Outcome of biceps suspensionplasty for recurrent multidirectional shoulder instability

Kohan, Eitan M.; Wong, Justin C.; M, Stroh; Syed, Usman Ali M.; Namdari, Surena; Lazarus, Mark D.

doi:10.1016/j.jor.2020.10.009

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…The author´s preferred technique is a modification of the one described by Sanchez et al (38) that uses an iliotibial band allograft tensioned in abduction and external rotation. Following similar principles, the long head of biceps suspension has also been published by others as a potential dynamic anterior stabilization in cases of recalcitrant instability (39,40). No data on the use of these dynamic stabilization techniques to treat failed Latarjet stabilizations have been reported.…”

Section: Extraarticular Capsular Reinforcementmentioning

confidence: 99%

Recurrence of instability after Latarjet procedure: causes, results and treatment algorithm

et al. 2022

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Latarjet modifies the anatomy of the shoulder, and subsequent revision surgery is challenging. It is mandatory to determine the cause of recurrence in order to select the best treatment option. A CT scan is needed to measure glenoid track and evaluate coracoid graft status: position, degree of consolidation, and osteolysis. Conservative management can be advocated in selected patients in whom the instability level does not interfere with the activities they wish to perform. Surgical treatment is based on the glenoid track measurement and coracoid graft suitability. The coracoid graft is considered suitable if it preserves the conjoint tendon insertion, does not show osteolysis, and is large enough to reconstruct the glenoid surface. Adding a remplissage is recommended for those cases with a coracoid graft insufficient to convert large off-track Hill–Sachs lesions into on-track. If the coracoid graft is suitable to reconstruct bone defects in terms of size and viability but is poorly positioned or avulsed, graft repositioning can be a valid option. In patients with unsuitable coracoid bone graft, free bone graft is the revision technique of choice. The size of the graft should be large enough to restore the glenoid surface and to convert any off-track Hill–Sachs lesion into on-track. There is a small group of patients in whom bone defects were properly addressed but Latarjet failed due to hyperlaxity or poor soft tissue quality. Extraarticular capsular reinforcement is suggested in this population.

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Section: Extraarticular Capsular Reinforcementmentioning

confidence: 99%

Recurrence of instability after Latarjet procedure: causes, results and treatment algorithm

et al. 2022

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The long head of the biceps tendon: a valuable tool in shoulder surgery

Fares

Murthi

Tokish

et al. 2023

Journal of Shoulder and Elbow Surgery

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How to Assess Shoulder Functionality: A Systematic Review of Existing Validated Outcome Measures

et al. 2021

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The objective of this review was to compile validated functional shoulder assessment tools and analyse the methodological quality of their validations. Secondarily, we aimed to provide a comparison of the tools, including parameter descriptions, indications/applications, languages and operating instructions, to choose the most suitable for future clinical and research approaches. A systematic review (PRISMA) was conducted using: PubMed, WoS Scopus, CINHAL, Dialnet and reference lists until 2020. The main criteria for inclusion were that papers were original studies of validated tools or validation studies. Pre-established tables showed tools, validations, items/components, etc. The QUADAS-2 and COSMIN-RB were used to assess the methodological quality of validations. Ultimately, 85 studies were selected, 32 tools and 111 validations. Risk of bias scored lower than applicability, and patient selection got the best scores (QUADAS-2). Internal consistency had the highest quality and PROMs development the lowest (COSMIN-RB). Responsiveness was the most analysed metric property. Modified UCLA and SST obtained the highest quality in shoulder instability surgery, and SPADI in pain. The most approached topic was activities of daily living (81%). We compiled 32 validated functional shoulder assessment tools, and conducted an analysis of the methodological quality of 111 validations associated with them. Modified UCLA and SST showed the highest methodological quality in instability surgery and SPADI in pain.

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Outcome of biceps suspensionplasty for recurrent multidirectional shoulder instability

Cited by 3 publications

References 19 publications

Recurrence of instability after Latarjet procedure: causes, results and treatment algorithm

Recurrence of instability after Latarjet procedure: causes, results and treatment algorithm

The long head of the biceps tendon: a valuable tool in shoulder surgery

How to Assess Shoulder Functionality: A Systematic Review of Existing Validated Outcome Measures

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