1,157 results match your criteria Anterior Glenohumeral Instability


Comparable clinical outcomes using knotless and knot-tying anchors for arthroscopic capsulolabral repair in recurrent anterior glenohumeral instability at mean 5-year follow-up.

Knee Surg Sports Traumatol Arthrosc 2020 May 18. Epub 2020 May 18.

Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Purpose: To compare rates of recurrent instability, revision surgery and functional outcomes following arthroscopic anterior capsulolabral repair for recurrent anterior instability using knot-tying versus knotless suture anchor techniques.

Methods:  Patients who had undergone arthroscopic anterior labrum and capsular repair for recurrent anterior glenohumeral instability using knotless anchors were identified. Those with minimum 2-year follow-up were matched (1:2) to knot-tying anchor repair patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-020-06057-7DOI Listing

Imaging of shoulder instability.

Skeletal Radiol 2020 May 23. Epub 2020 May 23.

Shoulder Unit, Humanitas Researche Hospital, Via Manzoni 56 Rozzano, Milan, Italy.

The shoulder enjoys the widest range of motion of all the joints in the human body, therefore requires a delicate balance between stability and motility. The glenohumeral joint is inclined to fall into two main instability categories: macro and micro. Macroinstability can be traumatic or atraumatic, with anterior or posterior dislocation of the humeral head. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00256-020-03459-zDOI Listing

Similar Results in Return to Sports, Recurrences and Healing Rates Between the Classic and Congruent Arc Latarjet for Athletes with recurrent glenohumeral instability and a failed stabilization.

Arthroscopy 2020 May 19. Epub 2020 May 19.

Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Purpose: The purpose of this study was to compare the return-to-sport rate, the functional outcomes and the complications of the "classic Latarjet" surgery with those of the "congruent arc Latarjet" surgery in athletes with recurrent glenohumeral instability and failed previous stabilization procedures METHODS: All the included patients were operated between May 2009 and April 2017. The inclusion criteria were athletes with recurrent anterior glenohumeral instability, a glenoid bone defect greater than 20%, at least one previous failed stabilization surgery operated with the classic or the congruent-arc Latarjet procedures and a minimum 2 years follow-up. Return to sports, range of motion (ROM), the Rowe score, a VAS for pain, and the ASOSS score were used to assess functional outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2020.05.013DOI Listing

Posterior Glenohumeral Instability: Diagnosis and Management.

Arthroscopy 2020 May 19. Epub 2020 May 19.

University of Pittsburgh Medical Center, Pittsburgh, PA.

Posterior glenohumeral instability can manifest as posterior shoulder pain and dysfunction, particularly among athletes. Repetitive, posteriorly-directed axial loads, as commonly encountered by contact athletes (American football linemen, rugby players), result in microtrauma that can induce posteroinferior labral tears. Alternatively, superior labrum anterior posterior (SLAP) tears commonly seen in throwing athletes may propagate in a posteroinferior direction (i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2020.05.018DOI Listing

Quantitative and Qualitative Analyses of the Glenohumeral Ligaments: An Anatomic Study.

Am J Sports Med 2020 May 22:363546520917665. Epub 2020 May 22.

Steadman Philippon Research Institute, Vail, Colorado, USA.

Background: While several studies have qualitatively described the anatomy of the glenohumeral ligaments, there remains a lack of consensus regarding their quantitative humeral and glenoid attachment sites.

Purpose: To quantitatively and qualitatively describe the anatomic humeral and glenoid attachment sites of the glenohumeral ligaments and their relationship to well-established anatomic landmarks.

Study Design: Descriptive laboratory study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546520917665DOI Listing

Glenoid track evaluation by a validated finite-element shoulder numerical model.

Orthop Traumatol Surg Res 2020 May 16. Epub 2020 May 16.

Universidade de Sao Paulo, Instituto de Ortopedia e Traumatologia, São Paulo, Brazil.

Background: The limits of the glenoid track have been defined through methods that do not take properly into account the physiological articular forces involved in the articular contact, which may interfere with its size. Finite elements numerical models can simulate joint forces more realistically.

Objective: To evaluate the glenoid track in a finite element numerical model of the shoulder. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2020.03.004DOI Listing

LATARJET PROCEDURE ON ANTERIOR SHOULDER INSTABILITY IN PROFESSIONAL SOCCER PLAYERS.

