Pediatric Shoulder Arthroscopy is Effective and Most Commonly Indicated for Instability, Obstetric Brachial Plexus Palsy, and Partial Rotator Cuff Tears

Imam, Nareena; Sudah, Suleiman Y.; Manzi, Joseph E.; Michel, C; Pizzo, Dane; Menendez, Mariano E.; Nicholson, Allen D.

doi:10.1016/j.asmr.2022.11.016

Cited by 3 publications

(5 citation statements)

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“…Arthroscopic repair has not been shown to lead to significantly better clinical outcomes. 5,13 Vezeridis et al 20 report excellent functional outcomes at a median follow-up of 12 months after open repair for 8 patients. However, arthroscopic treatment has better cosmetic results, allows treatment of any concomitant pathologic conditions, decreases the levels of postoperative pain, might decrease the risk of shoulder stiffness, and is characterized by a shorter recovery time.…”

Section: Treatmentmentioning

confidence: 99%

“…Whatever type of treatment is chosen, the risk of growth plate injury in these patients should be always considered when planning surgical interventions. 5 Azzam et al 6 suggest treating low-grade partial tears in young patients with arthroscopic debridement and highgrade tears with arthroscopic repair. Arthroscopic debridement may be performed to remove any damaged tissue within the tear.…”

Section: Treatmentmentioning

confidence: 99%

“…Furthermore, still debated is whether the RC repair should be performed open or arthroscopically. Arthroscopic repair has not been shown to lead to significantly better clinical outcomes 5,13 . Vezeridis et al 20 report excellent functional outcomes at a median follow-up of 12 months after open repair for 8 patients.…”

Section: Treatmentmentioning

confidence: 99%

“…However, arthroscopic treatment has better cosmetic results, allows treatment of any concomitant pathologic conditions, decreases the levels of postoperative pain, might decrease the risk of shoulder stiffness, and is characterized by a shorter recovery time. Whatever type of treatment is chosen, the risk of growth plate injury in these patients should be always considered when planning surgical interventions 5 …”

Section: Treatmentmentioning

confidence: 99%

“…Furthermore, shoulder arthroscopy might be more complex with an increased risk of complications in young patients than in adults 5 . Younger patients often have smaller joint spaces, tighter soft tissue, and less joint laxity compared with older individuals, increasing the likelihood of injury to adjacent structures.…”

mentioning

confidence: 99%

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Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes

Caldaria,

Giovannetti de Sanctis,

Palumbo

et al. 2023

Sports Medicine and Arthroscopy Review

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Rotator cuff (RC) tears in pediatric and adolescent athletes are rare events. In these patients, RC tears are more likely to be traumatic or related to overuse among overhead. Repeated movements of abduction and external rotation are frequent mechanisms of injury. The supraspinatus is the most commonly involved tendon and the articular-sided tears are more common than the bursal side. Magnetic resonance imaging is considered the gold standard for diagnosing RC tears. Conservative treatment, arthroscopic, and open repair are all effective treatment methods depending on the type of injury. The risk of growth plate injury in these patients should be always considered when planning surgical interventions. Return to sport for competitive-level throwing athletes represents the greatest challenge in the treatment of these injuries.

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Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes

Caldaria,

Giovannetti de Sanctis,

Palumbo

et al. 2023

Sports Medicine and Arthroscopy Review

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An increase in paediatric arthroscopy in Europe: Experience of the EPOS Sport Study Group

Turati,

Crippa,

Nicolaou

et al. 2024

Journal of Children's Orthopaedics

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Purpose: Paediatric musculoskeletal injuries in association with increased participation in sports activities continue to increase. Arthroscopy is recognized as a safe and effective procedure in children. This study aims to identify trends in European paediatric sports centres over 20 years. Methods: A survey was performed across the European Paediatric Orthopaedic Society (EPOS) Sports Study Group focusing on 3 years (2000, 2009 and 2019). Centres were divided into two groups: Group 1 ( n = 5, with data for 2000, 2009 and 2019) and Group 2 ( n = 8, with data for 2009 and 2019). Data were analysed as the total annual number of cases and separately by anatomical region and patient demographics. A descriptive analysis was performed to characterize the trends. Results: Data from eight centres across Europe showed an increase in total annual arthroscopy cases (G1 from 53 to 202 and G2 from 393 to 615, p-value < 0.001) and as a percentage of paediatric orthopaedic surgeries (G1 from 1.6% to 5.2%; G2 from 5.1% to 6.8%) in seven out of eight centres. The knee remained the most commonly treated joint (G1 from 79.2% to 83.3%; G2 from 78.9% to 84.4%), despite the rise of others such as the elbow ( p-value = 0.020) and decline of the shoulder ( p-value = 0.014). Cases involving paediatric patients over 11 years increased while there was no gender distinction among paediatric patients. Conclusion: Paediatric arthroscopy procedures in Europe have increased in number over the past 3 decades. Technological advancements have allowed a surge in procedures and applications to new anatomical areas. Level of evidence: IV – retrospective database review.

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Paralisia De Erb-Duchenne: Manejo Clínico Pediátrico E Prognóstico

Dias Bonadirman,

Barbosa Pasa,

Machado Vilela

et al. 2024

Omnia Saúde

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A paralisia obstétrica do plexo braquial, conhecida como paralisia de Erb-Duchenne, é uma condição neurológica que afeta recém-nascidos em decorrência de lesões no plexo braquial durante o parto. O diagnóstico precoce e o manejo adequado são fundamentais para garantir melhores desfechos funcionais e qualidade de vida para as crianças afetadas. Uma análise sistemática da literatura foi realizada para revisar estudos recentes sobre a paralisia de Erb-Duchenne e suas abordagens terapêuticas. Foram considerados estudos que investigaram intervenções cirúrgicas, terapias de reabilitação, avaliação funcional e prognóstico a longo prazo em crianças com a condição. A busca incluiu bases de dados científicas e revisões recentes para abranger uma visão abrangente e atualizada do tema. Os estudos revisados destacaram a importância do encaminhamento precoce para centros de especialidades multidisciplinares, a eficácia de intervenções cirúrgicas como a artroscopia pediátrica do ombro e transferências tendinosas, a relevância de terapias de reabilitação personalizadas como a terapia de movimento induzido por restrição modificada, e a análise funcional a longo prazo em pacientes com paralisia obstétrica do plexo braquial. A implementação de práticas baseadas em evidências, a colaboração entre profissionais de saúde e a atenção personalizada ao paciente são essenciais para garantir o melhor manejo clínico e a qualidade de vida dessas crianças. A evolução das estratégias terapêuticas promete impactar positivamente a reabilitação e a adaptação funcional dos pacientes com paralisia obstétrica do plexo braquial, reforçando a importância da atenção individualizada e do acompanhamento contínuo nesses casos.

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Pediatric Shoulder Arthroscopy is Effective and Most Commonly Indicated for Instability, Obstetric Brachial Plexus Palsy, and Partial Rotator Cuff Tears

Cited by 3 publications

References 50 publications

Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes

Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes

An increase in paediatric arthroscopy in Europe: Experience of the EPOS Sport Study Group

Paralisia De Erb-Duchenne: Manejo Clínico Pediátrico E Prognóstico

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