1,062 results match your criteria Anterior Glenohumeral Instability


Arthroscopic anterior shoulder stabilisation in overhead sport athletes: 5-year follow-up.

Ir J Med Sci 2019 Feb 15. Epub 2019 Feb 15.

Department of Trauma & Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.

Introduction: Shoulder instability following traumatic glenohumeral dislocation is a common injury sustained by athletes particularly in contact and collision sports. Overhead contact sports such as gaelic football and hurling pose a unique hazard to the glenohumeral joint, increasing the risk of dislocation.

Aims: To assess return to sport, level of play, recurrence and functional outcomes in gaelic football and hurling athletes in comparison with players of other sports. Read More

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http://dx.doi.org/10.1007/s11845-019-01986-wDOI Listing
February 2019

Comparative Systematic Review of Fixation Methods of the Coracoid and Conjoined Tendon in the Anterior Glenoid to Treat Anterior Shoulder Instability.

Orthop J Sports Med 2019 Jan 25;7(1):2325967118820539. Epub 2019 Jan 25.

University of São Paulo, São Paulo, Brazil.

Background: Coracoid process transfer for the treatment of recurrent glenohumeral dislocations is a safe and reliable procedure; however, there is no consensus as to which is the best method, the Bristow or Latarjet procedure.

Purpose: To analyze the results of coracoid process transfer for the treatment of recurrent glenohumeral dislocations and to compare the results of this transfer between the Bristow and Latarjet techniques.

Study Design: Systematic review; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/2325967118820539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348521PMC
January 2019
2 Reads

A comparison of glenohumeral joint translation between young and older asymptomatic adults using ultrasonography: a secondary analysis.

Physiother Theory Pract 2019 Feb 1:1-9. Epub 2019 Feb 1.

a Department of Pharmacy and Applied Science , La Trobe University , Bendigo , VIC , Australia.

Background: The rotator cuff muscles are subject to age-related changes, but the effect of aging on glenohumeral joint stability is poorly understood.

Objectives: This study aimed to compare glenohumeral joint translation in asymptomatic young and older people.

Methods: Twenty young (23. Read More

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http://dx.doi.org/10.1080/09593985.2019.1571138DOI Listing
February 2019

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 Jan 30:363546518819199. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose:: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

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http://dx.doi.org/10.1177/0363546518819199DOI Listing
January 2019
6 Reads

The role of bone in glenohumeral stability.

EFORT Open Rev 2018 Dec 20;3(12):632-640. Epub 2018 Dec 20.

Università degli Studi di Roma La Sapienza, Dipartimento di Medicina Sperimentale, Trauma and Orthopaedics, Rome, Italy.

Shoulder stability depends on several factors, either anatomical or functional. Anatomical factors can be further subclassified under soft tissue (shoulder capsule, glenoid rim, glenohumeral ligaments etc) and bony structures (glenoid cavity and humeral head).Normal glenohumeral stability is maintained through factors mostly pertaining to the scapular side: glenoid version, depth and inclination, along with scapular dynamic positioning, can potentially cause decreased stability depending on the direction of said variables in the different planes. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/2058-5241.3.1
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http://dx.doi.org/10.1302/2058-5241.3.180028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335605PMC
December 2018
3 Reads

Axillary Artery Injury Following Closed Reduction of an Age-Indeterminate Anterior Glenohumeral Dislocation.

J Orthop Case Rep 2018 Jul-Aug;8(4):53-56

Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA.

Introduction: Axillary artery injury is a rare and potentially devastating sequelae of glenohumeral dislocation. While neurovascular exam is critical in all presentations, the presence of "soft" and/or "hard" signs should prompt a more thorough examination and possible employment of advanced imaging techniques.

Case Report: We present a case of a 51-year-old male with an axillary artery injury associated with an anterior glenohumeral dislocation. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343555PMC
January 2019
1 Read

The Development Process of Bipolar Bone Defects From Primary to Recurrent Instability in Shoulders With Traumatic Anterior Instability.

Am J Sports Med 2019 Jan 23:363546518819471. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background:: Recurrence of glenohumeral joint instability after primary traumatic anterior instability is not rare, and bipolar bone loss is one of the most critical factors for recurrent instability, but the development process of bipolar bone defects is still unclear.

