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Maguire JA, Dhillon J, Sarna N, Keeter C, Scillia AJ, McCulloch PC, Kraeutler MJ. Screw Fixation for the Latarjet Procedure May Reduce Risk of Recurrent Instability but Increases Reoperation Rate Compared to Suture-Button Fixation: A Systematic Review. Arthroscopy 2024; 40:1882-1893.e1. [PMID: 38040391 DOI: 10.1016/j.arthro.2023.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 11/02/2023] [Accepted: 11/23/2023] [Indexed: 12/03/2023]
Abstract
PURPOSE To perform a systematic review to compare clinical outcomes, complications, and reoperation rates of patients undergoing the Latarjet procedure with screw vs suture-button fixation. METHODS A systematic review was performed by searching PubMed, the Cochrane Library, and Embase to identify clinical studies directly comparing screw vs suture-button fixation for the Latarjet procedure. The search terms used were shoulder screw suture button. Patients were evaluated based on reoperation rate, complication rate, recurrent instability, radiologic outcomes, and patient-reported outcomes. Graft and screw position were assessed via computed tomography. RESULTS Seven studies (1 Level II, 6 Level III) met inclusion criteria, with 845 patients undergoing the Latarjet procedure with screw fixation (screw group) and 279 patients with suture-button fixation (suture-button group). Mean patient age ranged from 21.2 to 29.6 years. Mean follow-up time ranged from 6.0 to 40.8 months. The recurrent instability rate ranged from 0% to 2.5% in the screw group and 0% to 8.3% in the suture-button group. The reoperation rate ranged from 0% to 7.7% in the screw group compared to 0% to 1.9% in the suture-button group. One study reported significantly lower visual analog scale pain scores in the suture-button group compared with the screw group (1.5 vs 1.2, P = .003). No other studies reported significant differences in any patient-reported outcomes. There was no significant difference in horizontal or vertical graft position, graft union rate, or complication rate between groups in any study. CONCLUSIONS The Latarjet procedure with screw fixation may result in a lower risk of recurrent instability compared to suture-button fixation, although screw fixation may also have a higher reoperation rate due to hardware-related complications. LEVEL OF EVIDENCE Level III, systematic review of Level II to III studies.
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Affiliation(s)
- James A Maguire
- Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A..
| | - Jaydeep Dhillon
- Rocky Vista University College of Osteopathic Medicine, Greenwood Village, Colorado, U.S.A
| | - Neil Sarna
- Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A
| | - Carson Keeter
- Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, U.S.A
| | - Anthony J Scillia
- Department of Orthopaedic Surgery, St. Joseph's University Medical Center, Paterson, New Jersey, U.S.A
| | - Patrick C McCulloch
- Department of Orthopedics & Sports Medicine, Houston Methodist Hospital, Houston, Texas, U.S.A
| | - Matthew J Kraeutler
- Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, Colorado, U.S.A
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Dobelle E, Falguières J, Ollivier M, Argenson JN, Lami D. Infraspinatus function impairment after arthroscopic Bankart repair with Hill Sachs remplissage. Isokinetic, functional, and radiographic analysis. Orthop Traumatol Surg Res 2024; 110:103812. [PMID: 38215937 DOI: 10.1016/j.otsr.2024.103812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 11/19/2023] [Accepted: 01/05/2024] [Indexed: 01/14/2024]
Abstract
PURPOSE Arthroscopic Bankart repair with Hill Sachs remplissage (BHSR) is an option for anterior shoulder instability with humeral defect. Our hypothesis was that infraspinatus capsulo-tenodesis is an effective solution, with good clinical results and no consequences on shoulder strength and ranges of motion. METHODS We performed a retrospective case-control study involving 22 patients operated with arthroscopic BHSR. We compared isokinetic evaluation of both shoulders using a dynanometer in concentric, eccentric force and endurance. Ranges of motion were measured using a goniometer and compared to the contralateral unaffected side. Functional assessment included Constant, Rowe, Walch and Duplay and WOSI scores. Healing and fatty degeneration were analyzed with magnetic resonance imaging. RESULTS At mean 37.2 months follow-up, 21 patients (95.4%) were satisfied or very satisfied with the intervention. Range of motion in external rotation of the affected side decreased by 10.8° in adduction and 6° at 90° of abduction (p<0.05). Deficit in external rotation strength of the affected side greater than 15% was found in all isokinetic tests (p<0.05). Walch and Duplay, Rowe, WOSI and adjusted Constant average scores were respectively 71.05±14.1 (40-90), 67.63±19.7 (15-100), 34.6%±19.9 (8.43-76.23) and 69.8±13.57 (36.7-101). Postoperative MRI showed good capsulo-tenodesis healing without infraspinatus muscle fatty degeneration. CONCLUSION Arthroscopic BHSR provides satisfactory functional outcomes but significant infraspinatus functional impairments in both strength and ranges of motion in external rotation. LEVEL OF EVIDENCE III; case-control study.
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Affiliation(s)
- Emile Dobelle
- Département d'orthopédie et de traumatologie ISM, CNRS, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, Aix-Marseille université, 270, boulevard Sainte-Marguerite, BP 29, 13274 Marseille, France; Institut du mouvement et de l'appareil locomoteur, CHU Marseille Nord, chemin des Bourrely, 13015 Marseille, France.
| | - Julie Falguières
- Département d'orthopédie et de traumatologie ISM, CNRS, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, Aix-Marseille université, 270, boulevard Sainte-Marguerite, BP 29, 13274 Marseille, France; Institut du mouvement et de l'appareil locomoteur, CHU Marseille Nord, chemin des Bourrely, 13015 Marseille, France.
| | - Matthieu Ollivier
- Département d'orthopédie et de traumatologie ISM, CNRS, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, Aix-Marseille université, 270, boulevard Sainte-Marguerite, BP 29, 13274 Marseille, France.
| | - Jean-Noël Argenson
- Département d'orthopédie et de traumatologie ISM, CNRS, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, Aix-Marseille université, 270, boulevard Sainte-Marguerite, BP 29, 13274 Marseille, France.
| | - Damien Lami
- Département d'orthopédie et de traumatologie ISM, CNRS, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, Aix-Marseille université, 270, boulevard Sainte-Marguerite, BP 29, 13274 Marseille, France.
