Editorial Commentary: Delphi Expert Consensus Clarifies Evidence-Based Medicine for Shoulder Instability and Bone Loss

Hohmann, Erik

doi:10.1016/j.arthro.2021.01.055

Arthroscopy: The Journal of Arthroscopic & Related Surgery

2021

DOI: 10.1016/j.arthro.2021.01.055

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Editorial Commentary: Delphi Expert Consensus Clarifies Evidence-Based Medicine for Shoulder Instability and Bone Loss

Erik Hohmann¹

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Cited by 6 publications

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“…To date, studies that aim to identify risk factors for recurrent instability following surgical treatment have shown conflicting results leading to high heterogeneity in meta-analyses. 14 , 21 Although several studies focus on consensus regarding treatment strategies for patients with clear cut indications, such as (large) bone defects or high shoulder demand, 7 , 9 , 11 , 12 , 13 , 16 , 19 there is still a large grey area where it is unclear which patients should receive which treatment because the best available evidence for risk-stratification is based on heterogeneous outcomes. 20 …”

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confidence: 99%

High variability in what is considered important to report following instability surgery: a Delphi study among Dutch shoulder specialists

Verweij,

van der Linde,

van Deurzen

et al. 2023

JSES International

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mentioning

confidence: 99%

High variability in what is considered important to report following instability surgery: a Delphi study among Dutch shoulder specialists

Verweij,

van der Linde,

van Deurzen

et al. 2023

JSES International

View full text Add to dashboard Cite

Editorial Commentary: A Consensus of Experts Complements the Clinical Evidence on Diagnosis and Treatment of Anterior Glenohumeral Instability

Hasan¹

2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The current diagnostic and treatment strategies for anterior glenohumeral instability have been refined by high-quality clinical and basic science studies, but many controversies remain. These include the bone loss threshold for arthroscopic Bankart repair and the influence of other clinical factors on this decision, the optimal bracing position following anterior glenohumeral dislocation, and the optimal coracoid graft orientation during the Latarjet procedure. Randomized clinical trials often present conflicting results, and many of these are small-sample and fragile studies. Obtaining an expert consensus on the topic, by means of the Delphi method, is an attractive alternative to such clinical trials. Several studies employing variations of the Delphi method have addressed the diagnosis and treatment of anterior glenohumeral instability. These have stressed the importance of a meticulous technique during arthroscopic Bankart repair and of recognition of glenoid and humeral bone loss and treating this appropriately. These studies have also helped identify areas where consensus is modest or lacking to motivate additional clinical research study.

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Comprehensive Review of Shoulder Instability Includes Diagnosis, Nonoperative Management, Bankart, Latarjet, Remplissage, Glenoid Bone-Grafting, Revision Surgery, Rehabilitation and Return to Play, and Clinical Follow-Up

Lubowitz¹,

Brand²,

Rossi³

2022

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The Delphi method is a structured communication technique used to allow a panel of experts to achieve a consensus in a systematic manner. Expert consensus on shoulder instability includes review of diagnosis, nonoperative management, Bankart, Latarjet, remplissage, glenoid bone-grafting, revision surgery, rehabilitation and return to play, and clinical follow-up. Amplified by Editorial Commentary, this is much to study, clinically relevant, and to the ultimate benefit of our patients.

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Editorial Commentary: Delphi Expert Consensus Clarifies Evidence-Based Medicine for Shoulder Instability and Bone Loss

Cited by 6 publications

References 12 publications

High variability in what is considered important to report following instability surgery: a Delphi study among Dutch shoulder specialists

High variability in what is considered important to report following instability surgery: a Delphi study among Dutch shoulder specialists

Editorial Commentary: A Consensus of Experts Complements the Clinical Evidence on Diagnosis and Treatment of Anterior Glenohumeral Instability

Comprehensive Review of Shoulder Instability Includes Diagnosis, Nonoperative Management, Bankart, Latarjet, Remplissage, Glenoid Bone-Grafting, Revision Surgery, Rehabilitation and Return to Play, and Clinical Follow-Up

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