Acta Ortop Bras 2020 Mar-Apr;28(2):84-87

Universidade Federal de São Paulo, Paulista Medical School, São Paulo, SP, Brazil.

Anterior glenohumeral instability is a frequent cause of professional soccer players' removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly.

Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802225433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224322PMC

Comparative biomechanical study of five systems for fixation of the coracoid transfer during the Latarjet procedure for treatment of anterior recurrent shoulder instability.

Int Orthop 2020 May 12. Epub 2020 May 12.

Department of Orthopaedics and Traumatology, Sainte-Marguerite Hospital, Assistance Publique-Hôpitaux de Marseille, Marseille, France.

Purpose: This work compares the biomechanical resistance of five modes of fixation coracoid bone-block fixation during Latarjet open-air or arthroscopic procedures. The hypothesis is that these systems are equivalent.

Methods: Latarjet procedures were performed on cadavers, then the samples were subjected to an increasing tension until the fixation failed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-020-04565-2DOI Listing

Arthroscopic Trillat Procedure: A Guided Technique.

Arthrosc Tech 2020 Apr 23;9(4):e513-e519. Epub 2020 Apr 23.

Department of Orthopedic Surgery, Centre Osteo-Articulaire des Cedres, Echirolles, France.

The Trillat procedure is a surgical treatment for recurrent anterior shoulder instability in the setting of significant or irreparable rotator cuff tears in elderly patients. The procedure comprises an inferior closing wedge partial osteotomy of the coracoid process with fixation to the glenoid neck. This results in a lowered and medialized coracoid process that acts as a bone block and the conjoint tendon is brought closer to the glenohumeral joint, thus closing the subcoracoid space, which blocks humeral dislocation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189268PMC

Arthroscopic, Implant-Free Bone-Grafting for Shoulder Instability with Glenoid Bone Loss.

JBJS Essent Surg Tech 2020 Jan-Mar;10(1). Epub 2020 Mar 23.

Vienna Shoulder & Sports Clinic, Vienna, Austria.

Anterior shoulder instability is commonly associated with injuries to the labrocapsular structures of the glenohumeral joint and with osseous glenoid defects of varying degree. If the bone defect exceeds a clinically relevant threshold, mere soft-tissue repairs result in high rates of recurrent instability and the glenoid needs to be reconstructed with osseous augmentation. The most popular techniques for glenoid reconstruction include variations of coracoid transfer or bone-block procedures; however, these procedures are not free from risks and complications, which are often related to the method of fixation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.ST.18.00109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161733PMC

Comparative Evaluation of Coracoid Graft Dimensions in the Latarjet Surgery for Anterior Glenohumeral Instability.

Rev Bras Ortop (Sao Paulo) 2020 Apr 28;55(2):215-220. Epub 2020 Jan 28.

Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.

 The aim of the present study was to describe the dimensions of the coracoid grafts in our Latarjet surgeries and compare them with the results described in the literature. In addition, the feasibility of the 7-millimeter rule was verified.  Individuals with anterior glenohumeral instability with or without bone loss participated in the present study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1698801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186068PMC

Optimal Cut-Off Value of the Coracohumeral Ligament Area as a Morphological Parameter to Confirm Frozen Shoulder.

J Korean Med Sci 2020 Apr 20;35(15):e99. Epub 2020 Apr 20.

Department of Anesthesiology and Pain Medicine, Catholic Kwandong University, College of Medicine, International St. Mary's Hospital, Incheon, Korea.

Background: Thickened coracohumeral ligament (CHL) is one of the important morphological changes of frozen shoulder (FS). Previous research reported that coracohumeral ligament thickness (CHLT) is correlated with anterior glenohumeral instability, rotator interval and eventually FS. However, thickness may change depending on the cutting angle, and measurement point. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3346/jkms.2020.35.e99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167408PMC

Transcriptomic analysis of adhesive capsulitis of the shoulder.

J Orthop Res 2020 Apr 8. Epub 2020 Apr 8.

School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Geelong, Australia.