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Fouasson-Chailloux A, Estoppey D, Perdreau A, Bessière C, Goldstein Y, Duysens C. Recurrent Anterior Shoulder Instability Treated Using the Arthroscopic Bankart-Latarjet Technique: Experience of a Peripheral Hospital. J Clin Med 2023; 12:5274. [PMID: 37629316 PMCID: PMC10455497 DOI: 10.3390/jcm12165274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/03/2023] [Accepted: 08/10/2023] [Indexed: 08/27/2023] Open
Abstract
The arthroscopic Bankart-Latarjet procedure is used in the surgical management of anterior shoulder instability. This technique is mainly performed in referral centers due to its high technicity. This study aimed to evaluate surgical outcomes in a peripheral hospital center. This is a retrospective study of patients treated for recurrent anterior shoulder instability. The clinical scores (Walch-Duplay, Rowe, and Western Ontario Shoulder Instability Index (WOSI)) were assessed preoperatively and at 12 months after surgery. The consolidation and the position of the bone block were evaluated at 6 months using a CT scan. Between 2016 and 2020, 40 patients had been operated on (mean age: 28.5 ± 7.9 years). During a mean follow-up of 29.5 ± 11.6 months, we noted only one complication, a case of fracture of the callus of a consolidated bone block. No recurrence of instability was recorded. The Walch-Duplay score increased from 17.8 to 94.6, the Rowe score from 24.9 to 96.8, and the WOSI score decreased from 52.1% to 6.9%. The bone block was consolidated in 35 patients (87.5%), and a flush position with the anterior edge of the glenoid was noted for all patients. At one year, 67.0% of the patients practicing sport had returned to sports. The arthroscopic Bankart-Latarjet technique was a reliable procedure in the hands of an experienced shoulder surgeon, even in a peripheral hospital center.
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Affiliation(s)
- Alban Fouasson-Chailloux
- Institut Européen de la Main, Hôpital Kirchberg, 9 Rue Edward Steichen, L-2540 Luxembourg, Luxembourg; (D.E.); (C.D.)
- Médecine Physique et Réadaptation Locomotrice, CHU Nantes, Nantes Université, 44093 Nantes, France
- Inserm, UMR 1229, RMeS, Regenerative Medicine and Skeleton, ONIRIS, Nantes Université, 44042 Nantes, France
| | - Daniel Estoppey
- Institut Européen de la Main, Hôpital Kirchberg, 9 Rue Edward Steichen, L-2540 Luxembourg, Luxembourg; (D.E.); (C.D.)
| | - Alan Perdreau
- Service D’orthopédie, Vivalia, Centre Hospitalier de l’Ardenne, Avenue de Houffalize 35, 6800 Libramont-Chevigny, Belgium;
| | - Charles Bessière
- OrthoVar, Pôle Médical Epsilon 3, 87 Avenue Archimede, 83700 Saint Raphaël, France;
| | - Yariv Goldstein
- Assuta Samsom University Hospital, 7 HaRefu’ah St., Ashdod 747629, Israel;
| | - Christophe Duysens
- Institut Européen de la Main, Hôpital Kirchberg, 9 Rue Edward Steichen, L-2540 Luxembourg, Luxembourg; (D.E.); (C.D.)
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Deng Z, Zheng Y, Su J, Chen S, Deng Z, Zhu W, Li Y, Lu W. Open Versus Arthroscopic Latarjet for Recurrent Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Orthop J Sports Med 2023; 11:23259671231174476. [PMID: 37346777 PMCID: PMC10280521 DOI: 10.1177/23259671231174476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 02/22/2023] [Indexed: 06/23/2023] Open
Abstract
Background The open Latarjet (OL) procedure and arthroscopic Latarjet (AL) procedure are able to treat recurrent anterior shoulder instability (RASI) with high success rates. Purpose To evaluate the clinical efficacy and postoperative revisions and complications between the OL and AL procedures in the treatment of RASI. Study Design Systematic review; Level of evidence, 3. Methods MEDLINE, Embase, and the Cochrane Library were searched to retrieve and include cohort studies comparing the OL and AL procedures for RASI. Clinical outcomes were compared, and results were reported as odds ratios (ORs) or mean differences (MDs) with 95% CIs. Results Eleven clinical trials with 1217 patients were included. There were no differences between the procedures in pain score, Rowe score, Walch-Duplay score, external rotation, persistent apprehension, instability, recurrence, revisions attributed to recurrent instability, overall complications, wound infection, hematoma, graft complications, screw-related complications, or osteoarthritis. When compared with the OL procedure, the AL procedure had a significantly lower nonunion rate (OR, 9.92; 95% CI, 1.71 to 57.71; P = .01); however, the AL procedure had a longer operation time (MD, -24.49; 95% CI, -48.44 to -0.54; P = .05), lower Western Ontario Shoulder Instability Index score (MD, 97.27; 95% CI, 21.91 to 172.63; P = .01), higher revision rate (OR, 0.39; 95% CI, 0.16 to 0.95; P = .04), and greater screw deviation (MD, -6.41; 95% CI, -10.25 to -2.57; P = .001). Conclusion For most outcome measures, no difference was seen between the OL and AL procedures. The AL procedure had a lower Western Ontario Shoulder Instability Index score and a higher revision rate and appeared to have a significant learning curve. However, the AL procedure resulted in a lower nonunion rate.
