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Handedness-related outcome following arthroscopic shoulder stabilization

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Bankart's repair technique represents a standard procedure for arthroscopic shoulder stabilization with excellent functional outcomes. Information concerning handedness-related outcome is missing. Here, we compare the postoperative outcome following arthroscopic shoulder stabilization in relation to handedness, taking sex and age as covariates into account.

Patients and methods

Our retrospective dual-cohort study included 36 patients with dominant side shoulder instability (mean follow-up 33 months) and 31 patients with non-dominant side shoulder instability (mean follow-up 41 months), who underwent arthroscopic shoulder stabilization due to traumatic anterior-inferior shoulder instability. All had experienced recurrent dislocations preoperatively. The impact of handedness, and of age and sex as covariates on postoperative outcome was evaluated by the Rowe score, the apprehension test and self-reported VAS.

Results

Postoperatively, the Rowe score of the dominant side (mean 81.8, median 97.5) and the non-dominant side (mean 84.8, median 100) was not different (P = 0.718). Likewise, the univariate analysis for handedness (P = 0.806), sex (P = 0.627) and age (P = 0.929) as well as multivariate analysis for handedness (P = 0.721), sex (P = 0.583) and age (P = 0.898) showed no difference. The apprehension test for dominant versus non-dominant side operated patients was not different (P = 0.194). The univariate and multivariate analysis for handedness (P = 0.202 and P = 0.387, respectively) and age (P = 0.322 and P = 0.310, respectively) revealed no difference. However, the univariate and multivariate analysis for sex (P = 0.007 and P = 0.013, respectively) showed a difference. In relation to handedness, the results for the validated self-reported pain (rest pain P = 0.696, load-dependent pain P = 0.332) and surgery outcome satisfaction (P = 0.912) VAS were not different.

Conclusions

Patients with shoulder instability, who underwent arthroscopic Bankart repair for stabilization of their dominant or non-dominant shoulder showed no handedness-related difference in postoperative outcome based on Rowe score, apprehension test and self-reported VAS. For the orthopedic practice, this suggests that handedness is not a risk factor for patients outcome.

Level of evidence

Level IV, cohort study.

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References

  1. Labriola JE, Lee TQ, Debski RE, McMahon PJ (2005) Stability and instability of the glenohumeral joint: the role of shoulder muscles. J Shoulder Elbow Surg 14(1S):32S–38S

    Article  Google Scholar 

  2. Veeger HEJ, van der Helm FCT (2007) Shoulder function: the perfect compromise between mobility and stability. J Biomechanics 40(10):2119–2129

    Article  CAS  Google Scholar 

  3. Bagesteiro L, Sainburg R (2002) Handedness: dominant arm advantages in control of limb dynamics. J Neurophysiol 88:2408–2421

    Article  Google Scholar 

  4. Barnes CJ, Van Steyn SJ, Fischer RA (2001) The effects of age, sex, and shoulder dominance on range of motion of the shoulder. J Shoulder Elbow Surg 10(3):242–246

    Article  CAS  Google Scholar 

  5. Brown GA, Tan JL, Kirkley A (2000) The lax shoulder in females. Issues, answers, but many more questions. Clin Orthop Related Res 372:110–122

    Article  Google Scholar 

  6. Churchill R, Brems J, Kotschi H (2001) Glenoid size, inclination, and version: an anatomic study. J Shoulder Elbow Surg 10:327–332

    Article  CAS  Google Scholar 

  7. Conte ALF, Marques AP, Casarotto RA, Amado-João SM (2009) Handedness influences passive shoulder range of motion in nonathlete adult women. J Manipul Physiol Therap 32(2):149–153

    Article  Google Scholar 

  8. Günal I, Kose N, Erdogan O, Gokturk E, Seber S (1996) Normal range of motion of the joints of the upper extremity in male subjects, with special reference to side. J Bone Jt Surg Am 78(9):1401–1404