Adhesive capsulitis (AC) is a disabling condition of the shoulder joint affecting 2 to 5% of the general population. Our understanding of the molecular mechanisms is limited. The present study aimed to determine potential biomarkers of AC through transcriptomic analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jor.24686DOI Listing

Does the innate relative size of the humeral head and glenoid affect the risk of anterior shoulder instability?

Shoulder Elbow 2019 Dec 23;11(6):424-429. Epub 2018 Oct 23.

JointResearch, Department of Orthopaedic Surgery, OLVG Amsterdam, the Netherlands.

Background: Bony lesions after shoulder dislocation reduce the joint contact area and increase the risk of recurrent instability. It is unknown whether the innate relative sizes of the humeral head and glenoid may predispose patients to shoulder instability. This study evaluated whether anterior shoulder instability is associated with a larger innate humeral head/glenoid ratio (IHGR). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1758573218805099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094061PMC
December 2019

Anterior Instability: What to Look for.

Magn Reson Imaging Clin N Am 2020 May 10;28(2):195-209. Epub 2020 Jan 10.

333 East 38th Street, New York, NY 10016, USA.

Most first-time anterior glenohumeral dislocations occur as the result of trauma. Many patients suffer recurrent episodes of anterior shoulder instability (ASI). The anatomy and biomechanics of ASI is addressed, as is the pathophysiology of capsulolabral injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.mric.2019.12.004DOI Listing

Arthroscopic Iliac Bone Block Augmentation for Glenoid Reconstruction: Transglenoid Fixation Technique Using an All-Suture Anchor.

Arthrosc Tech 2020 Mar 17;9(3):e351-e356. Epub 2020 Feb 17.

Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym University, Keunjaebong-gil, Hwaseong-si, Gyeonggi-do, Republic of Korea.

Arthroscopic Bankart repair of anterior instability has shown relatively good results, but its effectiveness is unclear in cases wherein there is a bone defect in the glenoid bone. The surgical management of recurrent anterior shoulder instability with severe glenoid bone loss has been challenging until now. Therefore the Latarjet procedure was introduced as an alternative that provided good results in cases of full instability with a bone defect. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.11.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093732PMC

Latarjet procedure for anterior shoulder instability: a 24-year follow-up study.

Arch Orthop Trauma Surg 2020 Mar 27. Epub 2020 Mar 27.

SRG Medical Center, Rome, Italy.

Introduction: Different surgical techniques (open and arthroscopic) have been described for the treatment of post-traumatic recurrent anterior instability. The aim of the surgery is to restore when possible, normal shoulder anatomy by repairing the underlying pathology responsible for the instability. Sometimes other surgical techniques are indicated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03426-2DOI Listing

Risk Factors for Postoperative Opioid Use in Arthroscopic Shoulder Labral Surgery.

Arthroscopy 2020 Mar 19. Epub 2020 Mar 19.

Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan, U.S.A.

Purpose: To determine the correlation between preoperative and postoperative opioid use in patients undergoing arthroscopic shoulder labral repair, as well as patient risk factors associated with increased postoperative opioid use after the procedure.

Methods: A retrospective review of all patients undergoing arthroscopic shoulder labral surgery at a single institution between August 2013 and November 2017 was performed. Patients were stratified as opioid nonusers, acute users, or chronic users based on preoperative consumption. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2020.03.008DOI Listing
March 2020
3.206 Impact Factor

Bankart repair alone in combined Bankart and superior labral anterior-posterior lesions preserves range of motion without compromising joint stability.

JSES Int 2020 Mar 21;4(1):63-67. Epub 2020 Jan 21.

Division of Orthopedic Research, Mayo Clinic, Rochester, MN, USA.

Hypothesis: The purpose was to investigate joint stability and range of motion after a Bankart repair without superior labral anterior-posterior (SLAP) repair (termed "Bankart repair") and after combined Bankart and SLAP repairs (termed "combined repair").

Methods: Eight fresh-frozen shoulders were used. Combined Bankart and SLAP lesions were created (10- to 6-o'clock positions). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jseint.2019.11.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075760PMC

Shoulder arthroplasty to address the sequelae of anterior instability arthropathy and stabilization procedures: systematic review and meta-analysis.

Arch Orthop Trauma Surg 2020 Mar 5. Epub 2020 Mar 5.

