ASSESSMENT OF FACTORS ASSOCIATED WITH THE DECISION OF SURGERY FOR GLENOHUMERAL INSTABILITY : A TERTIARY CARE CENTRE STUDY

Abstract

Glenohumeral instability is a heterogeneous shoulder condition, in terms of clinical presentation, structural pathology and management. The factors responsible for eventual surgery in glenohumeral instability need to be addressed. Objective of this Observational, Cross-sectional , Comparative study is assessing the factors responsible for eventual surgery in glenohumeral instability in the context of demographics ,frequency, etiology, direction, severity, sports participations . wise historyMethod of demographics , Frequency , Etiology, Direction , Severity of instability , surgical intervention were taken from 96 patients with glenohumeral instability who were physically examined and followed up to 6 months to record the occurrences of surgery. Subsequently 96 patients were divided into two groups , one group needed surgical intervention and the other did not . Data collected were analyzed statistically for signicant differences between these two groups with the primary outcome of surgery using Pearson 's chi square tests. Results revealed Male and female among 96 qualied patients , out of 200 evaluated patients ,were 81.25% and 18.75% respectively. Surgery was required in 78.57% of 56 younger patients (</= 25 years) which were more common than older patients (>25 years ) and 64.29% of 56 sportsperson, which were more than the proportion of non sports person . Instability requiring surgery were commonly traumatic (62.67% of 75 traumatic instability), frequent,>5episodes/ year, ( 90.00% of 20 frequent instability) sustained by sports related trauma (64.70% of 51 trauma), symptomatic (76.56% of 64 symptomatic instability). So to , Young age ( ≤ 25 years) , sports activityConclude , traumatic injury, sports related trauma, frequent episodes (>5episodes/ year) and associated symptoms like pain , restricted range of motion ,and functional compromise are the factors resulting in surgery .