Traumatic anterior instability of the shoulder

Rosa, João Roberto Polydoro; Checchia, Caio Santos; Miyazaki, Alberto Naoki

doi:10.1016/j.rboe.2017.09.003

Cited by 8 publications

(9 citation statements)

References 80 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…O procedimento de Latarjet é um método confiável para prevenir a instabilidade recorrente anterior do ombro, e muitos autores relatam resultados bem-sucedidos. [21][22][23][24] Ao mesmo tempo, poucos estudos mencionam a condição da reabsorção óssea coracoide. O presente estudo mostra que há alguma reabsorção óssea do enxerto coracoide em pelo menos 50% dos pacientes submetidos à cirurgia de Latarjet, e que pacientes com menor perda óssea pré-operatória da glenóide foram mais propensos a apresentar osteólise mais grave do enxerto.…”

Section: Discussionunclassified

“…The Latarjet procedure has been shown to be a reliable method to prevent recurrent shoulder anterior instability, with many authors reporting successful outcomes. 21 22 23 24 At the same time, few studies mention the condition of coracoid bone resorption. The present study shows that some bone resorption of the coracoid graft is present in at least 50% of the patients submitted to the Latarjet surgery, and that patients with less preoperative glenoid bone loss had more chances of having more severe graft osteolysis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Cohen

Zaluski

Siqueira

et al. 2019

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

Objective Coracoid osteolysis has been described as a possible complication after the Latarjet procedure. The aim of the present study was to investigate the incidence and risk factors associated to coracoid graft osteolysis and to correlate them with clinical results. Methods A retrospective review of 38 Latarjet procedures was conducted. Computed tomography (CT) scans were obtained from all of the patients before and at least 1 year after the surgery. Coracoid osteolysis was evaluated and correlated to preoperative factors, namely: age, smoking status, and preoperative glenoid bone loss. The patients were divided into 2 groups: A (no or minor bone resorption) and B (major or total bone resorption). The functional outcome was determined by the Rowe score. Results Coracoid graft osteolysis occurred in 22 cases (57.8%). The mean preoperative glenoid defect was 22.8% in group A, and 13.4% in group B (p = 0.0075). The mean ages of the subjects in both groups were not significantly different. Smoking did not seem to affect the main outcome either, and no correlation was found between graft osteolysis and postoperative range of motion, pain, or Rowe score. There were no cases of recurrent dislocations in our sample, although four patients presented with a positive anterior apprehension sign. Conclusion Bone resorption of the coracoid graft is present in at least 50% of the patients submitted to the Latarjet procedure, and the absence of significant preoperative glenoid bone loss showed to be the only risk factor associated with severe graft osteolysis, even though this did not influence significantly the clinical outcome.

show abstract

Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Cohen

Zaluski

Siqueira

et al. 2019

Rev Bras Ortop (Sao Paulo)

View full text Add to dashboard Cite

show abstract

“…[4][5][6][7] For marked glenoid bone defects with anterior instability, Latarjet or other bonegrafting procedures are widely accepted. 4,6,8,9 Humeral bone defects or HilleSachs lesions, since being described in 1940, 10 have been reported in subsequent studies to have a prevalence of up to 70% of initial dislocations 11,12 and up to 90% in recurrent dislocations. 11,13,14 Hill and Sachs, after reviewing existing literature at that time, came to the conclusions that these defects represented a compression fracture of the posterolateral aspect of the humeral head, also known as HilleSachs lesion, that they were commonly found in such cases of anterior glenohumeral dislocation, and that they often occurred at the time of the initial dislocation itself.…”

mentioning

confidence: 99%

Arthroscopic Bankart and Remplissage for Anteroinferior Instability With Subcritical Bone Loss Has a Low Recurrence Rate

