Clinical outcomes following revision anterior shoulder arthroscopic capsulolabral stabilization

Shin, Jason J.; Mascarenhas, Randhir; Patel, Anish V.; Yanke, Adam B.; Nicholson, Gregory P.; Cole, Brian J.; Romeo, Anthony A.; Verma, Nikhil N.

doi:10.1007/s00402-015-2294-7

Cited by 24 publications

(14 citation statements)

References 35 publications

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“…Inclusion and exclusion criteria were met by 14 articles [16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The articles included in this study were published between 2002 and 2018.…”

Section: Resultsmentioning

confidence: 99%

“…The exclusion criteria in the included articles were variable. Ten articles provided clear exclusion criteria for glenoid bone defects [16,[19][20][21][22][23][24]26,27,29], and seven had exclusion criteria for humeral side bone defect [16,[19][20][21][22]26,27]. Eight articles excluded patients with multidirectional instability for hyperlaxity [16,[19][20][21][22][23]25,26], and the detailed data are summarized in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…Humeral bone loss was reported in 94 out of 146 shoulders (64.4%) in eight studies [17,[22][23][24][25][26][27][28]. Pre-operative hyperlaxity was reported in 10 studies [16][17][18][19]22,23,[26][27][28][29] (Table S2).…”

Section: Resultsmentioning

confidence: 99%

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Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes

Yon

Cho

Kim

2020

JCM

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Although the frequency of arthroscopic revision surgery is increasing in patients with recurrent dislocation after a primary shoulder stabilization, the literature describing arthroscopic revision Bankart repair has been limited. Preferred reporting items for systematic meta-analyses guidelines were followed by utilizing PubMed, EMBASE, Scopus, and Cochrane Library databases. Keywords included shoulder dislocation, anterior shoulder instability, revision surgery, stabilization, and arthroscopic Bankart repair. Quality assessments were performed with criteria from the methodological index for nonrandomized studies (MINORS). A total of 14 articles were included in this analysis. The mean MINORS score was 12.43. A total of 339 shoulders (337 patients) were included (281 males and 56 females). The mean follow-up period was 36.7 months. Primary surgeries were as follows: arthroscopic procedures (n = 172, 50.7%), open procedure (n = 87, 25.7%), and unknown (n = 80, 23.6%). The mean rate of recurrent instability after revision arthroscopic Bankart repair was 15.3% (n = 52), and an additional re-revision procedure was needed in 6.5% of cases (n = 22). Overall, there were 18.0% (n = 61) of complications reported. This systematic review suggests that arthroscopic revision Bankart repair can lead to an improvement in functional outcomes and reasonable patient satisfaction with proper patient selection.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Revision Arthroscopic Bankart Repair: A Systematic Review of Clinical Outcomes

Yon

Cho

Kim

2020

JCM

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“…Studies reporting on the incidence and causes for revision arthroscopies in larger joints are numerous. [7][8][9][10][11] However, only one study on revision wrist arthroscopy is available, reporting on a small cohort of 16 patients. 12 The purpose of this study was to evaluate the indications and reasons for revision wrist arthroscopies in a larger cohort.…”

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confidence: 99%

Preventable Repeat Wrist Arthroscopies: Analysis of the Indications for 133 Cases

et al. 2016

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Frequently, patients undergo repeated wrist arthroscopies for single wrist problems. The purposes of this study were to assess the indications for repeat wrist arthroscopies and to identify potentially preventable procedures. For this retrospective, two-center study, the electronic patient records were examined for patients, who underwent repeat wrist arthroscopy in a 5-year period. The cases were sorted by the underlying pathologies and the causes that necessitated repeat arthroscopies. Ulnar-sided wrist pain accounted for 100 (77%) of all 133 revision arthroscopies: 67 of which due to suspected ulnar triangular fibrocartilage complex (TFCC) avulsions, 33 due to ulnar impaction syndromes. Cartilage was reassessed in 22 (17%) wrists. Thereby, insufficient preoperative diagnostics necessitated pure diagnostic before therapeutic arthroscopy in 49 (37%) wrists: 48 of which for TFCC pathologies, one for a scapholunate (SL) ligament lesion. The uncertainty of diagnosis despite previous arthroscopy necessitated 18 (14%) revision arthroscopies: 15 for ulnar TFCC avulsions, 1 for a central TFCC lesion, 2 to reevaluate the SL ligament. Inadequate photo or video documentation of the cartilage necessitated arthroscopic reassessment in 16 (12%) wrists. In this series, two out of three revision arthroscopies could potentially have been prevented. Inadequate preoperative diagnostics with the lack of reliable preoperative diagnoses necessitated pure diagnostic arthroscopies for ulnar-sided wrist pain. However, even arthroscopically, the diagnosis of ulnar TFCC avulsions or SL ligament lesions is not trivial. Surgical skills and experience are necessary to detect such lesions. Finally, adequate photo or video documentation may prevent repeated arthroscopic diagnostic procedures. Level IV.

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“…[12][13][14][15][16][17] We note the original scientific article "Short-Term Outcomes of Glenoid Bone Block Augmentation for Complex Anterior Shoulder Instability in a High-Risk Population" by Waterman et al 18 from El Paso, Texas, and Boston, Massachusetts, with commentary by Associate Editor Nikhil Verma, 19 whose editorial acumen is impressive and who is well published on the topic of shoulder instability including glenoid reconstruction using bone grafts. [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Lastly, we note "Humeral Avulsion of the Glenohumeral Ligaments: A Systematic Review" by Longo et al 35 from Rome. Humeral avulsion of the glenohumeral ligament (HAGL) is an uncommon, but not rare, cause of shoulder instability, and as the orthopaedic adage goes, we may not have seen a HAGL, but it has seen us.…”

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confidence: 99%