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Affiliation(s)
- Zhenhan Deng
- Department of Sports Medicine, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
| | - Yizi Zheng
- Clinical Medical College, Guangxi
University of Chinese Medicine, Nanning, China
| | - Jingyue Su
- Department of Sports Medicine, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
- Clinical Medical College, Guangxi
University of Chinese Medicine, Nanning, China
| | - Siyu Chen
- Department of Sports Medicine, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
- Clinical Medical College, Guangxi
University of Chinese Medicine, Nanning, China
| | - Zhiqin Deng
- Hand and Foot Surgery Department, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
| | - Weimin Zhu
- Department of Sports Medicine, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
- Clinical Medical College, Guangxi
University of Chinese Medicine, Nanning, China
| | - Yusheng Li
- Department of Orthopedics, Xiangya
Hospital, Central South University, Changsha, China
| | - Wei Lu
- Department of Sports Medicine, The
First Affiliated Hospital of Shenzhen University, Shenzhen Second People’s Hospital,
Shenzhen, China
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Lazrek O, Karam KM, Bouché PA, Billaud A, Pourchot A, Godeneche A, Freaud O, Kany J, Métais P, Werthel JD, Bohu Y, Gerometta A, Hardy A. A new self-assessment tool following shoulder stabilization surgery, the auto-Walch and auto-Rowe questionnaires. Knee Surg Sports Traumatol Arthrosc 2022:10.1007/s00167-022-07290-y. [PMID: 36586000 DOI: 10.1007/s00167-022-07290-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2022] [Accepted: 12/13/2022] [Indexed: 01/01/2023]
Abstract
PURPOSE Patient-reported outcome measures (PROMS) are increasingly used for patient evaluation, as well as for scientific research. Few are used for practical purposes in the clinical setting, and few are reliable enough to allow proper feedback to physicians. Two of the most commonly used assessment tools in shoulder instability are the Walch-Duplay and the Rowe scores. The aim of this study was to evaluate the validity of self-administered versions of the Walch-Duplay and Rowe scores following shoulder stabilization procedure. METHODS Between the months of May and December 2021, all patients who were followed in one of six institutions for shoulder instability were included. Patients were required to anonymously fill a self-administered version of Walch-Duplay and Rowe score. The classic scores were measured by the surgeon. Correlations between self-assessment and physician-assessment were then recorded. RESULTS A total of 106 patients were evaluated during the study period. Using the Spearman coefficient for correlation, a strong correlation (r > 0.5) was found between the results of the self-administered questionnaire and the surgeon-measured score. The difference between surgeon- and patient-administered questionnaires was non-significant. CONCLUSION The self-administered version of the Walch-Duplay and Rowe questionnaires can reliably be used in the clinical setting for post-operative follow-up of patients undergoing shoulder stabilization procedures. LEVEL OF EVIDENCE Level II.
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Affiliation(s)
- Omar Lazrek
- Clinique Du Sport, 28 Boulevard Saint-Marcel, 75005, Paris, France
| | - Karam Mark Karam
- Clinique Du Sport, 28 Boulevard Saint-Marcel, 75005, Paris, France.
| | | | - Anselme Billaud
- Centre de Chirurgie Orthopédique et Sportive, Mérignac, France
| | - Auriane Pourchot
- Hôpital Ambroise-Pare, 9 Av. Charles de Gaulle, 92100, Boulogne-Billancourt, France
| | | | | | - Jean Kany
- Clinique de l'Union-Ramsay Santé, Toulouse, France
| | - Pierre Métais
- Hopital Prive de la Châtaigneraie-ELSAN, Clermont-Ferrand, France
| | - Jean-David Werthel
- Hôpital Ambroise-Pare, 9 Av. Charles de Gaulle, 92100, Boulogne-Billancourt, France
| | - Yoann Bohu
- Clinique Du Sport, 28 Boulevard Saint-Marcel, 75005, Paris, France
| | | | - Alexandre Hardy
- Clinique Du Sport, 28 Boulevard Saint-Marcel, 75005, Paris, France
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6
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Falbo R, Moore A, Singleton A, Steffenson A, Levine J, Miller R. Glenoid bone augmentation: a contemporary and comprehensive systematic review of open procedures. Orthop Rev (Pavia) 2022; 14:37834. [PMID: 36045697 DOI: 10.52965/001c.37834] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Introduction There is a trend towards arthroscopically treating shoulder instability with glenoid deficiency. Despite this, there remains the option for treatment through an open technique. Multiple bone augmentation options are available for recurrent anterior shoulder instability. Objective To provide a systematic review of recent studies for recurrent anterior shoulder instability necessitating glenoid bone augmentation specifically through open procedures using coracoid bone or free bone blocks [iliac crest bone autograft/allograft or distal tibia allograft (DTA)]. Methods PubMed, Cochrane, EMBASE, and Google Scholar were searched for studies reporting open glenoid bone augmentation procedures with iliac crest, tibia, or coracoid bones within 10 years. Extracted data included study/patient characteristics, techniques, prior surgeries, prior dislocations, radiographic findings, range of motion (ROM), recurrent instability, patient-reported outcomes, and complications. Results 92 met inclusion criteria (5693 total patients). Six were studies of iliac crest bone, four of DTA, and 84 using the coracoid bone. 29 studies measured postoperative arthritis showing no development or mild arthritis. 26 studies reported postoperative graft position. 62 studies reported ROM noting decline in internal/external rotation. 87 studies measured postoperative instability with low rates. Rowe Scores with noted improvement across 31/59 (52.5%) studies were seen. Common post operative complications included infection, hematoma, graft fracture, nerve injury, pain, and screw-related irritation. Conclusion Despite a trend towards arthroscopic management of recurrent anterior shoulder instability with glenoid deficiency, open procedures continue to provide satisfactory outcomes. Additionally, studies have demonstrated safe and efficacious use of free bone block graft options in the primary and revision setting.
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Affiliation(s)
- Ryan Falbo
- Orthopedic Surgery, Mercy Health St. Vincent Medical Center
| | - Austin Moore
- Orthopedic Surgery, Mercy Health St. Vincent Medical Center
| | - Amy Singleton
- Orthopedic Surgery, Mercy Health St. Vincent Medical Center
| | | | - Jason Levine
- Orthopedic Surgery, Mercy Health St. Vincent Medical Center
| | - Richard Miller
- Orthopedic Surgery, Mercy Health St. Vincent Medical Center
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7
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Louati A, Bouche PA, Bauer T, Hardy A. Translation and validation of the shoulder instability-return to sport after injury (SIRSI) score in French. J Exp Orthop 2022; 9:41. [PMID: 35524076 PMCID: PMC9076763 DOI: 10.1186/s40634-022-00470-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 03/24/2022] [Indexed: 11/10/2022] Open
Affiliation(s)
- A Louati
- South Francilien Hospital, 40 avenue Serge Dassault, 91100, Corbeil-Essonnes, France. .,Georges Pompidou European Hospital, 20 Rue Leblanc, 75015, Paris, France.