Centro di chirurgia della spalla e del gomito, Ospedale Civile Cervesi, Cattolica, Italy.

Purpose: Chronic anterior glenohumeral joint instability is a common situation and can lead to progressive cartilage deterioration and ultimately instability arthopathy. Progressive cartilage deterioration can occur despite conservative or surgical treatment and the sequelae of these conditions are often addressed with total shoulder arthroplasty. Aims of the present study were to analyze the available literature to describe the technical aspects of this particular operation and to report outcomes and complication rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03400-yDOI Listing

Arthroscopic treatment of a one-fourth anteroinferior glenoid comminuted fracture-dislocation with concomitant three-part complex proximal humerus fracture in a middle-aged man: a case report.

Arch Orthop Trauma Surg 2020 Mar 5. Epub 2020 Mar 5.

Department of Orthopaedic Surgery, Yonsei University College of Medicine, 50 Yonseiro, Seodaemun-gu, Seoul, Republic of Korea.

Introduction: Proximal humeral fracture-dislocations can occur in high-energy traumas. This injury can be accompanied by a glenoid fracture; however, it is a rare type of complex injury in patients aged under 60 years.

Materials And Methods: A 53-year-old man presented with a three-part fracture-dislocation of the proximal humerus and a severely comminuted glenoid fracture. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03402-wDOI Listing

Incidence of in arthroscopic Bankart repair for traumatic anterior shoulder instability.

J Orthop 2020 Sep-Oct;21:75-78. Epub 2020 Jan 9.

Department of Orthopaedic Surgery, Aichi Medical University, Japan.

Background: We evaluated the detection rate of () for patients who underwent arthroscopic Bankart repair for traumatic anterior shoulder instability.

Methods: Study subjects included 36 patients who underwent arthroscopic Bankart repair. Skin swabs prior to antisepsis, intraoperative synovial swabs of the glenohumeral joint (immediately after incision and prior to wound closure), and the suture of the suture anchor were cultured. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jor.2020.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049569PMC
January 2020

Massive graft resorption after iliac crest allograft reconstruction for glenoid bone loss in recurrent anterior shoulder instability.

Arch Orthop Trauma Surg 2020 Feb 24. Epub 2020 Feb 24.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

Introduction: Donor site morbidity constitutes the most prevalent source of complications during anatomic glenoid reconstruction. Therefore, the aim of this study was to evaluate the clinical and radiologic results of arthroscopic anatomic glenoid reconstruction using an allogenic, tricortical iliac crest bone graft for glenoid bone loss in recurrent anterior shoulder instability.

Materials And Methods: Ten patients [one female/nine male, mean age 31. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03380-zDOI Listing
February 2020

Bilateral Luxatio Erecta Humeri With Acute Anterior-inferior Re-dislocation.

Clin Pract Cases Emerg Med 2020 Feb 19;4(1):38-41. Epub 2019 Nov 19.

Ascension Genesys Hospital, Department of Orthopedics, Grand Blanc, Michigan.

Luxatio erecta is a description for a specific and rare type of shoulder dislocation where the humeral head dislocates directly inferior. This rare form of glenohumeral dislocation accounts for only 0.5% of shoulder dislocations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5811/cpcem.2019.9.44205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012557PMC
February 2020

The novel arthroscopic subscapular quadriceps tendon-bone sling procedure provides increased stability in shoulder cadavers with severe glenoid bone loss.

Knee Surg Sports Traumatol Arthrosc 2020 Feb 14. Epub 2020 Feb 14.

Orthopedic Department, Ålesund Hospital, Møre and Romsdal Health Trust, Ålesund, Norway.

Purpose: Treatment of anterior glenoid bone loss in patients with recurrent anterior shoulder instability is a challenge. The subscapular sling method with quadriceps tendon bone (QTB) graft is a modification of the subscapular sling with a semitendinosus (ST) graft. The aim of the study was to test the biomechanical stability of the QTB sling procedure in human shoulder cadavers with severe anterior glenoid bone loss. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-020-05900-1DOI Listing
February 2020

Subscapularis-Sparing Rotator Interval Approach for Anatomic Total Shoulder Arthroplasty.

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Nov 26.

University of Alabama at Birmingham, Birmingham, Alabama.