    Article  Google Scholar 

  9. Macedo LG, Magee DJ (2008) Differences in range of motion between dominant and nondominant sides of upper and lower extremities. J Manipul Physiol Therap 31(8):577–582

    Article  Google Scholar 

  10. Matsuki K, Matsuki KO, Mu S et al (2011) In vivo 3-dimensional analysis of scapular kinematics: comparison of dominant and nondominant shoulders. J Shoulder Elbow Surg 20(4):659–665

    Article  Google Scholar 

  11. Merrill A, Guzman K, Miller S (2009) Gender differences in glenoid anatomy: an anatomic study. Surg Radiol Anat 31:183–189

    Article  Google Scholar 

  12. Murray MP, Gore DR, Gardner GM, Mollinger LA (1985) Shoulder motion and muscle strength of normal men and women in two age groups. Clin Orthop Relat Res 192:268–273

    Google Scholar 

  13. Noguchi T, Demura S, Takahashi K, Demura G, Mori Y (2014) Differences in muscle power between the dominant and nondominant upper limbs of baseball players. J Strength Cond Res 28(1):82–86

    Article  Google Scholar 

  14. Owens BD, Dawson L, Burks R, Cameron KL (2009) Indence of shoulder dislocation in the United States military: demographic considerations from a high-risk population. J Bone Jt Surg 91:791–796

    Article  Google Scholar 

  15. Owens BD, Agel J, Mountcastle SB, Cameron KL, Nelson BJ (2009) Incidence of glenohumeral instability in Collegiate athletics. Am J Sports Med 37(9):1750–1754

    Article  Google Scholar 

  16. Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Jt Surg Am 38A(5):957–977

    Article  Google Scholar 

  17. Simonet WT, Cofield RH (1984) Prognosis in anterior shoulder dislocation. Am J Sports Med 12(1):19–24

    Article  CAS  Google Scholar 

  18. Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J (1996) Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Jt Surg Am 78(11):1677–1684

    Article  CAS  Google Scholar 

  19. Harris JD, Gupta AK, Mall NA, Abrams GD, McCormick FM, Cole BJ, Bach BR Jr, Romeo AA, Verma NN (2013) Long-term outcomes after Bankart shoulder stabilization. Arthroscopy 29(5):920–933

    Article  Google Scholar 

  20. Hovelius L (1982) Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res 166:127–131

    Google Scholar 

  21. Hovelius L (1987) Anterior dislocation of the shoulder in teen-agers and young adults. Five-year prognosis. J Bone Jt Surg Am 69(3):393–399

    Article  CAS  Google Scholar 

  22. Hovelius L, Lind B, Thorling J (1983) Primary dislocation of the shoulder. Factors affecting the two-year prognosis. Clin Orthop Relat Res 176:181–185

    Google Scholar 

  23. Robinson CM, Seah M, Akhtar MA (2011) The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Jt Surg Am 93(17):1605–1613

    Article  Google Scholar 

  24. Carter C, Ireland M, Johnson A, Levine WN, Martin S, Bedi A, Matzkin EG (2018) Sex-based differences in common sports injuries. J Am Acad Orthop Surg 26:447–454

    Article  Google Scholar 

  25. Edouard P, Degache F, Beguin L, Samozini P, Gresta G, Fayolle-Minon I, Farizon F, Calmels P (2011) Rotator cuff strength in recurrent anterior shoulder instability. J Bone Jt Surg Am 93(8):759–765

    Article  Google Scholar 

  26. Jan J, Benkalfate T, Rochcongar P (2012) The impact of recurrent dislocation on shoulder rotator muscle balance (a prospective study of 102 male patients). Ann Phys Rehabil Med 55(6):404–414

    Article  CAS  Google Scholar 

  27. Razmjou H, Davis A, Jaglal S, Holtby R, Richards R (2009) Crosssectional analysis of baseline differences of candidates for rotator cuff surgery: a sex and gender perspective. BMC Musculosk Disord 10:26. https://doi.org/10.1186/1471-2474-10-26

