Evidence-Based Review of Clinical Diagnostic Tests and Predictive Clinical Tests That Evaluate Response to Conservative Rehabilitation for Posterior Glenohumeral Instability: A Systematic Review

Dhir, Jasdeep; Willis, Myles; Watson, Lyndsey F.; Somerville, Lyndsay; Sadi, Jackie

doi:10.1177/1941738117752306

Cited by 9 publications

(3 citation statements)

References 36 publications

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“…Posterior shoulder instability is poorly understood and can be challenging to diagnose as symptoms are subtler than in anterior instability. 10 , 21 Moreover, grouping patients in a specific treatment modality can be cumbersome owing to the wide spectrum of pathology of posterior shoulder instability, as evidenced by the different classification systems that have been developed in the last years. 27 , 29 Therefore, in this article, we provide insight into patients who were grouped as per the ABC classification system, describing the CWI as a preoperative predictor of poor outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

Ferrando¹,

Aguilar²,

Valencia³

et al. 2022

JSES International

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Section: Discussionmentioning

confidence: 99%

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

Ferrando¹,

Aguilar²,

Valencia³

et al. 2022

JSES International

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“…We divided the patients into two groups: the six patients of the first group underwent open surgery following the Neer’s method, while the four patients of the second group underwent the arthroscopic McLaughlin procedure. Even though our patient sample was small due to the rarity of the lesion, it gave us important insights into a pathology that can be easily overlooked even by the most attentive clinicians and that, if not treated on time, can affect the joint function and the vascularity of the humeral head; in addition, it can lead to chronic instability, osteonecrosis, and osteoarthritis [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

Ippolito

Zitiello

Marinis

et al. 2021

JCM

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This study compares two surgical techniques used to treat patients with posterior shoulder dislocation with an engaging reverse Hill–Sachs lesion. We assessed ten patients who were treated at the Surgical Orthopedic and Traumatological Institute (ICOT) of Latina and the Clinic of Orthopedic and Traumatological Surgery of the ASST Sette Laghi of Varese between 2016 and 2019. The patients were divided into two groups: the first comprising six patients who underwent the open surgery McLaughlin procedure as modified by Neer, the second including four patients who underwent the arthroscopic McLaughlin procedure. All patients received postoperative rehabilitation to achieve the best possible functional recovery of the affected shoulder. We then assessed the shoulder range of motion, the pain level, and the impact on quality of life with four tests: the Constant Scale, the Simple Shoulder Test (SST), the OXFORD Scale, and The University of California—Los Angeles (UCLA) Shoulder Scale. The mean scores of the first group were: 81.3 ± 9.8 SD (Constant Scale), 10.8 ± 1.06 SD (SST), 42.5 ± 5.4 SD (Oxford Scale), 30.8 ± 3.02 SD (UCLA Shoulder Scale); we calculated the following mean scores in the second group: 80.25 ± 4.1 SD (Constant Scale), 11.5 ± 0.8 SD (SST), 42 ± 4.06 SD (Oxford Scale), 32 ± 2.9 SD (UCLA Shoulder Scale). We found no significant differences between the two groups.

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“…The glenoidal anatomy is also essential for physiotherapist to select appropriate exercise as a noninvasive procedure for glenohumeral disease 8 .…”

mentioning

confidence: 99%

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2023

IJPSR

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Introduction: Scapulae bear a shallow articular concave fossa commonly known as glenoid cavity that accommodates the head of the humerus to form a shoulder joint. The size and shape of glenoid fossa is highly variable; hence, knowledge about morphological measurements is invariably essential for surgery and artificial prosthesis pertaining to shoulder joint pathology. Aim: Glenoid fossa morphometry to study its various shapes and diameters in dry human scapulae. Materials and Methods: Dry bone scapulae were obtained from the bone room of the post-graduate department of Anatomy S.C.B Medical College Cuttack. Ninetyseven samples were studied, out of which 45 belonged to the right side and 52 left sides. All the measurements were carried out by verniers caliper for the height of glenoid fossa (A =A1+ A2) and breadth (B = B1+B2). A Goniometer measured the glenoidal version. Observation: The oval shape was the most common glenoid fossa observed, amounting 42(43.3%). The mean value for length with Standard Deviation was 31.5±3.16 millimeters and the mean and standard deviation Breadth was 21.99±2.76 millimeters, respectively. The glenoidal versions were 0.822±3.120 (range +6 to -6) for right side, 0.134±2.63 (range +5 to -8) left side and 0.30±2.89 (range +6 to -8) in total. Conclusion: The knowledge of glenoidal dimensions is very helpful to hand surgeons and orthopedic surgeons for surgical treatment of shoulder joint and properly designing the prosthesis. The glenoidal anatomy is also essential for physiotherapist to select appropriate exercise as a noninvasive procedure for glenohumeral disease.

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Evidence-Based Review of Clinical Diagnostic Tests and Predictive Clinical Tests That Evaluate Response to Conservative Rehabilitation for Posterior Glenohumeral Instability: A Systematic Review

Abstract: Clustering of thorough history and physical examination findings, including the aforementioned tests, may identify those with posterior glenohumeral instability and assist in developing management strategies.

Cited by 9 publications

References 36 publications

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

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