Arthroscopic repair of acute traumatic anterior shoulder dislocation in young athletes

Larrain, Mario; Botto, Guillermo; Montenegro, Hugo J.; Mauas, David M.

doi:10.1053/jars.2001.23226

Cited by 110 publications

(63 citation statements)

References 14 publications

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“…1 and 2, respectively. Across all six studies, [12][13][14][15][16][17] the arthroscopic surgical treatment showed a decreased rate of recurrent shoulder dislocations or subluxations when compared to the non-operative treatment. Calculated pooled result of NNT was a positive number of 1.76 (95% CI=1.50 to 2.13), indicating that two arthroscopic surgical repairs would need to be performed in order to prevent one recurrent episode.…”

Section: Resultsmentioning

confidence: 87%

“…More specifically, these articles included a comparison between different surgical techniques (e.g., open vs. arthroscopic), patients with shoulder dislocations rather than anterior direction (e.g., posterior instability), patients with multiple dislocations (e.g., not first-time), different outcome measures (e.g., cost effectiveness), only recorded outcome measures from the surgical treatment (e.g., absence of the control). Among the remaining 11 relevant studies, [12][13][14][15][16][17][18][19][20][21][22] five articles [18][19][20][21][22] were further excluded. One study, 18) which was a longer-term follow-up to the same patients used in another study, 16) and was included in the pooled data, was excluded.…”

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

“…20) One article was excluded because only an abstract was published. 19) Therefore, six studies [12][13][14][15][16][17] were finally pooled. The average follow-up time was 56 months.…”

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

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Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

Park

Cosby²

2016

Clinics in Shoulder and Elbow

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Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumatic anterior shoulder dislocations. Methods: We searched Google Scholar, MEDLINE, SPORTDiscus, and CINAHL from inception in 2015. All articles had to compare arthroscopic surgical repair and non-operative treatment and be written in English. We used the total number of subjects and the number of recurrent dislocations within each treatment to calculate the NNT and RRR for each study and the pooled data. Results: Six articles were selected and all clearly demonstrated that the arthroscopic surgical repair was more effective than non-operative treatment in reducing the recurrence episodes. The pooled NNT was 1.76 (95% confidence interval [CI]=NNT to benefit 1.50-2.13) and the pooled RRR was 86.0% (95% CI=77.0%-92.0%) among individuals who underwent arthroscopic repair. The average follow-up time was 56 months. Conclusions: A Strength of Recommendation Taxonomy level of evidence of 1 with a grade A recommendation supports the use of arthroscopic surgical repair over non-operative treatment in prevention of first-time traumatic anterior shoulder dislocations. We suggest that sports medicine practitioners consider the patients' age, occupation, and physical activity level when making a clinical decision. (Clin Shoulder Elbow 2016;19(2):110-116)

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Section: Resultsmentioning

confidence: 87%

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

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Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

Park

Cosby²

2016

Clinics in Shoulder and Elbow

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“…[30] Bankart lesion repair by arthroscopy [34] Case Procedure: Return of dislocation [1] Control Procedure: Return of dislocation [2] Limitation of external rotation [1] Robinson et al 2008 Bankart lesion repair by arthroscopy [39] Case Procedure: Recurring dislocation [3] Pain and stiffness [4] Need for surgical repair [1] Control Procedure: Recurring anterior dislocation [24] Subjective instability [1] Pain and stiffness [4] Bottoni et al 2002…”

Section: Resultsmentioning

confidence: 99%

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Nascimento¹,

Castro²,

Pereira³

et al. 2017

OJO

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Introduction: shoulder joint has the greatest range of motion in the human body. The shoulder anatomy promotes high mobility and favors relative sacrifice of articular stability, making it susceptible and more prone to events of instability and dislocation. This review aimed at identifying main complications of surgical treatment of anterior shoulder dislocation. Methodology: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines. Studies which were eligible for this systematic review included: English or Spanish language, studies published from 2000, which mentioned surgical complications of anterior shoulder dislocation in their results, both in open and arthroscopic surgery. Included studies which were required to have at least 1 complication following surgical repair. Only studies from original data were included. Results: We found 228 potentially eligible studies for the survey. Through the inclusion and exclusion criteria and after consensus among reviewers, we chose 9 studies to compose the systematic review. Conclusion: Important information emerges: recurring instability, recurring dislocation, external rotation limitation and arthritis are main surgical complications of anterior shoulder dislocation.

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“…In athletes involved in collision sports, the recurrence rates have been reported collision sports, the recurrence rates have been reported between 86-94%. 6,[40][41][42] …”

Section: Activity Levelmentioning

confidence: 99%

Nonoperative rehabilitation for traumatic and atraumatic glenohumeral instability

Wilk

Macrina²,

Reinold³

2012

Shoulder Instability: A Comprehensive Approach

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Arthroscopic repair of acute traumatic anterior shoulder dislocation in young athletes

Cited by 110 publications

References 14 publications

Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Nonoperative rehabilitation for traumatic and atraumatic glenohumeral instability

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