    Article  Google Scholar 

  28. Rowe CR, Patel D, Southmayd WW (1978) The Bankart procedure: a long-term end-result study. J Bone Jt Surg Am 60(1):1–16

    Article  CAS  Google Scholar 

  29. Rowe CR, Zarins B (1981) Recurrent transient subluxation of the shoulder. J Bone Jt Surg Am 63(6):863–872

    Article  CAS  Google Scholar 

  30. McDonald JH (2005) Handbook of biological statistics. Sparky House Publishing, Baltimore

    Google Scholar 

  31. Hoenig J, Heisey D (2001) The abuse of power: the pervasive fallacy of power calculations for data analysis. Am Stat 55:1–6

    Article  Google Scholar 

  32. Lertwanich P, Lamsam C, Kulthanan T (2006) Difference in isokinetic strength of the muscles around dominant and nondominant shoulders. J Med Assoc Thai 89(7):948–952

    PubMed  Google Scholar 

  33. Allander E, Bjomsson O, Olafsson O, Sigfusson N, Thorsteinson J (1974) Normal range of joint movements in shoulder, hip, wrist and thumb with special reference to side: a comparison between two populations. Int J Epidemiol 3:253–261

    Article  CAS  Google Scholar 

  34. Magnuson J, Wolf B, Cronin K et al (2019) Sex-related differences in patients undergoing surgery for shoulder instability: a Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort study. J Shoulder Elbow Surg 28:1013–1021

    Article  Google Scholar 

  35. Kaipel M, Reichetseder J, Schuetzenberger S, Hertz H, Majewski M (2010) Sex-related outcome differences after arthroscopic shoulder stabilization. Orthopedics. https://doi.org/10.3928/01477447-20100129-18

    Article  PubMed  Google Scholar 

  36. Shitara H, Shimoyama D, Sasaki T et al (2015) The neural correlates of shoulder apprehension: a functional MRI study. PLoS One. https://doi.org/10.1371/journal.pone.0137387

    Article  PubMed  PubMed Central  Google Scholar 

  37. Cunningham G, Zanchi D, Emmert K, Kopel R, van de Ville D, Lädermann A, Haller S, Hoffmeyer P (2015) Neural correlates of clinical scores in patients with anterior shoulder apprehension. Med Sci Sports Exerc 47:2612–2620

    Article  Google Scholar 

  38. Haller S, Cunningham G, Laedermann A, Hofmeister D, van de Ville D, Lovblad KO, Hoffmeyer P (2014) Shoulder apprehension impacts large-scale functional brain networks. AJNR Am J Neuroradiol 35(4):691–697

    Article  CAS  Google Scholar 

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Acknowledgements

We thank Professor Christian Gerber, Department of Orthopaedics, University of Zurich and Balgrist University Hospital, Zurich for constructive comments and Professor Douglas J. Taatjes, College of Medicine, University of Vermont, Burlington for critical reading of the manuscript. We acknowledge Dr. Fritz Luther, University of Vienna for advice in the statistical analysis.

Funding

The authors did not receive any outside funding or grants in support of this study.

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Authors and Affiliations

  1. Department of Orthopedics, University Hospital Basel, Spitalstrasse 21, 4056, Basel, Switzerland

    Raphael J. Roth & Martin Majewski

  2. Lorenz-Böhler Trauma Center of the AUVA, Donaueschingenstraße 13, 1200, Vienna, Austria

    Martin Kaipel

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All authors have made substantial contributions to all of the following: (1) the conception and design of the study, or acquisition of data, or analysis and interpretation of data, (2) drafting the article or revising it critically for important intellectual content, (3) final approval of the version to be submitted.

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Correspondence to Raphael J. Roth.

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Roth, R.J., Kaipel, M. & Majewski, M. Handedness-related outcome following arthroscopic shoulder stabilization. Arch Orthop Trauma Surg 140, 1459–1464 (2020). https://doi.org/10.1007/s00402-020-03495-3

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