Purpose:: To investigate the development process of bipolar bone defects from primary to recurrent instability among shoulders with traumatic anterior instability evaluated at least twice by computed tomography (CT).

Study Design:: Case series; Level of evidence, 4. Read More

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http://dx.doi.org/10.1177/0363546518819471DOI Listing
January 2019

Comparison Between Modified Latarjet Performed as a Primary or Revision Procedure in Competitive Athletes: A Comparative Study of 100 Patients With a Minimum 2-Year Follow-up.

Orthop J Sports Med 2018 Dec 21;6(12):2325967118817233. Epub 2018 Dec 21.

Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Background: The literature lacks evidence comparing outcomes between the Latarjet procedure performed as a primary procedure versus a revision procedure in competitive athletes.

Purpose: To compare return to sport, functional outcomes, and complications of the modified Latarjet performed as a primary or revision procedure in competitive athletes.

Study Design: Cohort study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967118817233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304702PMC
December 2018
4 Reads

Arthroscopic Remplissage for Anterior Shoulder Instability: A Systematic Review of Clinical and Biomechanical Studies.

Arthroscopy 2019 Feb 3;35(2):617-628. Epub 2019 Jan 3.

Midwest Orthopedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.

Purpose: To examine the clinical outcomes and biomechanical data supporting the use of the remplissage procedure.

Methods: A query of the Embase, PubMed, Scopus, and Web of Science databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines from 2000 to 2017. Data were extracted from included studies for a qualitative review of both clinical and biomechanical outcomes. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.09.029DOI Listing
February 2019
2 Reads

Is the Instability Severity Index Score a Valid Tool for Predicting Failure After Primary Arthroscopic Stabilization for Anterior Glenohumeral Instability?

Arthroscopy 2019 Feb 3;35(2):361-366. Epub 2019 Jan 3.

Department of Biomedical Sciences, Humanitas University, Milan, Italy; Department of Orthopaedic and Trauma Surgery, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.

Purpose: To assess the validity of the Instability Severity Index Score in predicting the rate of recurrence of dislocation in patients undergoing arthroscopic Bankart repair.

Methods: The inclusion criteria were recurrent anterior traumatic glenohumeral instability and a minimum follow-up of 5 years. According to the preoperative Instability Severity Index Score, patients were divided into the following groups: ≤3 points (A), 4 to 6 points (B), and >6 points (C). Read More

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http://dx.doi.org/10.1016/j.arthro.2018.09.027DOI Listing
February 2019
2 Reads

Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions.

Arthrosc Tech 2018 Dec 19;7(12):e1281-e1287. Epub 2018 Nov 19.

The Steadman Clinic, Vail, Colorado, U.S.A.

Anterior shoulder instability often results from avulsion of the anterior inferior glenohumeral ligament (aIGHL) off its insertion on the glenoid, yielding a Bankart lesion. Although less common, avulsion of the ligament attachment to the humerus results in a humeral avulsion of the glenohumeral ligament (HAGL) lesion. Combined Bankart and HAGL lesions, also termed the "floating aIGHL," create a complex pathology that is not detailed significantly in the literature. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287183014
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http://dx.doi.org/10.1016/j.eats.2018.08.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305904PMC
December 2018
2 Reads

[Finite element analysis of the influence of anchorage number and location on Bankart repair strength of shoulder joint].

Zhongguo Gu Shang 2018 Dec;31(12):1136-1139

Department of Orthopaedics, the Second People's Hospital of Liaocheng, Linqing 252601, Shandong, China;

Objective: To study the influence of the number and position of anchor nails on the Bankart repair by the finite element analysis.

Methods: The 3D CT data of shoulder joints including normal adult volunteers were imported into Mimics 10.0 and Geomagic 2012 software to reconstruct the related tissues, and then meshed in Hypermesh 13. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.12.012DOI Listing
December 2018
9 Reads

Axillary Nerve Position in Humeral Avulsions of the Glenohumeral Ligament.

Orthop J Sports Med 2018 Dec 5;6(12):2325967118811044. Epub 2018 Dec 5.

Department of Mathematics and Statistics, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.

Background: The axillary nerve is at risk during repair of a humeral avulsion of the glenohumeral ligament (HAGL).

Purpose: To measure the distance between the axillary nerve and the free edge of a HAGL lesion on preoperative magnetic resonance imaging (MRI) and compare these findings to the actual intraoperative distance measured during open HAGL repair.

