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. 2023 Nov 29;8(1):80-84.
doi: 10.1016/j.jseint.2023.11.001. eCollection 2024 Jan.

Arthroscopic shoulder suspensioplasty in painful hemiplegic shoulder subluxation-a case series

Olivier Bozon  1 , Vittoria Casamenti  2 , Flavia Coroian  2   3 , Isabelle Laffont  2   3 , Bertrand Coulet  1   3
Affiliations

Arthroscopic shoulder suspensioplasty in painful hemiplegic shoulder subluxation-a case series

Olivier Bozon et al. JSES Int. .

Abstract

Background: Inferior glenohumeral subluxation (GHS) can cause disabling pain in hemiplegics. Conservative treatments have not been proven to be effective or maintained over time. A few studies have shown the benefits of surgical treatment. The objective of our study was to evaluate the medium-term clinical and radiological results of arthroscopic glenohumeral suspensioplasty surgery by biceps tenodesis in the setting of painful GHS in hemiplegics.

Methods: We conducted a retrospective study of patients who underwent arthroscopic glenohumeral suspensioplasty. The assessment, at a minimum of 1 year, included a clinical evaluation (pectoralis major spasticity, pain, range of motion, satisfaction) and a radiographic evaluation (Dursun classification, height of subacromial space).

Results: Five patients with a mean age of 51 years (36-72 years) were included at a mean follow-up of 40 months (12-70). Satisfaction was good in 80% of patients. Pain decreased in all patients, but not significantly. Four patients (80%) would repeat the procedure if it were necessary. In all patients, a reduction in GHS over time was observed, with a reduction in subacromial height, except in 1 patient who suffered a tenodesis rupture during a fall.

Conclusion: Our results suggest that arthroscopic glenohumeral suspensioplasty by biceps tenodesis may be a therapeutic option in hemiplegic patients with painful GHS.

Keywords: Arthroscopy; Hemiplegic; Pain; Shoulder subluxation; Stroke; Suspensioplasty.

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Figures

Figure 1
Figure 1
Drawing of the glenohumeral suspensioplasty procedure using biceps tenodesis, according to Bozon and Coulet.
See this image and copyright information in PMC

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