Joint looseness

Marshall, John L.; Johanson, Norman A.; Wickiewicz, Thomas L.; Tischler, Henry M.; Koslin, Bertram L.; Zeno, Susan; Meyers, A L

doi:10.1249/00005768-198023000-00011

Cited by 36 publications

(2 citation statements)

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“…Exclusion criteria were (1) poor quality soft tissue, (2) multidirectional shoulder instability (as defined by Neer [13]), (3) generalized joint hyperlaxity (identified according to Marshall et al [14]), (4) glenoid bone loss (considered present when there was erosion of the inferior glenoid rim visible on the standard radiograph antero‐posterior view), (5) bilateral shoulder instability.…”

Section: Methodsmentioning

confidence: 99%

Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction

Zaffagnini

Muccioli

Giordano

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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Section: Methodsmentioning

confidence: 99%

Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction

Zaffagnini

Muccioli

Giordano

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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“…Sports participation levels were categorized as no sports practice (level 0), recreational (level 1), high-school team sport (level 2), college team sport (level 3), or professional (level 4). 2 Hyperlaxity diagnosis was based on the Marshall et al 14 criteria that consider patients to have ligamentous hyperlaxity if 2 of the following 3 findings are found on the physical examination: (1) elbow hyperextension beyond neutral; (2) index metacarpophalangeal joint hyperextension beyond 90°; and (3) thumb hyperabduction to the forearm.…”

Section: Methodsmentioning

confidence: 99%

Association of Instability History and Off-Track Hill-Sachs Lesions in Anterior Shoulder Instability

Delgado,

Luengo-Alonso,

Valencia

et al. 2023

Orthopaedic Journal of Sports Medicine

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Background: The glenoid track concept is now widely accepted, and its evaluation is considered essential for making decisions about surgery. Purpose: To define preoperative descriptive data and clinical and functional features in patients with anterior glenohumeral instability according to glenoid track status and to analyze the influence of off-track Hill-Sachs (HS) lesions on preoperative shoulder function. Study Design: Case-control study; Level of evidence, 3. Methods: Preoperative magnetic resonance imaging or computed tomography scans were used to measure the glenoid track. Descriptive data and preoperative objective and subjective clinical and functional features were compared between patients with on-track HS lesions versus off-track HS lesions. Multivariate regression analysis was conducted to identify potential risk factors for off-track HS lesion development. Results: A total of 235 patients (201 men, 34 women; mean age, 29.6 ± 8.6 years) were included— 134 shoulders (57%) with on-track HS lesions and 101 shoulders (43%) with off-track HS lesions. Age <20 years at first dislocation, number of dislocations, and ≥2 years between first dislocation and surgery were significantly different between the study groups ( P = .005, P = .0001, and P = .01, respectively). Regarding these characteristics, the odds ratios for the risk of developing an off-track lesion were 2.67 (95% CI, 1.2-5.99)—1.2 times higher for each additional instability episode (95% CI, 1.025-1.14) and 2.42 times higher (95% CI, 1.176-4.608) for patients whose first dislocation was ≥2 years before surgery, respectively. Patients with off-track HS lesions had a significantly greater degree of instability ( P = .04), worse Rowe scores (48.8 ± 15.3 vs 54.8 ± 28.3 for on-track HS lesions; P = .04), and lower Western Ontario Shoulder Instability scores (975 ± 454 vs 1179 ± 428 for on-track HS lesions; P = .01). Conclusion: Characteristics related to a history of instability (age <20 years at first instability episode, larger number of dislocations, ≥2 years between first dislocation and surgery) were found to be risk factors for the development of an off-track HS lesion in this study. Off-track lesions led to a higher degree of instability and worse objective and subjective preoperative shoulder function versus on-track HS lesions.

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Arthroscopic Repairs of Instability: Anterior, Posterior, Multidirectional, and Microinstability Repairs

Jones¹,

SavoieIII²

2003

Shoulder Arthroscopy and MRI Techniques

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Joint looseness

Cited by 36 publications

References 0 publications

Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction

Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction

Association of Instability History and Off-Track Hill-Sachs Lesions in Anterior Shoulder Instability

Arthroscopic Repairs of Instability: Anterior, Posterior, Multidirectional, and Microinstability Repairs

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