| | - P A Bouche
- Lariboisière Hospital AP-HP, 2 rue Ambroise Paré, 75010, Paris, France
| | - T Bauer
- Ambroise-Paré Hospital AP-HP, 9 Avenue Charles De Gaulle, 92100, Boulogne-Billancourt, France
| | - A Hardy
- Sport Clinic, 36, Boulevard Saint-Marcel, 75005, Paris, France
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8
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Mojica ES, Schwartz LB, Hurley ET, Gonzalez-Lomas G, Campbell KA, Jazrawi LM. Posterior glenoid bone block transfer for posterior shoulder instability: a systematic review. J Shoulder Elbow Surg 2021; 30:2904-2909. [PMID: 34298145 DOI: 10.1016/j.jse.2021.06.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 06/08/2021] [Accepted: 06/12/2021] [Indexed: 02/01/2023]
Abstract
BACKGROUND The purpose of this study is to systematically review the literature and evaluate patient-reported outcomes and complication/revision rates of bone block augmentation in the treatment of posterior shoulder instability (PSI). METHODS PubMed was searched according to PRIMSA guidelines to find clinical studies evaluating patient-reported outcomes, revision, and complication rates in posterior bone block for PSI. A literature search of MEDLINE, EMBASE, and the Cochrane Library was performed based on the PRISMA guidelines. Clinical studies reporting on the complications following posterior bone block were included. RESULTS Overall, 11 studies (level of evidence [LOE] III: 2, LOE IV: 9) met inclusion criteria, with 225 shoulders. Recurrent instability after the posterior bone block was found to be 9.8%. The overall complication rate was 13.8%, with 0.89% having graft complications, 11.1% having hardware complications, 0.4% having wound complications, 0.4% having nerve complications, and 0.89% having other complications. Residual pain was found in 11.6% of shoulders operated on. Patient-reported outcomes were evaluated most commonly by Rowe (81.4%), Constant (84.6%), and Walch-Duplay scores (81.6%). CONCLUSION There is a moderate rate of recurrence following posterior bone block for PSI. However, the patient-reported outcomes are high despite there being commonly reported persistent shoulder pain postoperatively.
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Affiliation(s)
- Edward S Mojica
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA.
| | - Luke B Schwartz
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA
| | - Eoghan T Hurley
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA
| | - Guillem Gonzalez-Lomas
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA
| | - Kirk A Campbell
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA
| | - Laith M Jazrawi
- Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, NY, USA
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9
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Özden F. Comments on: "Cross-cultural adaptation and validation of the Arabic version of the Western Ontario Shoulder Instability Index (WOSI-Arabic)‿ by MM Ismail, KM El Shorbagy, AR Mohamed, SH Griffin published in Orthop Traumatol Surg Res. 2020; 106(6):1135-1139. Orthop Traumatol Surg Res 2021; 107:102848. [PMID: 33549743 DOI: 10.1016/j.otsr.2021.102848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 12/07/2020] [Indexed: 02/03/2023]
Affiliation(s)
- Fatih Özden
- Department of Elderly Care, Muğla Sıtkı Koçman University, 48800 Köyceğiz/Muğla, Turkey.
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10
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Wang Y, Zhou ZY, Zhang YJ, He CR, Xue CC, Xu WD, Wang ZM. Early Follow-Up of Arthroscopic Latarjet Procedure with Screw or Suture-Button Fixation for Recurrent Anterior Shoulder Instability. Orthop Surg 2020; 12:1350-1361. [PMID: 33200576 PMCID: PMC7670134 DOI: 10.1111/os.12781] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/07/2020] [Accepted: 07/15/2020] [Indexed: 12/20/2022] Open
Abstract
Objective To evaluate the early clinical and radiographic results of arthroscopic Latarjet procedure using screw or suture‐button fixation in patients with recurrent anterior shoulder dislocation. Methods Twelve patients who underwent arthroscopic Latarjet procedure between January 2015 and December 2018 at our institution were retrospectively studied. Data of the patients' history, including age, gender, side of affected arm, body mass index (BMI), and the number of dislocations since fist dislocation were collected. Preoperative and postoperative clinical follow‐up data were evaluated using Walch–Duplay score, American Shoulder and Elbow Society (ASES) score, and modified Rowe score. Active external rotation and active internal rotation at 90° of abduction as well as active elevation were evaluated preoperatively and postoperatively. The position and healing condition of the transferred coracoid bony graft were also assessed using computed tomography (CT) and Mimics 19.0 software. Results Mean follow‐up was 24.9 months (range, 13 to 53 months) of all patients. At final follow‐up, the average ASES score (preoperative vs postoperative values) had improved from 68.9 ± 7.9 to 91.1 ± 6.1 in screw fixation group and 68.9 ± 8.9 to 87.5 ± 6.7 in suture‐button fixation group; the average Rowe score (preoperative vs postoperative values) had improved from 25.0 ± 8.4 to 92.5 ± 4.2 in screw fixation group and 21.7 ± 13.7 to 93.3 ± 4.1 in suture‐button fixation group; the average of Walch–Duplay score (preoperative vs postoperative values) had improved from 12.5 ± 15.1 to 91.7 ± 4.1 in screw fixation group and 18.3 ± 20.7 to 88.3 ± 7.5 in button fixation group. The forward flexion was 175.0° ± 8.4° preoperatively and 178.3° ± 4.1° postoperatively in screw fixation group while 174.8° ± 10.2° preoperatively and 175.0° ± 5.5° postoperatively in suture‐button fixation group. The active external rotation was 77.5° ± 5.2° preoperatively and 71.7° ± 4.1° postoperatively in screw fixation group while 72.5° ± 6.9° preoperatively and 68.3° ± 7.5° postoperatively in suture‐button fixation group. The average of active internal rotation was 66.7° ± 6.1° preoperatively and 67.5° ± 6.1° postoperatively in screw fixation group while 68.3° ± 11.3° preoperatively and 66.7° ± 7.5° postoperatively in suture‐button fixation group. In postoperative CT scan, 91.7% grafts midline center were located at or under the equator in the en face view; 75% of the bone blocks were flush to the glenoid face in the axial view, with only two grafts exhibiting slight medial placement in screw fixation group (33.3%) and one graft exhibiting slight lateral placement in suture‐button fixation group (16.7%). All grafts achieved bone union. Graft absorption mostly occurred outside of the “best‐fit” circle. The average bony absorption rates of the coracoid grafts were 25.2% and 10.18% in screw fixation group and suture‐button fixation group, respectively, at 6 months postoperative follow‐up. Conclusion Both suture‐button fixation and screw fixation techniques in arthroscopic Latarjet procedure revealed excellent clinical outcomes with low complication rates in the early follow‐up. The suture‐button fixation exhibited a flexible fixation pattern that allowed for self‐correction to some extent, even slight lateralization could finally remodel over time.