Study Design: Case series; Level of evidence, 4. Read More

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http://journals.sagepub.com/doi/10.1177/2325967118811044
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http://dx.doi.org/10.1177/2325967118811044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287306PMC
December 2018
10 Reads

A three-dimensional scapular motion analysis in patients with arthroscopic anterior capsulolabral repair of the shoulder: The effect of scapular stabilization taping.

J Orthop Sci 2018 Dec 8. Epub 2018 Dec 8.

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

Background: The aim of this study was to investigate the scapular kinematics during dynamic humeral movements in patients with arthroscopic anterior capsulolabral repair of the shoulder along with the potential biomechanical corrective effects of scapular stabilization taping.

Methods: Twenty patients with unilateral traumatic anterior shoulder instability and arthroscopic anterior capsulolabral repair participated in the study. Dynamic shoulder kinematics were assessed during the scapular plane shoulder elevation for both the operated and non operated shoulders and also under two conditions: no-taping and taping. Read More

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http://dx.doi.org/10.1016/j.jos.2018.11.005DOI Listing
December 2018
2 Reads

Anterior Glenohumeral Capsular Reconstruction Using a Human Acellular Dermal Allograft.

Arthrosc Tech 2018 Nov 29;7(11):e1235-e1241. Epub 2018 Oct 29.

Dalhousie University, Halifax, Nova Scotia, Canada.

Anterior capsular reconstruction needs to be done for most cases of anterior shoulder instability. Several surgical techniques using tendinous allografts and autografts have been used for the treatment of anterior glenohumeral capsular reconstruction. However, the outcomes of these procedures are not satisfactory. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261715PMC
November 2018
2 Reads

It's Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery.

Am J Sports Med 2018 Dec 10:363546518810711. Epub 2018 Dec 10.

Royal Devon and Exeter Hospital, Exeter, UK.

Background:: The surgical treatment of recurrent shoulder instability has evolved in recent years to include a variety of soft tissue and bone block procedures, undertaken with either an open or arthroscopic approach. Although the utilization of such techniques has rapidly expanded, the associated risk of complications remains poorly defined. This information is vital for clinical decision making and patient counseling. Read More

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http://dx.doi.org/10.1177/0363546518810711DOI Listing
December 2018
2 Reads

Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability.

J Shoulder Elbow Surg 2019 Mar 28;28(3):561-569. Epub 2018 Nov 28.

Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences in Poznan, Poznań, Poland.

Hypothesis And Background: Proprioception is an important element of shoulder dynamic stability. It has been shown to be affected in cases of capsular or labral injuries of the glenohumeral joint. Therefore, this study was conducted to investigate bilateral shoulder proprioception by active reproduction of joint position both in patients with post-traumatic recurrent unilateral shoulder instability and in normal healthy volunteers. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.034DOI Listing
March 2019
6 Reads

Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment.

Orthop J Sports Med 2018 Nov 16;6(11):2325967118805983. Epub 2018 Nov 16.

Dalhousie University, Halifax, Nova Scotia, Canada.

Background: Anterior shoulder instability is the most common sequela of shoulder dislocation and can result in repeated dislocations or subluxation of the glenohumeral joint. Anterior shoulder instability can be treated conservatively or surgically with several procedures.

Purpose: To date, arthroscopic Bankart is the most common surgical procedure for the treatment of anterior shoulder instability. Read More

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http://dx.doi.org/10.1177/2325967118805983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243418PMC
November 2018
11 Reads

Biomechanics of posterior shoulder instability - current knowledge and literature review.

World J Orthop 2018 Nov 18;9(11):245-254. Epub 2018 Nov 18.

Department of Orthopedic Surgery, New York Presbyterian/Columbia University Medical Center, New York, NY 10032, United States.

Posterior instability of the shoulder is a rare condition and represents about 10% of shoulder instability. It has become more frequently recognized in the last year, even though it is more difficult to diagnose than anterior shoulder instability. As this form of shoulder pathology is somewhat rare, biomechanical knowledge is limited. Read More

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http://dx.doi.org/10.5312/wjo.v9.i11.245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242730PMC
November 2018
1 Read

ARTHROSCOPIC LATARJET TECHNIQUE COMBINED WITH ENDOBUTTONS: FUNCTIONAL OUTCOMES IN 26 CASES.

