral dislocation in athletes. This surgical technique allows low recurrence rates and high return to sport rates. Indeed, more than 90% of athletes return to sport after this type of surgery, but only 60% are able to resume the same activity as a preinjury level of performance. Therefore, adaptations in the postoperative management of athletes patients seem necessary. Isokinetic dynamometry is considered the gold standard to provide an objective assessment of muscle strength abilities, particularly in the clinical setting. Although rehabilitation exercises are prescribed early after the Latarjet procedure, muscle deconditioning occurs during the postoperative phase, limiting the abilities of the rotator cuff muscles to provide stability to the glenohumeral joint. Therefore, recovery of all components of strength, i.e. maximal strength, power, and strength endurance of the rotator cuff muscles appears crucial for the athletes to return to their sport at the pre-injury level. However, at present, the strength levels to be recovered remain to be defined.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
210
Western Ontario Shoulder Instability questionnaire Western Ontario Rotator Cuff questionnaire Shoulder Instability Return to Sport after Injury questionnaire
isokinetic evaluation
Hopital privé Jean Mermoz
Lyon, France
Bilateral glenohumeral rotator muscle strength differences assessed at 4 months postoperatively
Bilateral muscle strength gap at 4 months postoperatively: * concentric internal rotators at 60°/s * concentric external rotators at 60°/s, * eccentric internal rotators at 60°/s, * eccentric external rotators at 60°/s, * concentric endurance internal rotators at 120°/s, * concentric endurance external rotators at 120°/s,
Time frame: 4 months
Return to same sport at pre-injury level assessed at 12 months post-operatively
questionnaire to the patient : what sport do you practice, which level?
Time frame: 12 months
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