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Affiliation(s)
- Yi Wang
- Department of Orthopaedic Surgery, Third Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Zhi-You Zhou
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Yong-Jin Zhang
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Chong-Ru He
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Chen-Chen Xue
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Wei-Dong Xu
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
| | - Zi-Min Wang
- Department of Orthopaedic Surgery, First Affiliated Hospital of Navy Medical University, Shanghai, China
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Siripipattanamongkol P, Wongtriratanachai P, Nimkingratana P, Phornphutkul C. Arthroscopic Bankart repair: A matched cohort comparison of the modified Mason Allen method and the simple stitch method. ASIA-PACIFIC JOURNAL OF SPORT MEDICINE ARTHROSCOPY REHABILITATION AND TECHNOLOGY 2020; 22:49-55. [PMID: 32913713 PMCID: PMC7451849 DOI: 10.1016/j.asmart.2020.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 07/13/2020] [Accepted: 07/27/2020] [Indexed: 11/17/2022]
Abstract
Introduction Arthroscopic Bankart repair (ABR) has become a standard treatment for recurrent anterior shoulder dislocation in cases with minimal bone loss. Using the standard Bankart repair technique, the failure rate has been reported to be approximately between 4 and 35%. In addition to the original injury, multiple pathologies can occur after a dislocation including a Bankart lesion, capsular redundancy and bone defects. In cases with no significant bone loss, soft tissue plays a major role in stabilizing the shoulder joint. We hypothesized that effective repair of soft tissue with good inferior capsular shifting and proper capsulolabral restoration can create a proper level of soft tissue tension so the horizontal mattress suture method should improve outcomes. Materials and methods A retrospective cohort study was conducted by reviewing the records of patients with recurrent anterior instability who underwent ABR at a single institution between January 2009 and December 2017. Demographic information, preoperative radiographic data including glenoid bone loss, Hill-Sachs width, glenoid track and other surgical details were retrieved from the medical records. The patients identified were divided into 2 groups. Group 1 had one modified Mason Allen stitch plus simple stitches, while Group 2 had only simple stitches. Data obtained from the patient included failure rate, patient satisfaction, the ROWE score and Walch-Duplay score at a minimum of 2 years after surgery. Risk factors for failure were also identified. Results Group 1 included 50 patients (mean age 27.2 ± 9.4 years) who underwent modified Mason Allen stitch ABR (median follow-up, 59.2 months; range, 26.2-128.6 months). Group 2 included 30 patients (mean age 26.9 ± 8.5 years) who underwent simple stitch repair ABR (median follow-up, 68.0 months; range, 24.0-127.9 months). All patients met the inclusion criteria. Evaluation at the final follow-up compared Group 1 and Group 2: ROWE score (86.8 vs 76.3, P = 0.001), Walch-Duplay score (87.2 vs 82.0, P = 0.035), respectively. Failure rates were 6% in group 1 compared to 10% in group 2 (P = 0.511). Conclusions The modified Mason Allen stitch technique and the simple stitches technique ABR both result in excellent patient satisfaction at a minimum 2-year follow-up. Both techniques successfully restore shoulder stability, but the modified Mason Allen stitch technique results in better functional outcomes. Study design Cohort study; level of evidence, 3.
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Gottlieb U, Springer S. Translation and validation of a Hebrew version of the Western Ontario Shoulder Instability index. J Orthop Surg Res 2019; 14:245. [PMID: 31370869 PMCID: PMC6670116 DOI: 10.1186/s13018-019-1289-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 07/23/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND The Western Ontario Shoulder Instability index (WOSI) is a questionnaire designed to measure health-related quality of life in patients with shoulder instability. The aim of the current study was to translate the WOSI into Hebrew and assess its psychometric properties. METHODS The WOSI was translated into Hebrew according to World Health Organization guidelines. Twenty-five patients completed the WOSI and the Disabilities of Arm, Shoulder, and Hand (DASH) questionnaire 2 weeks and 2 months after surgical shoulder stabilization. Internal consistency (Cronbach's α), criterion validity (Pearson's correlation coefficient with DASH), responsiveness, and floor and ceiling effects were assessed. RESULTS Cronbach's α was 0.88-0.95 for total WOSI (range 0.68-0.95 for different sections). Strong correlation with DASH score (r = 0.76-0.84) indicated good criterion validity. Changes between baseline and follow-up for WOSI and DASH scores were moderately correlated (r = 0.68), suggesting moderate responsiveness. Some items demonstrated floor and ceiling effects, especially at baseline, but no floor or ceiling effects were observed for total WOSI or for the WOSI sections. CONCLUSIONS The results of the current study demonstrate that the Hebrew version of the WOSI is a valid instrument that can be used to assess disability in patients with shoulder instability. Additional studies are warranted to assess its psychometric properties among various subpopulations. TRIAL REGISTRATION The study was pre-registered at the ClinicalTrials.gov website, registration number NCT02978365 .
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Affiliation(s)
- Uri Gottlieb
- Israel Defense Forces, Medical Corps, Ramat-Gan, Israel.
- Department of Physical Therapy, Ariel University, 40700, Ariel, Israel.