Background: A subscapularis-sparing approach to anatomic total shoulder arthroplasty (TSA) is used for patients with glenohumeral osteoarthritis who have an intact rotator cuff and sufficient bone volume.

Description: A 7 to 10-cm anterosuperior incision is made with the patient in the beach chair position. The anterolateral deltoid muscle raphe is split, and the shoulder is externally rotated to bring the rotator interval to the field. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.ST.18.00115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974319PMC
November 2019

Anterior Capsular Reconstruction Using a Dermal Allograft for an Irreparable Subscapularis Tear After Shoulder Arthroplasty: A Case Report.

JBJS Case Connect 2020 Jan-Mar;10(1):e0468

OhioHealth Orthopedic Surgeons, Grant Medical Center, Columbus, Ohio.

Case: A 51-year-old man was noted to have an irreparable subscapularis tear after total shoulder arthroplasty (TSA). Owing to positive reported results with superior capsular reconstruction, his insufficiency was addressed with anterior capsular reconstruction with use of a dermal allograft. Two-year follow-up results demonstrate good functional outcomes, no recurrent instability, and excellent patient satisfaction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.CC.18.00468DOI Listing
February 2020

The glenohumeral micromotion and influence of the glenohumeral ligaments during axial rotation in varying abduction angle.

J Orthop Sci 2020 Feb 7. Epub 2020 Feb 7.

Department of Orthopaedic Biomaterial Science, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.

Background: The patients with shoulder instability or disorders in overhead athletes have been considered to have an abnormal micromotion at the glenohumeral joint. However, the normal range of the micromotion has not been available during axial rotation with various abduction angles, especially above 90° abduction. This study aimed to investigate the glenohumeral translation and influence of the glenohumeral ligaments during axial rotation with up to maximum abduction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jos.2020.01.004DOI Listing
February 2020

The effect of five isometric exercises on glenohumeral translations in healthy subjects and patients with the hypermobility type of the ehlers-danlos syndrome (heds) or hypermobility spectrum disorder (hsd) with multidirectional shoulder instability: an observational study.

Physiotherapy 2020 Jun 28;107:11-18. Epub 2019 Jun 28.

Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium.

Objectives: To examine whether patients, diagnosed with the hypermobility type of the Ehlers-Danlos syndrome (hEDS) or Hypermobility Spectrum Disorder (HSD), with multidirectional shoulder instability (MDI) have increased humeral head translations compared to healthy controls and to describe the direction of the humeral translations during five exercises.

Design: Observational study.

Setting: Ghent University Hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.physio.2019.06.010DOI Listing

Arthroscopic Anatomic Glenoid Reconstruction in the Setting of a Failed Latarjet Using Distal Tibial Allograft.

Arthrosc Tech 2020 Jan 23;9(1):e177-e184. Epub 2020 Jan 23.

Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University Halifax, Nova Scotia, Halifax, Nova Scotia, Canada.

Treatment of traumatic anterior glenohumeral dislocation has evolved over the years in terms of surgical approaches and methods of repair. Recurrence of instability following surgical repair remains challenging with conventional methods of open reconstruction. We describe the utilization of arthroscopic anatomic glenoid reconstruction using a distal tibial allograft after a failed Latarjet procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.09.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993534PMC
January 2020

Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability.

JBJS Essent Surg Tech 2019 Jul-Sep;9(3):e31. Epub 2019 Sep 25.

Boston Shoulder Institute, Boston, Massachusetts.

Anterior glenohumeral instability is common, with 21.9 first-time dislocations per 100,000 individuals per year. Recurrent instability is more likely to occur in patients who are younger, of male sex, and have bone defects or ligament laxity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.ST.18.00025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948993PMC
September 2019

Anterior Glenohumeral Instability in the Adolescent Athlete.

JBJS Rev 2020 Feb;8(2):e0080

University of California, San Diego, San Diego, California.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.RVW.19.00080DOI Listing
February 2020

Predicting Failure After Primary Arthroscopic Bankart Repair: Analysis of a Statistical Model Using Anatomic Risk Factors.

Arthroscopy 2020 Apr 8;36(4):964-970. Epub 2020 Jan 8.

Department of Orthopedic Surgery, Southern California Permanente Medical Group, Anaheim, California, U.S.A.