Acta Ortop Bras 2018 ;26(5):328-331

Universidade de São Paulo, Faculdade de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: The cause of anterior shoulder instability is not fully understood and surgical management remains controversial. The objective of this study was to evaluate the results of patients undergoing arthroscopic Latarjet procedure with endobuttons.

Methods: A retrospective study of 26 patients undergoing arthroscopic Latarjet procedure with endobuttons to treat anterior shoulder instability. Read More

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http://dx.doi.org/10.1590/1413-785220182605208650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220660PMC
January 2018
10 Reads

Epidemiology of the Frequency, Etiology, Direction, and Severity (FEDS) system for classifying glenohumeral instability.

J Shoulder Elbow Surg 2019 Jan 19;28(1):95-101. Epub 2018 Oct 19.

Vanderbilt Sports Medicine, Nashville, TN, USA.

Hypothesis: The purpose of this multicenter epidemiologic study was to determine the distribution of patients within the Frequency, Etiology, Direction, and Severity (FEDS) classification system to determine which categories are of clinical importance.

Methods: Shoulder instability patients were identified using International Classification of Diseases, Ninth Revision coding data from 3 separate institutions from 2005-2010. Data were collected retrospectively. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.014DOI Listing
January 2019
3 Reads

A reduction in the rate of nerve injury after Latarjet: a before-after study after neuromonitoring.

J Shoulder Elbow Surg 2018 Dec 15;27(12):2153-2158. Epub 2018 Oct 15.

Boston Shoulder Institute, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

Background: Neurologic dysfunction is a known complication after the open Latarjet procedure. Although the reported clinical incidence is variable, a prior neuromonitoring study demonstrated a significant incidence of nerve dysfunction during surgery, presumably from nerve stretch. We aimed to determine whether a nerve stretch-reduction protocol reduced the incidence of neurologic injury after the open Latarjet procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183038
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http://dx.doi.org/10.1016/j.jse.2018.05.028DOI Listing
December 2018
8 Reads

Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery.

J Shoulder Elbow Surg 2019 Jan 24;28(1):42-47. Epub 2018 Sep 24.

Société Française de Chirurgie Orthopédique et Traumatologique (SOFCOT), Paris, France.

Background: This study assessed the clinical and radiologic outcomes of Ideberg type IA glenoid fractures treated using conventional open surgery compared with those treated with arthroscopic surgery.

Materials And Methods: This was a retrospective, multicenter study of anterior glenoid rim fractures (Ideberg IA) treated with conventional open surgery (group O) or arthroscopic surgery (group A). Included were 56 patients: 10 in group O and 46 in group A. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10582746183051
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http://dx.doi.org/10.1016/j.jse.2018.07.008DOI Listing
January 2019
6 Reads

The Safety of a Far Medial Arthroscopic Portal for Anatomic Glenoid Reconstruction: A Cadaveric Study.

Orthop J Sports Med 2018 Sep 17;6(9):2325967118795404. Epub 2018 Sep 17.

Dalhousie University, Halifax, Nova Scotia, Canada.

Background: An arthroscopic technique for anatomic glenoid reconstruction has been proposed for the treatment of glenohumeral bone loss in patients with recurrent shoulder instability. This technique is proposed as an alternative to open techniques as well as to the technically challenging arthroscopic Latarjet procedure. In arthroscopic anatomic glenoid reconstruction, a distal tibial allograft is inserted through a novel far medial portal, superior to the subscapularis tendon and lateral to the conjoint tendon. Read More

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http://dx.doi.org/10.1177/2325967118795404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141923PMC
September 2018

Open Surgical Stabilization of Glenohumeral Dislocations.

JBJS Essent Surg Tech 2018 Jun 13;8(2):e17. Epub 2018 Jun 13.

Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.

Traumatic anterior shoulder dislocations are the most common dislocations of the shoulder, and the recurrence rate is high when they are treated nonoperatively in young patients (<30 years old). This has led to a trend toward early surgical stabilization. Originally open Bankart repair was considered the standard of care, with good clinical outcomes and a low recurrence rate. Read More

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http://dx.doi.org/10.2106/JBJS.ST.17.00052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143311PMC
June 2018
1 Read

Shoulder Instability: Interobserver and Intraobserver Agreement in the Assessment of Labral Tears.

