A retrospective cohort analysis of arthroscopic Bankart repair with or without remplissage in patients with off-track Hill-Sachs lesion evaluated for functional outcomes, recurrent instability, and range of motion

Pandey, Vivek; Gangadharaiah, Lohith; Madi, Sandesh; Acharya, Kiran; Nayak, Shalini S.; Karegowda, Lakshmikanth Halegubbi; Willems, W. Jaap

doi:10.1016/j.jse.2019.06.005

Cited by 23 publications

(25 citation statements)

References 48 publications

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“…On the Coleman methodology score, one scored poor, 11 43 studies scored fair, 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 37 scored good, 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 ...…”

Section: Resultsunclassified

“… 23 41 72 +/− + Retrospective + + 1,2,3 1,3,4 1 67 Pandey et al. 25 136 49 +/− + Retrospective + + 1,2,3 3,4 1 62 Brzóska et al. 67 100 83 + + Retrospective + + 1,2,3 1,2,3,4 1 77 Ernstbrunner et al.…”

Section: Resultsunclassified

“…Ono et al 65 51 DS 9 (18) 7 ( 14) (31) Nakagawa et al 22 140 DS (18) Iizawa et al 66 68 DS 17 (25) y 17 (25) y Lavoué et al 23 41 DS 1 (2) 4 ( 10) 11 (27) (1) Pandey et al 25 136 DS 15 (11.0) (11) Brzóska et al 67 100 DSA (…”

Section: Critical Appraisal and Definition Of Recurrenceunclassified

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High Variability of the Definition of Recurrent Glenohumeral Instability: An Analysis of the Current Literature by a Systematic Review

Alkaduhimi¹,

Connelly

Deurzen³

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To determine the definitions for recurrence used in the literature, assess the consensus in using these definitions, and determine the impact of these definitions on recurrence rates. Methods: A literature search was performed in PubMed and EMBASE including studies from 2000 to 2020 reporting on recurrence rates after anterior arthroscopic shoulder instability surgery. Dislocation, apprehension, subluxation and recurrence rates were compared. Results: Ninety-one studies were included. In 68% of the eligible studies, recurrence rates are not well defined. Thirty (33%) studies did not report on dislocations, 45 (49%) did not report on subluxations, and 58 (64%) did not report on apprehension. Seventeen different definitions for recurrence of instability, 4 definitions of dislocations, and 8 definitions of subluxation were used. Conclusion: Recurrence rates are poorly specified and likely underreported in the literature, hampering comparison with results of other studies. This highlights the need for a consensus on definition of recurrence across shoulder instability studies. We recommend not using the definition recurrence of instability anymore. We endorse defining dislocations as a radiographically confirmed dislocation or a dislocation that is manually reduced, subluxations as the feeling of a dislocation that can be (spontaneously) reduced without the need for a radiographically confirmed dislocation, and a positive apprehension sign as fear of imminent dislocation when placing the arm in abduction and external rotation during physical examination. Reporting on the events resulting in a dislocation or subluxation aids in making an estimation of the severity of instability. Level of Evidence: Level IV, systematic review.

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Section: Resultsunclassified

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High Variability of the Definition of Recurrent Glenohumeral Instability: An Analysis of the Current Literature by a Systematic Review

Alkaduhimi¹,

Connelly

Deurzen³

et al. 2021

Arthroscopy, Sports Medicine, and Rehabilitation

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“…Regarding the Hill-Sachs defect, there is growing evidence that its treatment in the form of a remplissage can improve outcomes in terms of stability [4,20,23]. However, this procedure conveys the risk for affecting rotational range of motion [1,32]. As an alternative treatment, the Latarjet procedure has been proposed for patients with subcritical glenoid but critical Hill-Sachs defects as it leads to comparable stability levels.…”

Section: State-of-the Art Treatment Of Bony Defects In Anterior Shoulmentioning

confidence: 99%

State-of-the art treatment of bony defects in anterior shoulder instability—the European perspective

Moroder

2020

Obere Extremität

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Depending on their size, all glenoid defects lead to a certain amount of loss of glenohumeral stability and therefore may represent a risk factor for the recurrence of instability after soft tissue stabilization procedures. The degree of loss of stability depends not only on the extent of the defect but also on differences in individual constitutional shape, which need to be analyzed in a three-dimensional context. Additionally, patient-specific factors such as age and activity level have a significant influence on the clinical effect of glenoid bone loss. Therefore, when treating a patient with glenoid bone loss, a bony glenoid reconstruction surgery in the form of a free bone graft transfer or Latarjet should be considered based on the extent of the defect, native glenoid shape, age, and activity level. Furthermore, in the presence of a relevant Hill–Sachs defect, the addition of a remplissage to a Bankart procedure should be considered or the use of a bony glenoid augmentation procedure instead.

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“…Thus, the results of Lee et al are very consistent with those of prior published studies. [7][8][9] Although the mean glenoid bone defect was significantly different between groups A and B (13.7% and 20.7%, respectively), off-track lesions were identified in 8.1% of group A patients (15 of 186). Of these 15 patients, 60% (9 of 15) had recurrent instability.…”

mentioning

confidence: 93%

Editorial Commentary: Preoperative 3-Dimensional Imaging for Shoulder Instability Is Vital for Determination of Off-Track Lesions and May Indicate Bankart Repair Plus Remplissage

Provencher¹,

Peebles²

2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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A retrospective cohort analysis of arthroscopic Bankart repair with or without remplissage in patients with off-track Hill-Sachs lesion evaluated for functional outcomes, recurrent instability, and range of motion

Cited by 23 publications

References 48 publications

High Variability of the Definition of Recurrent Glenohumeral Instability: An Analysis of the Current Literature by a Systematic Review

High Variability of the Definition of Recurrent Glenohumeral Instability: An Analysis of the Current Literature by a Systematic Review

State-of-the art treatment of bony defects in anterior shoulder instability—the European perspective

Editorial Commentary: Preoperative 3-Dimensional Imaging for Shoulder Instability Is Vital for Determination of Off-Track Lesions and May Indicate Bankart Repair Plus Remplissage

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