Purpose: The purpose of this study was to establish and analyze a simplified scoring system based on anatomic imaging measurements to predict recurrent instability after primary arthroscopic shoulder capsulolabral repair.

Methods: All patients undergoing primary arthroscopic anterior capsulolabral repair of the shoulder were reviewed. Patients were contacted and charts were reviewed for endpoint of recurrent instability and return to prior level of activity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.11.109DOI Listing
April 2020
3.206 Impact Factor

Understanding the Glenoid Avulsion of the Glenohumeral Ligaments as a Cause of Shoulder Instability: Surgical and Postsurgical Management.

Arthrosc Tech 2019 Oct 19;8(10):e1153-e1158. Epub 2019 Sep 19.

Department of Orthopedic Surgery, The University of Toledo, Toledo, Ohio, U.S.A.

In adolescents and young adults, instability is a common shoulder pathology with a myriad of coexisting soft tissue and bony lesions. When evaluating a patient for the cause of instability, care must be given to assess for the infrequent lesions, including glenoid avulsion of the glenohumeral ligaments. This case example illustrates key points in the diagnosis, surgical, and postsurgical management of this less common cause of anterior shoulder instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948128PMC
October 2019

All-Arthroscopic, 270° Reconstruction of the Inferior Glenohumeral Ligament With Palmaris Longus Autograft.

Arthrosc Tech 2019 Oct 19;8(10):e1145-e1151. Epub 2019 Sep 19.

Shoulder and Elbow Division, Orthopaedics Department, Inselspital, Universitätsspital Bern, Bern, Switzerland.

Numerous factors play a role in anterior shoulder stability. The inferior glenohumeral ligament, especially the anterior band, is the main passive anterior stabilizer in the end range of motion. Surgical treatment of this pathology continues to be a challenge in patients with capsular deficiency, in whom the recurrence rate of soft-tissue arthroscopic repair increases significantly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948136PMC
October 2019

Arthroscopic Circumferential Labral Repair for Patients With Multidirectional Instability: A Comparative Outcome Study.

Orthop J Sports Med 2019 Dec 27;7(12):2325967119890103. Epub 2019 Dec 27.

Department of Orthopedic Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA.

Background: Circumferential tears of the glenohumeral labrum are an uncommon injury, comprising 2.4% of all labral lesions. Currently, the clinical outcomes of arthroscopic circumferential labral repair for patients with instability and combined anterior, posterior, and superior labral tears are not well-known. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967119890103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6935876PMC
December 2019

Normal Glenoid Ossification in Pediatric and Adolescent Shoulders Mimics Bankart Lesions: A Magnetic Resonance Imaging-Based Study.

Arthroscopy 2020 02 31;36(2):336-344. Epub 2019 Dec 31.

Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA. Electronic address:

Purpose: The purpose of this descriptive study was to define patterns of ossification and fusion of growth centers around the pediatric and adolescent glenoid as a function of age using 3-dimensional, frequency-selective, fat-suppressed spoiled gradient recalled echo magnetic resonance (MR) imaging sequences, with a particular focus on the anterior glenoid rim because of its clinical relevance as a potential confounder of glenohumeral instability.

Methods: Picture Archiving and Communication System records at an urban academic tertiary care orthopaedic facility from October 2005 to December 2018 were queried for shoulder MRI in patients aged 9 to 17 years. Patients were excluded if they had any diagnoses that could alter glenoid development. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.08.011DOI Listing
February 2020

Primary Arthroscopic Stabilization for a First-Time Anterior Dislocation of the Shoulder: Long-Term Follow-up of a Randomized, Double-Blinded Trial.

J Bone Joint Surg Am 2020 Mar;102(6):460-467

Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Background: The aim of this study was to evaluate the long-term efficacy of arthroscopic Bankart repair (ABR).

Methods: Eighty-eight patients with an age of ≤35 years who had sustained a primary anterior glenohumeral dislocation were enrolled in a single-center, double-blinded clinical trial. Subjects were randomized to receive either an arthroscopic washout (AWO) or ABR. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.19.00858DOI Listing

History of surgical stabilization for posterior shoulder instability.

JSES Open Access 2019 Dec 15;3(4):350-356. Epub 2019 Nov 15.

Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI, USA.

Background: Posterior shoulder instability is common in young athletes. Although the posterior shoulder instability literature is less robust than its anterior counterpart, many surgical procedures have been developed and refined over the past several centuries to address this condition.

Materials And Methods: This article represents a retrospective historical analysis of the most common procedures used to treat posterior shoulder instability after sports injuries. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jses.2019.08.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928295PMC
December 2019

Arthroscopic Bone Block Cerclage: A Fixation Method for Glenoid Bone Loss Reconstruction Without Metal Implants.

Arthrosc Tech 2019 Dec 25;8(12):e1591-e1597. Epub 2019 Nov 25.

Department of Orthopedic and Traumatology Surgery, Hospital Universitari de Bellvitge (L'Hospitalet de Llobregat) Barcelona, Spain.

Large glenoid bone loss defects are associated with higher failure rates after arthroscopic Bankart repair in cases of glenohumeral anterior instability, further necessitating bone graft reconstruction. Because most techniques use strong initial fixation using metal devices, bone graft resorption considered to be closely related to the presence of metal components is a potential shortcoming of these techniques. We describe an arthroscopic technique for anatomical reconstruction of the glenoid that uses a tricortical iliac crest with a metal-free fixation method using 2 ultra-high-strength sutures (FiberTape Cerclage System; Arthrex, Naples, FL), which provide substantial stability to the graft, and finishing with a capsulolabral reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.08.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928368PMC
December 2019

Posterior Glenohumeral Capsular Reconstruction With Modified McLaughlin for Chronic Locked Posterior Dislocation.

Arthrosc Tech 2019 Dec 22;8(12):e1543-e1550. Epub 2019 Nov 22.

Division of Orthopaedic Surgery, Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Posterior instability is relatively rare when compared with anterior instability but can comprise up to 40% of operatively treated instability cases. Posterior dislocations are much rarer and are classically due to trauma, seizure, or electric shock. Due to a lack of an obvious deformity and an internally rotated and adducted arm position, posterior shoulder dislocations often are missed on initial presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.08.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928361PMC
December 2019

Arthroscopic McLaughlin Procedure for Treatment of Posterior Instability of the Shoulder With an Engaging Reverse Hill-Sachs Lesion.

Arthrosc Tech 2019 Dec 11;8(12):e1491-e1494. Epub 2019 Nov 11.

Centre Orthopédique Santy, Lyon, France.

Posterior shoulder dislocation is associated with an engaging reverse Hill-Sachs lesion (i.e., involving >25% of the articular surface of the humeral head) in 28% of cases, leading to posterior instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.07.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928363PMC
December 2019

Preoperative Diagnostic Rates and Clinical Outcomes After Arthroscopic Stabilization Procedures for Panlabral Tear of the Glenohumeral Joint.

Arthroscopy 2020 02 26;36(2):411-418. Epub 2019 Dec 26.

Department of Orthopedic Surgery, College of Medicine, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea. Electronic address:

Purpose: To evaluate preoperative diagnostic rates for panlabral tear using imaging studies or physical examinations and to evaluate clinical outcomes after arthroscopic stabilization procedures with 2 different patient surgical positions.

Methods: Patients who underwent arthroscopic stabilization for recurrent anterior shoulder instability with panlabral tear and were followed up for at least 2 years were included. A panlabral tear was defined as labral tear involving at least 270° of the glenoid surface on arthroscopic examination. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.09.012DOI Listing
February 2020

Open Versus Arthroscopic Latarjet Procedure for the Treatment of Chronic Anterior Glenohumeral Instability With Glenoid Bone Loss.

Arthroscopy 2020 Apr 20;36(4):940-949. Epub 2019 Dec 20.

Department of Orthopaedics and Traumatology, Bezmialem Vakif University, Istanbul, Turkey. Electronic address:

Purpose: The purpose of this study was to compare the clinical, functional, and radiographic outcomes of open versus arthroscopic Latarjet procedures.