Orthop J Sports Med 2018 Sep 6;6(9):2325967118793372. Epub 2018 Sep 6.

Investigation performed at the University of Iowa, Iowa City, Iowa, USA.

Background: The glenohumeral joint combines large range of motion and insufficient bony stabilization, making it susceptible to instability and dislocations. Arthroscopic surgery is routinely used as a diagnostic tool and has been considered the gold standard for the diagnosis of shoulder lesions. However, several studies have demonstrated variability in intraobserver and interobserver agreement. Read More

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http://journals.sagepub.com/doi/10.1177/2325967118793372
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http://dx.doi.org/10.1177/2325967118793372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128077PMC
September 2018
14 Reads

Recurrence After Arthroscopic Labral Repair for Traumatic Anterior Instability in Adolescent Rugby and Contact Athletes.

Am J Sports Med 2018 Oct 10;46(12):2969-2974. Epub 2018 Sep 10.

The Arm Clinic, HCA The Wilmslow Hospital, Wilmslow, UK.

Background: Traumatic glenohumeral dislocation of the shoulder is one of the most common shoulder injuries, especially among adolescent athletes. The treatment of instability for young athletes continues to be controversial owing to high recurrence rates.

Purpose: To investigate the recurrence rate of shoulder instability after arthroscopic capsulolabral repair for adolescent contact and collision athletes. Read More

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http://dx.doi.org/10.1177/0363546518794673DOI Listing
October 2018
2 Reads

Current Concepts in the Evaluation and Management of Type II Superior Labral Lesions of the Shoulder.

Open Orthop J 2018 31;12:331-341. Epub 2018 Jul 31.

Tulane University School of Medicine, Department of Orthpaedic Surgery, New Orleans, LA 70112, USA.

Background: Superior labrum tears extending from anterior to posterior (SLAP lesion) are a cause of significant shoulder pain and disability. Management for these lesions is not standardized. There are no clear guidelines for surgical versus non-surgical treatment, and if surgery is pursued there are controversies regarding SLAP repair versus biceps tenotomy/tenodesis. Read More

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http://dx.doi.org/10.2174/1874325001812010331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110065PMC
July 2018
3 Reads

Editorial Commentary: Science Bearing Fruit: Can the Inverted Pear Be Quantified?

Authors:
Mark J Lemos

Arthroscopy 2018 Sep;34(9):2567-2568

It has been reported and verified that anterior glenoid bone loss can lead to increased instability of the glenohumeral joint. Many authors have tried to quantify glenoid bone loss in recurrent instability of the glenohumeral joint. Techniques have included radiographic, magnetic resonance imaging, computed tomography (CT), 3-dimensional CT, and arthroscopic visualization. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.05.024DOI Listing
September 2018

Concurrent validity of handheld dynamometer measurements for scapular protraction strength.

Braz J Phys Ther 2018 Aug 21. Epub 2018 Aug 21.

Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil.

Background: Handheld dynamometers (HHD) provide quick and low-cost assessments of muscle strength and their use has been increasing in clinical practice. There is no available data related to the validity of HHD for this measurement.

Objective: To verify the concurrent validity of scapular protraction measurements using an HHD. Read More

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http://dx.doi.org/10.1016/j.bjpt.2018.08.002DOI Listing
August 2018
21 Reads

Ninety-day complications following the Latarjet procedure.

J Shoulder Elbow Surg 2019 Jan 16;28(1):88-94. Epub 2018 Aug 16.

Rothman Institute, New York, NY, USA.

Background: The purpose of this study was to describe the rate and type of complications occurring within 90 days following the Latarjet procedure for anterior glenohumeral instability.

Methods: Consecutive patients undergoing the Latarjet procedure by fellowship-trained surgeons from a single institution between 2007 and 2016 were included for analysis. Indications for the Latarjet procedure included primary or recurrent anterior instability with clinically significant anterior glenoid bone loss and/or failed prior arthroscopic stabilization. Read More

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http://dx.doi.org/10.1016/j.jse.2018.06.022DOI Listing
January 2019
22 Reads

The epidemiology of MRI detected shoulder injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics.

BMC Musculoskelet Disord 2018 Aug 17;19(1):296. Epub 2018 Aug 17.

Section of Musculoskeletal Imaging, Department of Radiology, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Ave., Boston, MA, 02118, USA.

