Editorial Commentary: Unsolved Problems in Shoulder Instability—The Dilemma of Bone Loss!

Longo, Umile Giuseppe

doi:10.1016/j.arthro.2019.02.002

Cited by 5 publications

(2 citation statements)

References 20 publications

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“…3,19 The proposed technique leaves the coracoid and adjacent tendons untouched and not transferred, which potentially reduces the risks of nerve injury, because portals and instrumentation are not needed medial to the conjoined tendon. A remplissage procedure could be advocated in engaging HilleSachs lesions, 20,21 but has to our knowledge not been combined with the subscapular sling. Table 1 displays the advantages and disadvantages of the subscapular sling procedure.…”

Section: Discussionmentioning

confidence: 99%

Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure

Klungsøyr

Vagstad

Klungsøyr

et al. 2021

Arthroscopy Techniques

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There are numerous arthroscopic techniques available to address anterior shoulder instability. Complications are various, and in pursuit of new treatment options, an alternative arthroscopic technique with less potential for complications has been developed. The novel subscapular sling with a semitendinosus graft provides both dynamic and static stability. This procedure uses a semitendinosus graft as a sling around the upper two-thirds of the subscapular tendon, attached to the anterior glenoid rim. The sling phenomenon present in the Latarjet procedure was the basis of the development. The efficacy of the subscapular sling procedure has been verified in biomechanical studies and further investigated in a clinical pilot study. The procedure can be performed without altering the anatomy of nearby structures such as the coracoid process, the conjoined tendon, and the axillary and musculocutaneous nerves. The authors propose the arthroscopic subscapular sling procedure as an alternative to existing surgical treatment options for recurrent anterior shoulder instability.

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Section: Discussionmentioning

confidence: 99%

Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure

Klungsøyr

Vagstad

Klungsøyr

et al. 2021

Arthroscopy Techniques

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“…Shoulder dislocations are common, with a rate of around 23.9 per 100,000 pople a year [1][2][3][4]. In young subjects with an immature skeleton, physes remain open and shoulder injury may lead to physeal or metaphyseal fractures rather than dislocation [5][6][7][8]. Nevertheless, 40% of shoulder dislocations happen in subjects younger than 22 [1,[9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of Paediatric Shoulder Dislocation: A Nationwide Study in Italy from 2001 to 2014

Longo

Salvatore

Locher

et al. 2020

IJERPH

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Limited knowledge is accessible concerning the tendencies of hospitalization for skeletally immature patients with episodes of shoulder dislocation. Our research aim was to evaluate annual hospitalizations for shoulder dislocation in paediatric patients in Italy from 2001 to 2014, on the basis of the official data source as hospitalization reports. The second purpose was to investigate geographical diversification in hospitalization for shoulder dislocation in regions of Italy. The last aim was to make statistical predictions of the number of shoulder dislocation hospitalization volumes and rates in skeletally immature patients based on data from 2001 to 2014. An examination of the National Hospital Discharge records (SDO) kept at the Italian Ministry of Health regarding the 14 years of our study (2001 through 2014) was conducted. These data are anonymous and include patient’s age, gender, domicile, region and time of hospitalization, and the kind of reimbursement (public or private). In the 14-year study time, 344 hospitalizations for shoulder dislocation of patients aged 0–14 years took place in Italy. The male/female hospitalization ratio varied from a maximum of 3.0 (2001) to a minimum of 1.1 (2013), with a mean average ratio in the 2001–2014 timespan of 2.0. Almost half of the hospitalizations (49.1%) were performed in the South. The mean incidence of hospitalizations in Italy for shoulder dislocation in patients with less than 14 years was 0.3 for every 100,000 inhabitants in the same class of age. The most common treatment was a closed reduction (60.8%), followed by open stabilization (16.6%) and arthroscopic procedures (13.7%). The present registry study shows a low incidence of hospitalization for shoulder dislocation in young patients. The most common treatment for a shoulder dislocation in paediatric patients is a closed shoulder reduction. Regions from the south and the centre of Italy are marked by an inferior number of operations and a higher number of hospitalization for closed shoulder reduction.

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IODA-shoulder®, a 3-dimensional automated software for glenoid bone loss quantification in shoulder instability. A validation study

Maiotti,

De Nigris,

Tardioli

et al. 2023

Orthopaedics & Traumatology: Surgery & Research

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Editorial Commentary: Unsolved Problems in Shoulder Instability—The Dilemma of Bone Loss!

Cited by 5 publications

References 20 publications

Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure

Dynamic and Static Stabilization of Anterior Shoulder Instability With the Subscapular Sling Procedure

Epidemiology of Paediatric Shoulder Dislocation: A Nationwide Study in Italy from 2001 to 2014

IODA-shoulder®, a 3-dimensional automated software for glenoid bone loss quantification in shoulder instability. A validation study

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