| | - Shmuel Springer
- Department of Physical Therapy, Ariel University, 40700, Ariel, Israel
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Andrieu K, Barth J, Saffarini M, Clavert P, Godenèche A, Mansat P. Outcomes of capsulolabral reconstruction for posterior shoulder instability. Orthop Traumatol Surg Res 2017; 103:S189-S192. [PMID: 28873347 DOI: 10.1016/j.otsr.2017.08.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Accepted: 08/23/2017] [Indexed: 02/02/2023]
Abstract
BACKGROUND Surgical treatment of isolated posterior shoulder instability-a rare and often misdiagnosed condition-is controversial because of poor outcomes. Failure of physical therapy in symptomatic young athletes requires capsulolabral reconstruction or bone block procedures. The goal of this study was to report the outcomes of patients who have undergone surgical capsulolabral reconstruction and to look for risk factors that contribute to failure of this procedure. MATERIAL AND METHOD We analyzed the outcomes of 101 patients who underwent capsulolabral reconstruction: 83 included retrospectively, 18 included prospectively. The procedures were performed alone or in combination with capsular shift, labral repair, closure of the rotator interval and notch remplissage. The primary endpoint was failure of the procedure, defined as recurrence of the instability and/or pain. We also determined the outcomes based on specific (Walch-Duplay, modified Rowe) and non-specific (Constant, resumption of activities) scores of shoulder instability. RESULTS The results were satisfactory despite a high failure rate: 35% in the retrospective cohort with 4.8±2.6 years' follow-up and 22% in the prospective cohort with 1.1±0.3 years' follow-up. The various outcome scores improved significantly. Ninety-two percent of patients returned to work and 80% of athletes returned to their pre-injury level of sports. Eighty-five percent of patients were satisfied or very satisfied after the surgery. No risk factors for failure were identified; however, failures were more common in older patients, those who underwent an isolated procedure and those who had unclassified clinical forms. CONCLUSION Treatment of posterior shoulder instability by capsulolabral reconstruction leads to good clinical outcomes; however, the recurrence rate is high. LEVEL OF EVIDENCE 4 - retrospective study.
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Affiliation(s)
- K Andrieu
- Hôpital Universitaire de Nantes, 44000 Nantes, France.
| | - J Barth
- Clinique des cèdres d'Échirolles, 38130 Échirolles, France
| | | | - P Clavert
- Hôpital Universitaire de Strasbourg, 67400 Strasbourg, France
| | | | - P Mansat
- Hôpital Universitaire de Toulouse, 31000 Toulouse, France
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Perrin C, Khiami F, Beguin L, Calmels P, Gresta G, Edouard P. Translation and validation of the French version of the Western Ontario Shoulder Instability Index (WOSI): WOSI-Fr. Orthop Traumatol Surg Res 2017; 103:141-149. [PMID: 28069409 DOI: 10.1016/j.otsr.2016.10.024] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2015] [Revised: 09/30/2016] [Accepted: 10/17/2016] [Indexed: 02/02/2023]
Abstract
INTRODUCTION The Western Ontario Shoulder Instability Index (WOSI) is a specific self-administered questionnaire measuring the functional impact on patients with chronic glenohumeral instability. In its English version, it is valid, reliable, and sensitive to change. The objective of the present study was to provide a linguistic and cross-cultural adaptation of the original version of the WOSI to French and to assess the metrologic properties of this version in patients with chronic shoulder instability. MATERIAL AND METHODS The WOSI was translated and adapted both linguistically and culturally to French (WOSI-Fr) according to current guidelines. The metrologic properties of the WOSI-Fr were analyzed in the following groups - unoperated patients with chronic shoulder instability (UOG), operated patients with chronic shoulder instability (OG), patients with instability (TotG=UOG+OG), and control patients (ContG) - through analysis of the construct validity by comparing the WOSI-Fr with the Rowe, Walch-Duplay, QuickDASH, and VAS pain scores, and through analysis of reliability through the reproducibility of internal consistency. RESULTS The WOSI-Fr version was established and then accepted by an expert group (n=7). There was a statistically significant correlation between the WOSI and the different pain and function scores for TotG, OG, and UOG (except with the VAS pain score and the QuickDASH for UOG). Reproducibility (n=27) was good: the ICC value for the total score was 0.88 (95% CI, 0.47-0.98), varying from 0.80 to 0.94 according to the four domains of the WOSI-Fr, and from 0.70 to 0.94 for the different items separately. For TotG, Cronbach's alpha was 0.953, the SEM and the MDC were 120.2 (5.7%) and 333 (15.9%), respectively. CONCLUSION The French version of the WOSI (WOSI-Fr) is available, adapted linguistically and culturally, valid, and reliable. We recommend using it in following up patients with shoulder instability. LEVEL OF EVIDENCE Prospective, level 2.
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Affiliation(s)
- C Perrin
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM EA 7424), Université Jean-Monnet, Université de Lyon, F-42055 Saint-Etienne, France; Unité de Médecine du Sport, Service de Physiologie Clinique et de l'Exercice, Hôpital Nord, IRMIS Campus Santé Innovations, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France; Service de Médecine Physique et de Réadaptation, Hôpital de Bellevue, CHU de Saint-Etienne, boulevard Pasteur, 42055 Saint-Etienne cedex 2, France.
| | - F Khiami
- Service de Chirurgie Orthopédique et Traumatologie du sport, Hôpital de La Pitié-Salpétrière, Assistance Publique des Hôpitaux de Paris, 75013 Paris, France
| | - L Beguin
- Centre Orthéo, 42100 Saint Etienne, France
| | - P Calmels
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM EA 7424), Université Jean-Monnet, Université de Lyon, F-42055 Saint-Etienne, France; Service de Médecine Physique et de Réadaptation, Hôpital de Bellevue, CHU de Saint-Etienne, boulevard Pasteur, 42055 Saint-Etienne cedex 2, France
| | - G Gresta
- Service de Chirurgie Orthopédie, Hôpital Nord, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
| | - P Edouard
- Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM EA 7424), Université Jean-Monnet, Université de Lyon, F-42055 Saint-Etienne, France; Unité de Médecine du Sport, Service de Physiologie Clinique et de l'Exercice, Hôpital Nord, IRMIS Campus Santé Innovations, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France
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Gerometta A, Rosso C, Klouche S, Hardy P. Arthroscopic Bankart shoulder stabilization in athletes: return to sports and functional outcomes. Knee Surg Sports Traumatol Arthrosc 2016; 24:1877-83. [PMID: 24752535 DOI: 10.1007/s00167-014-2984-7] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2013] [Accepted: 04/01/2014] [Indexed: 02/05/2023]
Abstract
PURPOSE The aim of this study was to evaluate return to sports after arthroscopic Bankart stabilization. METHODS This is a retrospective study including all athletes aged <50 years who underwent arthroscopic stabilization in 2010 and 2011 (m, 36; f, 10; mean age 28.9 ± 8.1 years; follow-up 24.4 ± 7.7 months). Sixteen patients were practicing competitive sports and 30 recreational sports. Level and delay of return to sports, sports classification according to Allain, Western Ontario Shoulder Instability Index (WOSI) score, patient satisfaction, apprehension level and avoidance behaviour were noted. RESULTS 95.7 % returned to the same level after an average of 9.8 ± 5.4 months. Sports level was unchanged or better in 82.6 %, lower in 8.7, and 4.5 % changed sport because of their shoulder. Patients with more than 10 dislocations returned to sports and to their preoperative level later than patients with <10. Male athletes returned to preoperative sports levels faster than female athletes (p < 0.001). The WOSI score and also its item "sports" were worse in those who had not returned (p = 0.0002 and 0.006, respectively). Satisfaction correlated with the WOSI score (p = 0.0004) while 93.3 % were satisfied/very satisfied. The decrease in the apprehension level was significant (p < 0.00001). 36.9 % still experienced avoidance behaviour. CONCLUSIONS Most athletes resumed their main sport often at the same level, but the threshold of 10 dislocations should be considered a risk factor for longer return to sports at any level. The WOSI score is a valuable outcome score after Bankart stabilization. Postoperative avoidance should be distinguished from apprehension. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Antoine Gerometta
- Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France
| | - Claudio Rosso
- Department of Orthopaedic Surgery, University Hospital Basel, University of Basel, Basel, Switzerland.