Background: To use Magnetic Resonance Imaging (MRI) to characterize the severity, location, prevalence, and demographics of shoulder injuries in athletes at the Rio de Janeiro 2016 Summer Olympic Games.

Methods: This was a retrospective analysis of all routine shoulder MRIs obtained from the Olympic Village Polyclinic during the Rio 2016 Summer Olympics. Imaging was performed on 1. Read More

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http://dx.doi.org/10.1186/s12891-018-2224-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097204PMC
August 2018
7 Reads

Age-Related Changes of Elastic Fibers in Shoulder Capsule of Patients with Glenohumeral Instability: A Pilot Study.

Biomed Res Int 2018 18;2018:8961805. Epub 2018 Jul 18.

Shoulder and Elbow Unit, "D. Cervesi" Hospital, Cattolica-AUSL della Romagna, Ambito Rimini, Italy.

Background: Recurrent shoulder dislocations occur much more frequently in adolescents than in the older population but a clear explanation of this incidence does not exist. The aim of the present study was to define the age-related distribution of the elastic fibers (EFs) in the shoulder capsule's extracellular matrix as a factor influencing shoulder instability.

Materials And Methods: Biopsy specimens were obtained from the shoulder capsule of patients divided preoperatively into three groups: Group 1 consisted of 10 male patients undergoing surgery for unidirectional traumatic anterior instability (TUBS); Group 2 consisted of 10 male patients undergoing surgery for multidirectional instability (MDI); Group 3 represents the control, including 10 patients with no history of instability. Read More

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http://dx.doi.org/10.1155/2018/8961805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076904PMC
January 2019
1 Read

Posterior Glenohumeral Capsular Reconstruction Using an Acellular Dermal Allograft.

Arthrosc Tech 2018 Jul 18;7(7):e739-e745. Epub 2018 Jun 18.

Department of Orthopaedic Surgery, Queen Elizabeth II Health Sciences Centre, Dalhousie University and Nova Scotia Health Authority, Halifax, Nova Scotia, Canada.

Posterior shoulder instability is an uncommon and challenging cause of shoulder pain and dysfunction. Surgical management has less reliable results and higher failure rates compared with techniques for anterior shoulder instability. The presence of generalized ligamentous laxity further complicates options for surgical management. Read More

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http://dx.doi.org/10.1016/j.eats.2018.03.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6074021PMC
July 2018
2 Reads

Traumatic Anterior Instability: Treatment Options for Initial Instability.

Sports Med Arthrosc Rev 2018 Sep;26(3):95-101

American Sports Medicine Institute, Birmingham, AL.

Because of the lack of bony restraints and minimal articular contact, the glenohumeral joint can attain significant range of motion; however, this results in the propensity for instability. The most generic form of instability, traumatic anterior instability, reliably produces a series of pathoanatomic findings. While reliable, these findings contribute to the complexities of caring for patients after an initial instability event. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000203DOI Listing
September 2018
14 Reads

Effect of Anterior Glenoid Labral Tears and Glenoid Bone Loss at the NFL Combine on Future NFL Performance.

Orthop J Sports Med 2018 Jul 16;6(7):2325967118784884. Epub 2018 Jul 16.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: Anterior glenohumeral instability is a common abnormality in the young, athletic population, especially in those participating in contact or collision sports.

Purpose: To examine the effect of anterior labral tears, their associated injuries, and their management on future National Football League (NFL) performance.

Study Design: Cohort study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/2325967118784884DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048624PMC
July 2018
10 Reads

Scapular muscles weakness in subjects with traumatic anterior glenohumeral instability.

Phys Ther Sport 2018 Sep 11;33:76-81. Epub 2018 Jul 11.

Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil. Electronic address:

Objective: To investigate possible alterations on scapular muscle strength in subjects with traumatic anterior glenohumeral instability.

Design: Cross-sectional study.

Setting: Laboratory setting. Read More

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http://dx.doi.org/10.1016/j.ptsp.2018.07.003DOI Listing
September 2018
7 Reads

The Incidence of Glenohumeral Bone and Cartilage Lesions at the Time of Anterior Shoulder Stabilization Surgery: A Comparison of Patients Undergoing Primary and Revision Surgery.

Am J Sports Med 2018 Aug 9;46(10):2449-2456. Epub 2018 Jul 9.

