Variable reporting of functional outcomes and return to play in superior labrum anterior and posterior tear

Steinhaus, Michael E.; Makhni, Eric C.; Lieber, Adam C.; Kahlenberg, Cynthia A.; Gulotta, Lawrence V.; Romeo, Anthony A.; Verma, Nikhil N.

doi:10.1016/j.jse.2016.04.020

Cited by 21 publications

(15 citation statements)

References 34 publications

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“…Reporting rates of these factors were dismally low in the literature reviewed, 41.9% and 37.2%, respectively. And similar to the findings of Steinhaus et al, return to activity/sports reporting also has substantial room for improvement, particularly for a pathology prevalent in an athletic population [9].…”

Section: Discussionsupporting

confidence: 75%

“…Although the exploration of outcome-measure reporting practices within the orthopedic literature has become a popular topic recently, only one prior study has explored this issue in the realm of SLAP tears. Similar findings of variability were identified in the recent work by Steinhaus et al with some overlap in the study period [9]. However, this work did not examine the relationship between outcome-measure utilization and other study metrics and instead focused more on return-to-play reporting.…”

Section: Discussionsupporting

confidence: 70%

“…With the breadth of available measures and instruments and without the standardization of use, variability in outcome-measure reporting can make meaningful cross-study comparison difficult and lead to inconsistent interpretations of the literature [4][5][6]. Such variability has been well-documented in other highly studied areas of orthopedics such as rotator cuff repairs and anterior cruciate ligament injuries and, more recently, within the SLAP tear literature [7][8][9]. However, what remains unclear is whether the breadth and depth of outcome-measure reporting relate to a study's potential to affect change in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcome Measure Utilization Demonstrates No Relation to Journal Rank or Level of Evidence for Superior Labral Tears of the Shoulder

Williams

Michel

LaChaud

et al. 2020

Cureus

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Section: Discussionsupporting

confidence: 75%

Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome Measure Utilization Demonstrates No Relation to Journal Rank or Level of Evidence for Superior Labral Tears of the Shoulder

Williams

Michel

LaChaud

et al. 2020

Cureus

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“…Much controversy exists in the treatment of SLAP tears in throwers, and outcomes reported in the literature including return-to-play rates are quite variable. 82 – 85 Many of the studies looking at surgical treatment of SLAP lesions included additional pathology, including rotator-cuff tears, making comparison difficult. For repair of type II SLAP tears specifically, a recent systematic review showed only 63% of overhead athletes returned to their previous level of play.…”

Section: Treatment and Outcomesmentioning

confidence: 99%

Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Rose¹,

Noonan²

2018

OAJSM

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Glenohumeral internal rotation deficit (GIRD) is an adaptive process in which the throwing shoulder experiences a loss of internal rotation (IR). GIRD has most commonly been defined by a loss of >20° of IR compared to the contralateral shoulder. Total rotational motion of the shoulder is the sum of internal and external rotation and may be more important than the absolute value of IR loss. Pathologic GIRD has been defined as a loss of IR combined with a loss of total rotational motion. The leading pathologic process in GIRD is posterior capsular and rotator-cuff tightness, due to the repetitive cocking that occurs with the overhead throwing motion. GIRD has been associated with numerous pathologic conditions, including posterior superior labral tears, partial articular-sided rotator-cuff tears, and superior labral anterior-to-posterior tears. The mainstay of treatment for patients with GIRD is posterior capsular stretching and strengthening to improve scapular mechanics. In patients who fail nonoperative therapy, shoulder arthroscopy can be performed. Arthroscopic surgery in the high-level throwing athlete should be to restore them to their functional baseline with the minimum amount of intervention possible.

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“…A total of 24 (39%) studies used clinical examination tests as an outcome measurement. Of these, 17 studies # recorded objective instability (anterior apprehension and relocation test and/or posterior subluxation test), 7 studies [12][13][14]42,53,89,109 reported shoulder joint laxity (anterior and posterior drawer tests or sulcus test), and 2 studies 95,99 used special tests for assessing shoulder muscle integrity (liftoff and belly press test).…”

Section: Clinical Testsmentioning

confidence: 99%

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

Fanning

Maher

Cools

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Athletic endeavor can require the “athletic shoulder” to tolerate significant load through supraphysiological range and often under considerable repetition. Outcome measures are valuable when determining an athlete’s safe return to sport. Few data are available to guide a clinician’s choice from the variety of measures available. Purpose: To describe the use of quantifiable objective outcome measures and patient-reported outcome tools after glenohumeral joint stabilization, specifically in an athletic population. The secondary aim of our study was to assess whether the method of measurement used was clearly described and standardized to aid clinical interpretation. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of MEDLINE, Scopus, SPORTDiscus, and Web of Science databases was performed in December 2018 based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After the application of selection criteria, a full review of identified papers, and screening of reference lists, a total of 62 studies were included in the review. All studies were independently appraised for quality, predefined data fields were populated and cross-checked for accuracy, and results were then summarized from these data fields. Results: Of the 62 included studies, 94% used a quantifiable objective clinical outcome. A majority (85%) of the studies measured range of motion, 21% recorded muscle strength, 5% measured electromyographic activity, 5% examined shoulder kinematics, and 3% assessed joint proprioception after surgery. However, only 18% of the studies clearly described a standardized method of measuring the outcome. Nearly all (95%) of the studies used at least 1 patient-reported outcome measure. The Rowe score was most commonly used (35%). Conclusion: We must standardize and clearly describe the use of quantifiable objective outcome measures to aid clinical interpretation. A concerted effort should also be made to standardize the use of patient-reported outcome tools after shoulder stabilization in the athletic population.

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Variable reporting of functional outcomes and return to play in superior labrum anterior and posterior tear

Cited by 21 publications

References 34 publications

Outcome Measure Utilization Demonstrates No Relation to Journal Rank or Level of Evidence for Superior Labral Tears of the Shoulder

Outcome Measure Utilization Demonstrates No Relation to Journal Rank or Level of Evidence for Superior Labral Tears of the Shoulder

Glenohumeral internal rotation deficit in throwing athletes: current perspectives

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

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