Pathak

Haidermota

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

View full text Add to dashboard Cite

To demonstrate whether arthroscopic remplissage can achieve good outcomes without significantly impairing shoulder function. Methods: Consecutive patients with recurrent anterior glenohumeral dislocation, glenoid bone loss <20%, and engaging HilleSachs lesion who were operated with arthroscopic Bankart repair and remplissage between 2013 and 2016 were identified. Patients were evaluated clinically for shoulder instability, range of motion, and scored as per Oxford Shoulder Instability Score and University of California at Los Angeles score. The data were analyzed with the paired t test and the Wilcoxon signed rank test, as applicable. For all analyses, statistical significance was set at P < .05. Results: Twenty-four patients were included in the study. The average age of the patients was 30 years (range, 18-47 years), with 91.67% (n ¼ 22) male patients and 8.33% (n ¼ 2) female patients. The range of motion at follow-up was comparable with the normal side, with loss of external rotation of 3.33 (n ¼ 24). Significant improvement was observed in the Oxford Shoulder Instability Score (21.95 vs 41.29, P < 0.001) and University of California at Los Angeles score (18.33 vs 30.29, P < .001). A failure rate of 4.17% (1 patient with a positive apprehension test) was seen. Conclusions: Arthroscopic Bankart repair with the remplissage procedure helps to re-establish stability and achieve good shoulder outcomes for patients with recurrent anterior glenohumeral dislocation and an engaging HilleSachs lesion and without significant glenoid bone loss. Level of Evidence: Level IV, therapeutic.

show abstract

“…The incidence of shoulder dislocation in general population is 1.7% with more than 90% dislocations are anterior dislocations and are due to trauma. [1][2][3] The treatment of acute primary shoulder dislocation is immediate relocation of the joint and immobilization followed by rehabilitation of the shoulder joint. 4 Although the optimal position of shoulder immobilization and the duration of immobilization after reduction of a dislocated shoulder joint is still controversial, the age of the patient at the time of initial dislocation is the most important factor for recurrence.…”

Section: Introductionmentioning

confidence: 99%

“…4 Although the optimal position of shoulder immobilization and the duration of immobilization after reduction of a dislocated shoulder joint is still controversial, the age of the patient at the time of initial dislocation is the most important factor for recurrence. 1,5 The rate of recurrent shoulder dislocation after initial episode of primary traumatic dislocation treated conservatively is 65% to 97% in literature with patients under 30 years of age are at a greater risk for recurrence. 5,6 Recurrent shoulder dislocation is responsible for pathological lesions in the capsule, labrum and humeral head.…”

Section: Introductionmentioning

confidence: 99%

First time traumatic anterior shoulder dislocation: Will it always result in recurrent shoulder dislocation in all patients?

Shah

Ali

Naeemullah

2020

TPMJ

View full text Add to dashboard Cite

Objectives: To determine the frequency of recurrent shoulder dislocation after first time traumatic anterior shoulder dislocation treated non operatively. Study Design: Prospective observational cohort study. Setting: Department of Orthopedics and Traumatology Lady Reading Hospital Peshawar. Period: 25th May 2011 to 25th December 2018. Material & Methods: Patients of all ages and both gender with first time. Traumatic anterior shoulder dislocation meeting the inclusion criteria were included in the study. In the included subjects shoulder joint was relocated under general anesthesia and immobilized in a poly sling for four weeks followed by supervised physiotherapy and rehabilitation program without any surgical stabilization of the shoulder joint. All these patients were instructed for follow up at monthly interval or before if recurrence occurred. Results: A total of 52 patients with mean age 35±9.4 years (range 16-55 years) were enrolled in our study. Male patients were 43(82.6%) while female patients were 9(17.3%). Right sided dislocation was noted in 38(73%) and left in 14(26.9%). Recurrent shoulder dislocation was reported in 32(61.5%) patients during a minimal follow up period of three years. Most (46.8%, n=15) of the patients with recurrent shoulder dislocation were 30 years of age or below. Conclusion: First time traumatic anterior shoulder dislocation treated non operatively not always result in recurrent shoulder dislocation in all patients. However a large number of patients and particularly younger patients suffered recurrence.

show abstract

Traumatic anterior instability of the shoulder

Cited by 8 publications

References 80 publications

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Fatores de risco para osteólise do enxerto do coracoide após o procedimento de Latarjet aberto

Arthroscopic Bankart and Remplissage for Anteroinferior Instability With Subcritical Bone Loss Has a Low Recurrence Rate

First time traumatic anterior shoulder dislocation: Will it always result in recurrent shoulder dislocation in all patients?

Contact Info

Product

Resources

About