Investigation performed at the Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Background: Intra-articular glenohumeral joint changes frequently occur after shoulder instability events.

Purpose: (1) To compare demographic characteristics, baseline patient-reported outcomes, and intraoperative findings for patients undergoing primary or revision shoulder stabilization surgery and (2) to determine the incidence of glenohumeral bone and cartilage lesions in this population while identifying factors independently associated with these lesions.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/0363546518781331DOI Listing
August 2018
302 Reads

Arthroscopic Bone Graft Procedure Combined With Arthroscopic Subscapularis Augmentation for Recurrent Anterior Instability With Glenoid Bone Defect.

Arthrosc Tech 2018 Jun 14;7(6):e623-e632. Epub 2018 May 14.

Orthopedics and Traumatology Unit, University of Tor Vergata, Rome, Italy.

Glenoid bone loss and capsular deficiency represent critical points of arthroscopic Bankart repair failures. The purpose of this Technical Note is to present an all-arthroscopic bone block procedure associated with arthroscopic subscapularis augmentation for treating glenohumeral instability with glenoid bone loss and anterior capsulolabral deficiency. Two glenoid tunnels are set up from the posterior to the anterior side using a dedicated bone block guide, and 4 buttons are used to fix the graft to the glenoid. Read More

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http://dx.doi.org/10.1016/j.eats.2018.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020248PMC
June 2018
2 Reads

Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation.

Rev Bras Ortop 2018 Mar-Apr;53(2):176-183. Epub 2018 Feb 23.

Setor do Ombro, Departamento de Ortopedia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Objective: Retrospective case-control study of authors experience in the modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation with glenoid bone injury.

Methods: Sample with 102 recurrent glenohumeral dislocation cases submitted to modified Bristow-Latarjet procedure. Indications included situations of recurrent traumatic anterior glenohumeral instability with more than two dislocation episodes and with glenoid bone attritional or fragmentary injuries, without possibility of reconstruction. Read More

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http://dx.doi.org/10.1016/j.rboe.2017.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001395PMC
February 2018
17 Reads

Anatomic analysis of the whole articular capsule of the shoulder joint, with reference to the capsular attachment and thickness.

J Exp Orthop 2018 Jun 7;5(1):16. Epub 2018 Jun 7.

Department of Clinical Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Although conventional Bankart repair has been the accepted procedure for traumatic anterior glenohumeral instability, the humeral avulsion of the glenohumeral ligament or an elongation of the capsule remains challenging to decide the appropriate treatment. The anatomical knowledge regarding the whole capsule of glenohumeral joint is necessary to accurately treat for the capsular disorders. The aims of the current study were to investigate the anatomical features of capsular attachment and thickness in a whole capsule of glenohumeral joint. Read More

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http://dx.doi.org/10.1186/s40634-018-0134-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992113PMC
June 2018
2 Reads

Pre-shaped Allograft for Glenoid Reconstruction in Anterior Shoulder Instability.

Arthrosc Tech 2018 Apr 12;7(4):e343-e348. Epub 2018 Mar 12.

Sports Health Center, Cleveland Clinic Foundation, Garfield Heights, Ohio, U.S.A.

Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Current surgical strategies to reconstruct the glenoid include coracoid transfer (Bristow-Latarjet procedure), iliac crest autograft, and allograft (osteochondral and iliac crest). These may carry drawbacks of technical difficulty, increased surgical time, neurovascular injury, and nonanatomic reconstruction. Read More

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http://dx.doi.org/10.1016/j.eats.2017.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982359PMC
April 2018
7 Reads

What Are the Effects of Capsular Plication on Translational Laxity of the Glenohumeral Joint: A Study in Cadaveric Shoulders.

Clin Orthop Relat Res 2018 Jul;476(7):1526-1536

S. W. Mayer, Department of Orthopedic Surgery, Children's Hospital Colorado, Aurora, CO, USA A. P. Kraszewski, A. Kontaxis, Motion Analysis Laboratory, Hospital for Special Surgery, New York, NY, USA A. Skelton, Musculoskeletal Research Center, Children's Hospital Colorado, Aurora, CO, USA R. Warren, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.

Background: Surgical treatment for shoulder instability generally involves labral repair with a capsular plication or imbrication. Good results are reported in both open and arthroscopic procedures, but there is no consensus on the amount or location of capsular plication that is needed to achieve stability and anatomic anterior, posterior, and inferior translation of the joint.

