Three-Dimensional Sectional Measurements of Shoulder Muscle Volume and Computed Tomography Density to Monitor Serial Postoperative Volume Changes in the Transverse Force Couple of Shoulder Muscles in Anterior Shoulder Instability
2024

Shoulder Muscle Volume Changes After Surgery

Sample size: 24 publication 10 minutes Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Nagawa Keita, Hara Yuki, Kakemoto Shinji, Shiratori Taira, Kaizu Akane, Koyama Masahiro, Inoue Kaiji, Sakaguchi Katsunobu, Kozawa Eito

Primary Institution: Saitama Medical University, Saitama, JPN

Hypothesis

This study aims to evaluate serial changes in shoulder muscle volume and CT density after Bankart repair surgery in patients with anterior shoulder instability.

Conclusion

Shoulder muscle volume and CT density decreased in the early postoperative period but recovered by the late postoperative period.

Supporting Evidence

  • Muscle volume and CT density decreased at 1 month postoperatively compared to preoperative values.
  • Mean VRSsc/Isp+TM decreased in all sections at 1 month postoperatively but increased afterward.
  • Perioperative differences in muscle volume correlated with sex, work and sports activity level, and Hill-Sachs lesion.

Takeaway

Doctors looked at how shoulder muscles changed after surgery. At first, the muscles got smaller, but they got bigger again later.

Methodology

Four consecutive CT scans of 24 shoulders from 24 patients were examined preoperatively and postoperatively at 1, 6, and 12 months.

Limitations

The sample size was small and limited to a single center, which may affect generalizability.

Participant Demographics

{"age_mean":23.4,"sex_distribution":{"male":19,"female":5},"symptom_duration_mean":72.9,"work_activity_level":{"high":17,"low":7}}

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.74963

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