Methods: Between December 2009 to January 2015, all patients older than 18 years of age who were treated with a Latarjet procedure for chronic osseous anterior instability by a single surgeon were included in this retrospective cohort study. Range of motion, strength, Rowe, Western Ontario Shoulder Instability Index (WOSI) scores, and pain level according to the Visual Analog Scale (VAS) were evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.09.042DOI Listing

Does Bone Loss Imaging Modality, Measurement Methodology, and Interobserver Reliability Alter Treatment in Glenohumeral Instability?

Arthroscopy 2020 01;36(1):12-19

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah, U.S.A.

Purpose: To determine, in the context of measuring bone loss in shoulder instability, whether measurement differences between magnetic resonance imaging (MRI) and computed tomography (CT), linear-based and area-based methods, and observers altered the proposed treatment when a standardized algorithm was applied.

Methods: This was a retrospective, comparative imaging study of preoperative patients with anterior shoulder instability with both an MRI and CT scan within 1 year of one another. On parasagittal images reoriented en face to the glenoid, 2 attending orthopaedic surgeons measured glenoid width, glenoid area, glenoid defect width, and glenoid defect area. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.06.025DOI Listing
January 2020

Latarjet with cortical button fixation is associated with an increase of the risk of recurrent dislocation compared to screw fixation.

Knee Surg Sports Traumatol Arthrosc 2019 Dec 17. Epub 2019 Dec 17.

Hopital Ambroise Paré, Boulogne-Billancourt, France.

Purpose: The purpose of this study was to compare the clinical results of the Latarjet procedure using two cortical buttons vs two screws. It was hypothesized that cortical button would result in similar rates of recurrent dislocations, but a lower rate of reoperation compared to screw fixation.

Methods: A retrospective comparative case-cohort analysis was performed for all patients undergoing a Latarjet procedure for recurrent anterior glenohumeral instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-019-05815-6DOI Listing
December 2019

Clinical and radiographic outcomes of the open Latarjet procedure in skeletally immature patients.

J Shoulder Elbow Surg 2020 Jun 4;29(6):1206-1213. Epub 2019 Dec 4.

Centre Orthopédique Santy, Hôpital Privé Jean Mermoz Ramsay GDS, Lyon, France.

Introduction: Recurrent anterior glenohumeral instability has been studied in the young population and limited evidence is available for adolescent patients. Our study is a retrospective review of patients aged <17 years who underwent open Latarjet procedure.

Methods: Forty-five patients were available for review. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.09.039DOI Listing

Alternative Management of the Capsule in the Bristow-Latarjet Procedure.

Arthrosc Tech 2019 Sep 12;8(9):e1037-e1041. Epub 2019 Sep 12.

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

The Bristow-Latarjet procedure is considered the current gold standard for the management of anterior glenohumeral joint instability in which significant glenoid bone loss is present, and numerous techniques have been proposed for capsular management after the bony augmentation component of the procedure. These techniques for capsular management include excision of the capsule and labrum, 2-flap elevation, T-capsulotomy, or an L-shaped incision into the capsule. Capsular management during open shoulder procedures may vary among surgeons and may or may not include capsulolabral repair after the Bristow-Latarjet procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.05.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848964PMC
September 2019

Comprehensive review of the physical exam for glenohumeral instability.

Phys Sportsmed 2020 May 13;48(2):142-150. Epub 2019 Nov 13.

The Steadman Clinic, Vail, CO, USA.

Glenohumeral instability is a common pathology of the shoulder joint, especially among young athletes. Despite advancements in technology and the widespread use of diagnostic imaging, a careful history and physical examination still remain the cornerstone of diagnosing patients with shoulder instability. Due to the involvement of many static and dynamic stabilizers, proficient physical examination can be challenging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00913847.2019.1684809DOI Listing

Editorial Commentary: Anterior Capsular Reconstruction for Subscapularis Deficiency: The Definitive Treatment or a Helpful Adjunct?

Arthroscopy 2019 11;35(11):3009-3010

University of Manitoba.

Anterior glenohumeral instability in the setting of irreparable subscapularis deficiency represents a difficult clinical scenario for the treating shoulder surgeon. Anterior capsular reconstruction with humeral dermal allograft improved glenohumeral translation stability and range of motion to near-normal values whereas pectoralis major tendon transfer was unable to do so. However, placement of a static spacer does not restore the dynamic force couple or shoulder kinematics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.08.006DOI Listing
November 2019