PROJECT PARTNERS
OLVG, Amsterdam, the Netherlands
Amsterdam Shoulder and Elbow Center of Expertise (ASECE), Amsterdam, the Netherlands
Faculty of Behavioural and Movement Sciences, VU, Amsterdam, the Netherlands
FUNDING
AMC MD/PhD Scholarship: The AMC Medical School and Graduate School for Medical Sciences offer a grand to outstanding and scientifically promising students to participate in the MD-PhD program. The program combines the medical Master’s degree program with PhD research.
BACKGROUND
With 4000 new anterior shoulder dislocations annually in the Netherlands, it is the most dislocated joint. The trauma occurs mainly in young individuals and up to 60% of patients later experience a dislocation again (re-dislocation), which has a negative impact on quality of life. Determining risk of a re-dislocation is a difficult task, as there are a lot of factors that contribute to the stability of the shoulder. For example, glenoid bone loss, a Hill-Sachs lesion, neuromusculair control and muscle strength are factors that play an important role in stabilizing the shoulder. Currently, glenoid bone loss is used as a parameter to predict recurrence risk. However, this is not the only factor that determines this risk and how do you measure something that is not there? Advances in technology create the opportunity to analyze (dynamic) 3D-models of humerus and scapula. By analyzing the interaction between these bony structures, this project looks for parameters that can predict recurrence risk more accurately by taking more of the factors that determine stability into account.
OBJECTIVES
The main objective of this project is to improve our ability to estimate risk of a re-dislocation. This goal is achieved through multiple objectives:
1. Identify and critically evaluate currently available methods and risk factors that are used to determine re-dislocation risk
2. Determine if new factors can be identified through 3D analysis of the bony structures' interactions.
3. Determine which patient-reported and clinical outcomes should be used in shoulder instability research. These outcomes will facilitate standardized research and setting up a prospective cohort.
Further Information
More can be found at http://www.shoulderelbowcenter.com/