Questions/purposes: (1) What are the separate and combined effects of increasing plication magnitude and sequential additive plications in the anterior, posterior, and inferior locations of the joint capsule on glenohumeral joint translation in the anterior, posterior, and inferior directions? (2) What plication location and magnitude restores anterior, posterior, and inferior translation to a baseline level?

Methods: Fourteen cadaveric shoulders were dissected down to the glenohumeral capsule and underwent instrumented biomechanical testing. Read More

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http://Insights.ovid.com/crossref?an=00003086-201807000-0002
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http://dx.doi.org/10.1097/01.blo.0000534681.21276.14DOI Listing
July 2018
6 Reads

Postoperative Imaging in Anterior Glenohumeral Instability.

AJR Am J Roentgenol 2018 Sep 29;211(3):528-537. Epub 2018 May 29.

1 Department of Radiology, NYU Langone Medical Center-Hospital for Joint Diseases, 301 E 17th St, Rm 600, New York, NY 10003.

Objective: Postoperative imaging after surgery for anterior glenohumeral instability poses a great challenge, which can be compounded by a lack of familiarity with the many different operative techniques and their expected normal appearances and complications. In this article, we discuss the postoperative imaging appearances of anterior glenohumeral instability surgery with a review of currently recommended treatment guidelines.

Conclusion: It is important for radiologists to accurately detect complications of anterior shoulder instability surgery at postoperative imaging. Read More

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https://www.ajronline.org/doi/10.2214/AJR.17.19304
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http://dx.doi.org/10.2214/AJR.17.19304DOI Listing
September 2018
2 Reads

Arthroscopic repair of bony Bankart lesions in collision athletes.

Shoulder Elbow 2018 Jul 11;10(3):201-206. Epub 2017 Jul 11.

The Wilmslow Hospital, Wilmslow, UK.

Background: The present study aimed to report the outcomes of acute and subacute arthroscopic bony Bankart repairs in collision athletes.

Methods: We reviewed 22 consecutive rugby players with traumatic anterior glenohumeral instability who underwent arthroscopic bony Bankart repair within 4 months of injury over a 2-year period. All lesions were less than 25% of the glenoid bony area. Read More

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http://dx.doi.org/10.1177/1758573217717102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960873PMC
July 2018
4 Reads

Arthroplasty for glenohumeral arthritis in shoulders with a previous Bristow or Latarjet procedure.

J Shoulder Elbow Surg 2018 Sep;27(9):1607-1613

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: Coracoid transfer has become increasingly popular for recurrent anterior shoulder instability. Despite the success, glenohumeral arthropathy develops in some patients. Arthroplasty in this population is complicated by altered anatomy, scarring, and retained hardware. Read More

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http://dx.doi.org/10.1016/j.jse.2018.02.062DOI Listing
September 2018
13 Reads

Bony Reconstruction of the Anterior Glenoid Rim.

J Am Acad Orthop Surg 2018 May;26(10):e207-e218

From the Mayo Clinic, Rochester, MN (Dr. Willemot and Dr. Elhassan) and AZ Monica and University Hospital of Antwerp, Antwerp, Belgium (Dr. Verborgt).

Recurrent anterior shoulder instability is associated with glenohumeral bone loss. Glenoid deficiency compromises the concavity-compression mechanism. Medial Hill-Sachs lesions can result in an off-track humeral position. Read More

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http://dx.doi.org/10.5435/JAAOS-D-16-00649DOI Listing
May 2018
8 Reads

Clinical Outcomes and Return to Sport After Arthroscopic Anterior, Posterior, and Combined Shoulder Stabilization.

Orthop J Sports Med 2018 Apr 3;6(4):2325967118763754. Epub 2018 Apr 3.

Department of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.

Background: Glenohumeral instability is a common abnormality, especially among athletes. Previous studies have evaluated outcomes after arthroscopic stabilization in patients with anterior or posterior shoulder instability but have not compared outcomes between groups.

Purpose: To compare return-to-sport and other patient-reported outcomes in patients after primary arthroscopic anterior, posterior, and combined anterior and posterior shoulder stabilization. Read More

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http://dx.doi.org/10.1177/2325967118763754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5888826PMC