An Age-Based Approach to Anterior Shoulder Instability in Patients Under 40 Years Old
Source: AJSM, January 2020
Clinical Question: To report the effect of age on number of instability events before physician consult, rate of surgical stabilization, recurrent instability and progression to osteoarthritis (OA) in patients <40 years.
Bottom Line: Younger patients – particularly those in groups <15 & 16-20 years-old – were more likely to have experienced multiple instability events at time of initial consult, require surgery and experiences recurrent instability.
Points to Consider: Descriptive epidemiologic study. 654 patients with mean follow-up of 11.1 years. Patients 16 to 20 years old had the highest rates of surgical intervention (40.4%) and recurrence after surgery (24.8%). Those in the 31 to 40 yo group were significantly more likely to develop symptomatic OA (15.6%) than all other age groups.
About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.