Arthroscopic treatment of posterior shoulder instability in patients with and without glenoid dysplasia: a comparative outcomes analysis

Galvin, Joseph W.; Morte, Douglas; Grassbaugh, Jason A.; Parada, Stephen A.; Burns, Samuel H.; Eichinger, Josef K.

doi:10.1016/j.jse.2017.05.033

Cited by 20 publications

(30 citation statements)

References 29 publications

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“…The elevated rates of depression and smoking in the seizure group may both adversely affect the long term outcomes. [41][42][43][44] Contrary to our hypothesis, the rate of posterior instability was not significantly different between groups. Prior studies have shown that, while posterior instability is more common in patients with seizure, anterior instability remains the most common direction of instability overall.…”

Section: Discussioncontrasting

confidence: 62%

Surgical Stabilization of Shoulder Instability in Patients With or Without a History of Seizure: A Comparative Analysis

Agha

Rugg

Lansdown

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose:The purpose of this study is to compare patients from a large multicenter cohort with a history of seizure to those without a history of seizure in regard to preoperative and intraoperative findings and surgical procedures performed.Methods: Patients undergoing shoulder stabilization from 2011 to 2018 at 11 orthopaedic centers were prospectively enrolled. Those with a history of seizure were identified and compared to nonseizure controls. Preoperative demographic, history, physical examination, and imaging findings were collected. Intraoperative findings and surgical procedures performed were recorded. Mann-Whitney tests, Chi Square tests, and logistic regression analysis were employed to examine differences between the groups and define independent risk factors. Due to the number of statistical tests performed, the false discovery method was employed to determine adjusted P values to achieve α < .05. Results:During enrollment, 25 of 1298 shoulder stabilization patients had a history of seizure (1.9%). Sex ratio and age were similar between groups, as was posterior instability incidence (control: 23.2%; seizure: 28.0%). Seizure patients more frequently had >5 dislocations in the year preceding surgery (P = 0.016) and had increased preoperative radiographic evidence of bone loss

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Section: Discussioncontrasting

confidence: 62%

Surgical Stabilization of Shoulder Instability in Patients With or Without a History of Seizure: A Comparative Analysis

Agha

Rugg

Lansdown

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

View full text Add to dashboard Cite

show abstract

“…However, we think that this sample is very valuable as there are limited single-center studies with these strict inclusion criteria and precise patient selection. 7 , 12 , 14 , 19 , 20 , 23 , 24 , 28 , 31 , 34 Other limitations are related to the method of image measurements. Although most MRAs were obtained in a 3T magnetic resonance scanner, some of them were obtained in a 2T scanner, but both scanners are sensitive enough to calculate the cartilage thickness.…”

Section: Discussionmentioning

confidence: 99%

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

Ferrando¹,

Aguilar²,

Valencia³

et al. 2022

JSES International

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“…18 Studies assessing the clinical outcomes of arthroscopic repairs in athletes with posterior instability suggested that excessive retroversion, 17,30 glenoid dysplasia, 17 and increased capsular area were associated with recurrence of instability, 17 although a later study found that the presence of glenoid dysplasia did not influence clinical outcomes or revision rates. 16 In their review article of shoulder instability in contact athletes, DeLong and Bradley 13 enumerated preoperative clinical factors predictive of poor response to surgery, including hyperlaxity and multidirectional and voluntary instability. Given the multicentric retrospective design of this study, we could not include these clinical variables in our analysis.…”

Section: Discussionmentioning

confidence: 99%

Glenoid Cartilage Lesions Compromise Outcomes of Surgical Treatment for Posterior Shoulder Instability

Nourissat

Hardy

Garret

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Posterior shoulder instability is associated with nonspecific symptoms, including pain, subluxation, and functional impairment, which complicate its diagnosis and management. Owing to the rarity of the condition, there are no present decision tools for its diagnosis and treatment. Purpose: To investigate demographic, lesional, and surgical factors that influence functional outcomes in patients treated for posterior shoulder instability. Study Design: Case-control study; Level of evidence, 3. Methods: We analyzed the clinical and radiographic records of 150 patients treated surgically for isolated posterior shoulder instability at 10 centers between 2000 and 2015, of which 144 were eligible for inclusion: 114 men (79%) and 30 women (21%) (mean ± SD age, 28.7 ± 9.6 years). The mean time between onset of symptoms and surgery was 66 ± 75 months. Shoulder instability was of traumatic origin in 115 patients (80%). The primary treatment was bone-block procedures for 65 patients (45%), posterior Bankart repair for 67 (47%), and capsular plication for 12 (8%). Patients were assessed with the Constant and Walch-Duplay scores at a mean follow-up of 51 ± 32 months (range, 12-159 months). Uni- and multivariable regression analyses were performed to determine associations between clinical scores and sex, age, traumatic origin, type of lesion, type of procedure, and follow-up. Results: At final follow-up, subluxations or dislocations recurred in 24 patients (17%). The overall Constant score was 86.2 ± 14.5, with a pain component of 12.6 ± 3.5. The Walch-Duplay score was 79.8 ± 24.2. Multivariable regressions revealed that the presence of a glenoid cartilage lesion was the only factor associated with worse Constant score (beta = –10; P = .013) and Walch-Duplay score (beta = –16.7; P = .024) across all subcomponents. Conclusion: The only factor that jeopardized functional outcomes of posterior instability surgery was the presence of glenoid cartilage lesions. Knowing that shoulders with glenoid cartilage lesions are at greater risk of residual pain or instability could help manage patient expectation and justify faster intervention before lesions deteriorate.

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Arthroscopic treatment of posterior shoulder instability in patients with and without glenoid dysplasia: a comparative outcomes analysis

Cited by 20 publications

References 29 publications

Surgical Stabilization of Shoulder Instability in Patients With or Without a History of Seizure: A Comparative Analysis

Surgical Stabilization of Shoulder Instability in Patients With or Without a History of Seizure: A Comparative Analysis

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

Glenoid Cartilage Lesions Compromise Outcomes of Surgical Treatment for Posterior Shoulder Instability

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