| | - Shahnaz Klouche
- Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France
| | - Philippe Hardy
- Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France
- Université de Versailles Saint-Quentin, 78035, Versailles, France
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Beranger JS, Klouche S, Bauer T, Demoures T, Hardy P. Anterior shoulder stabilization by Bristow-Latarjet procedure in athletes: return-to-sport and functional outcomes at minimum 2-year follow-up. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 2016; 26:277-82. [PMID: 26931441 DOI: 10.1007/s00590-016-1751-5] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 01/23/2016] [Indexed: 11/30/2022]
Abstract
PURPOSE The aim of this study was to assess return-to-sport outcomes following the Latarjet-Bristow procedure. METHODS This retrospective study included all athletes <50 years old, who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2009-2012. Main criteria assessments were the number of athletes returning to any sport and the number returning to the same sport at their preinjury level. The main follow-up was 46.8 ± 9.7 months. RESULTS Forty-seven patients were analyzed, 46 men/1 women, mean age 27.9 ± 7.9 years. Eighteen patients practiced competitive sports and 29 recreational sports. None of them were professional athletes. One hundred percent returned to sports after a mean 6.3 ± 4.3 months. Thirty/47 (63.8 %) patients returned to the same sport at the same level at least and 10/47 (21.3 %) patients changed sport because of their shoulder. Compared to patients who returned to the same sport at the same level, patients who changed sports or returned to a lower level had practiced overhead or forced overhead sports [OR = 4.7 (1.3-16.9), p = 0.02] before surgery, experienced avoidance behavior at the final follow-up (p = 0.002), apprehension (p = 0.00001) and had a worse Western Ontario Shoulder Instability Index score and sub-items (p = 0.003) except for daily activities (p = 0.21). At the final follow-up, 45/47 (95.7 %) patients were still practicing a sport. CONCLUSION All the patients returned to sports, most to their preinjury sport at the same level. Patients who practiced an overhead sport were more likely to play at a lower level or to change sport postoperatively. LEVEL OF EVIDENCE IV, retrospective study-Case series with no comparison group.
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Affiliation(s)
- Jean Sébastien Beranger
- Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.
| | - Shahnaz Klouche
- Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.,Ambroise Paré Hospital, 9, avenue Charles De Gaulle, 92104, Boulogne-Billancourt, France
| | - Thomas Bauer
- Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France
| | - Thomas Demoures
- Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.,Hôpital d'instruction des Armées Percy, 92140, Clamart, France
| | - Philippe Hardy
- Hôpitaux universitaires Paris Île-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France.,Université de Versailles Saint-Quentin-en-Yvelines, 78035, Versailles, France
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Uri O, Pritsch M, Oran A, Liebermann DG. Upper limb kinematics after arthroscopic and open shoulder stabilization. J Shoulder Elbow Surg 2015; 24:399-406. [PMID: 25441562 DOI: 10.1016/j.jse.2014.08.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2014] [Revised: 07/28/2014] [Accepted: 08/13/2014] [Indexed: 02/01/2023]
Abstract
BACKGROUND Shoulder joint stability mediated by proprioception is often quantified by arm repositioning tests (i.e., static end-position accuracy), overlooking ongoing movement quality. This study assessed movement quality by adopting smoothness-related kinematic descriptors. We compared performance of healthy controls with that of patients in arthroscopic shoulder stabilization and open shoulder stabilization groups. We hypothesized that arm kinematics after arthroscopic intervention would more closely resemble healthy movements compared with patients after open shoulder stabilization surgery. METHODS Healthy controls (N = 14) were compared with patients after arthroscopic shoulder stabilization (N = 10) and open shoulder stabilization (N = 12). Right-hand dominant subjects (the affected side in patients) performed 135 unconstrained 3-dimensional pointing movements toward visual targets (seen through pinhole goggles; i.e., no arm vision). Arm kinematic data were recorded and offline analyzed to obtain hand tangential velocity profiles further used to compute the acceleration-to-movement time ratio, peak-to-mean velocity ratio, and number of velocity peaks ("symmetry," "proportion," and "fragmentation" features, respectively). Parametric and nonparametric statistics were used for comparisons (P ≤ .05). RESULTS Control and arthroscopic shoulder stabilization groups presented similar acceleration-to-movement time ratio and peak-to-mean velocity ratio. Both groups differed from the open shoulder stabilization group (P = .001). Distributions of velocity peaks for control and arthroscopic shoulder stabilization groups were similar, whereas open shoulder stabilization and control subjects differed significantly (P = .028). CONCLUSIONS Movement quality mediated by proprioception in arthroscopic shoulder stabilization patients matches that of healthy controls, whereas performance in open shoulder stabilization patients seems inferior compared with that in healthy controls, as assessed by smoothness-related measures (less symmetrical, more fragmented movements).
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Affiliation(s)
- Ofir Uri
- Department of Orthopedic Surgery, Sheba Medical Center, Tel Hashomer, Israel; Department of Physical Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Moshe Pritsch
- Department of Orthopedic Surgery, Sheba Medical Center, Tel Hashomer, Israel
| | - Ariel Oran
- Department of Orthopedic Surgery, Sheba Medical Center, Tel Hashomer, Israel
| | - Dario G Liebermann
- Department of Physical Therapy, Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Gaudelli C, Balg F, Godbout V, Pelet S, Djahangiri A, Griffin S, Rouleau DM. Validity, reliability and responsiveness of the French language translation of the Western Ontario Shoulder Instability Index (WOSI). Orthop Traumatol Surg Res 2014; 100:99-103. [PMID: 24332720 DOI: 10.1016/j.otsr.2013.09.007] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2013] [Revised: 05/02/2013] [Accepted: 09/11/2013] [Indexed: 02/02/2023]
Abstract
BACKGROUND The WOSI (Western Ontario Shoulder Instability Index) is a self-administered quality of life questionnaire designed to be used as a primary outcome measure in clinical trials on shoulder instability, as well as to measure the effect of an intervention on any particular patient. It is validated and is reliable and sensitive. As it is designed to measure subjective outcome, it is important that translation should be methodologically rigorous, as it is subject to both linguistic and cultural interpretation. OBJECTIVE To produce a French language version of the WOSI that is culturally adapted to both European and North American French-speaking populations. MATERIALS AND METHODS A validated protocol was used to create a French language WOSI questionnaire (WOSI-Fr) that would be culturally acceptable for both European and North American French-speaking populations. Reliability and responsiveness analyses were carried out, and the WOSI-Fr was compared to the F-QuickDASH-D/S (Disability of the Arm, Shoulder and Hand-French translation), and Walch-Duplay scores. RESULTS A French language version of the WOSI (WOSI-Fr) was accepted by a multinational committee. The WOSI-Fr was then validated using a total of 144 native French-speaking subjects from Canada and Switzerland. Comparison of results on two WOSI-Fr questionnaires completed at a mean interval of 16 days showed that the WOSI-Fr had strong reliability, with a Pearson and interclass correlation of r=0.85 (P=0.01) and ICC=0.84 [95% CI=0.78-0.88]. Responsiveness, at a mean 378.9 days after surgical intervention, showed strong correlation with that of the F-QuickDASH-D/S, with r=0.67 (P<0.01). Moreover, a standardized response means analysis to calculate effect size for both the WOSI-Fr and the F-QuickDASH-D/S showed that the WOSI-Fr had a significantly greater ability to detect change (SRM 1.55 versus 0.87 for the WOSI-Fr and F-QuickDASH-D/S respectively, P<0.01). The WOSI-Fr showed fair correlation with the Walch-Duplay. DISCUSSION A French-language translation of the WOSI questionnaire was created and validated for use in both Canadian and Swiss French-speaking populations. This questionnaire will facilitate outcome assessment in French-speaking settings, collaboration in multinational studies and comparison between studies performed in different countries. TYPE OF STUDY Multicenter cohort study. LEVEL OF EVIDENCE II.
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Affiliation(s)
- C Gaudelli
- Hôpital de Sacré Coeur de Montréal, Montréal, Québec, Canada
| | - F Balg
- Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada
| | - V Godbout
- Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada
| | - S Pelet
- Centre Hospitalier Affilié Universitaire de Québec, Pavillon Enfant-Jésus, Québec, Canada
| | - A Djahangiri
- Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland
| | - S Griffin
- University of Western Ontario, London, Ontario, Canada
| | - D M Rouleau
- Hôpital de Sacré Coeur de Montréal, Montréal, Québec, Canada.
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Authors' reply. Arthroscopy 2013; 29:1602-3. [PMID: 24075610 DOI: 10.1016/j.arthro.2013.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2013] [Accepted: 08/08/2013] [Indexed: 02/02/2023]
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Harris JD, Gupta AK, Mall NA, Abrams GD, McCormick FM, Cole BJ, Bach BR, Romeo AA, Verma NN. Long-term outcomes after Bankart shoulder stabilization. Arthroscopy 2013; 29:920-33. [PMID: 23395467 DOI: 10.1016/j.arthro.2012.11.010] [Citation(s) in RCA: 193] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Revised: 11/01/2012] [Accepted: 11/06/2012] [Indexed: 02/02/2023]
Abstract
PURPOSE The purposes of this study were (1) to analyze long-term outcomes in patients who have undergone open or arthroscopic Bankart repair and (2) to evaluate study methodologic quality through validated tools. METHODS We performed a systematic review of Level I to IV Evidence using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Clinical outcome studies after open or arthroscopic Bankart repair with a minimum of 5 years' follow-up were analyzed. Clinical and radiographic outcomes were extracted and reported. Study methodologic quality was evaluated with Modified Coleman Methodology Scores and Quality Appraisal Tool scores. RESULTS We analyzed 26 studies (1,781 patients). All but 2 studies were Level III or IV Evidence with low Modified Coleman Methodology Scores and Quality Appraisal Tool scores. Patients analyzed were young (mean age, 28 years) male patients (81%) with unilateral dominant shoulder (61%), post-traumatic recurrent (mean of 11 dislocations before surgery) anterior shoulder instability without significant glenoid bone loss. The mean length of clinical follow-up was 11 years. There was no significant difference in recurrence of instability with arthroscopic (11%) versus open (8%) techniques (P = .06). There was no significant difference in instability recurrence with arthroscopic suture anchor versus open Bankart repair (8.5% v 8%, P = .82). There was a significant difference in rate of return to sport between open (89%) and arthroscopic (74%) techniques (P < .01), whereas no significant difference was observed between arthroscopic suture anchor (87%) and open repair (89%) (P = .43). There was no significant difference in the rate of postoperative osteoarthritis between arthroscopic suture anchor and open Bankart repair (26% and 33%, respectively; P = .059). There was no significant difference in Rowe or Constant scores between groups (P > .05). CONCLUSIONS Surgical treatment of anterior shoulder instability using arthroscopic suture anchor and open Bankart techniques yields similar long-term clinical outcomes, with no significant difference in the rate of recurrent instability, clinical outcome scores, or rate of return to sport. No significant difference was shown in the incidence of postoperative osteoarthritis with open versus arthroscopic suture anchor repair. Study methodologic quality was poor, with most studies having Level III or IV Evidence. LEVEL OF EVIDENCE Level IV, systematic review of studies with Level I through IV Evidence.
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Affiliation(s)
- Joshua D Harris
- Division of Sports Medicine, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA.
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