Outcomes following arthroscopic Bankart repair in female patients

Moore, Thomas K.; Hurley, Eoghan T.; Rowe, David N.; Hogan, Richard E.; Kilkenny, Conor J.; Pauzenberger, Leo; Mullett, Hannan

doi:10.1016/j.jse.2019.12.012

Cited by 15 publications

(12 citation statements)

References 18 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

“… 20 221 50 + + Retrospective + + 1,2,3 2 1 69 Moore et al. 21 34 52 + − Retrospective + + 1,2,3 2,3,4 1 58 Yapp et al. 62 33 170 +/− − RCT + + 1,2,3,4 1,2,3,4 1 81 Rhee et al.…”

Section: Resultsunclassified

“…Moore et al 21 34 DS 1 (3) 2 (6) (9) Yapp et al 62 32 DS 4 (12) 3 (9) 7 (21) Rhee et al 63 48 DS requiring revision surgery 1 (2) 3 (6) (2) Oh et al 64 120 Dislocation or positive apprehension 12 (10) 14 (12)…”

Section: Critical Appraisal and Definition Of Recurrencementioning

confidence: 99%

See 2 more Smart Citations

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

“… 20 221 50 + + Retrospective + + 1,2,3 2 1 69 Moore et al. 21 34 52 + − Retrospective + + 1,2,3 2,3,4 1 58 Yapp et al. 62 33 170 +/− − RCT + + 1,2,3,4 1,2,3,4 1 81 Rhee et al.…”

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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“…Arthroscopic treatment has become the gold standard therapy for symptomatic anterior shoulder instability, offering good clinical results and high return-tosport rates [14,25]. One remaining area of concern is the high recurrence rate of up to 25% that was found to be associated with younger age and the number of anchors used for the fixation of the capsulolabral structures [1,3,17,19,22].…”

Section: Introductionmentioning

confidence: 99%

Short-term outcomes after knotless all-suture anchor Bankart repair

et al. 2020

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“…However, women have also been found to have a higher risk of recurrence. 21 Bradley et al 5 found that female athletes were significantly more likely to undergo revision surgery after arthroscopic posterior shoulder capsulolabral repair ( P = .001; OR = 4.47). Another study reported no difference in recurrence rates between the sexes.…”

mentioning

confidence: 99%

Sex-Based Differences in Clinical Outcomes After Arthroscopic Anterior Shoulder Stabilization: Results at 5-Year Follow-up

Chen

Feng

Chen

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: The influence of patient sex on clinical outcomes after arthroscopic anterior shoulder stabilization is unclear. Purpose: To investigate sex-based differences in clinical outcomes after arthroscopic anterior shoulder stabilization. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective study was conducted among 76 patients who underwent arthroscopic anterior shoulder stabilization from February 2010 to December 2017. The patients were grouped by sex. The recurrence rate of instability was compared, as were pre- and postoperative pain scores, functional outcome scores, and active range of motion (ROM). Postoperative magnetic resonance imaging (MRI) was also performed for structural assessment of the glenohumeral joint. Results: No significant difference was found in the recurrence rate between female and male patients (13.3% vs 14.8%; P ≥ .999; risk ratio, 1.107 [95% CI, 0.266-4.597]). Compared with male patients, female patients had a significantly lower preoperative Constant score (94.4 ± 6.4 vs 85.4 ± 11.1; P = .002), forward flexion (173.8° ± 10.7° vs 154.0° ± 33.8°; P = .011), abduction (171.0° ± 18.4° vs 142.7° ± 39.9°; P = .001), and external rotation (76.6° ± 21.6° vs 67.7° ± 20.4°; P = .037). Postoperatively, female patients had a significantly lower Simple Shoulder Test score compared with men (8.8 ± 1.9 vs 10.3 ± 1.6; P = .005). The mean changes from pre- to postoperative Rowe score (43.6 ± 21.4 vs 31.5 ± 19.8; P = .044), Constant score (9.9 ± 8.9 vs 0.8 ± 8.1; P = .002), forward flexion (24.0 ± 36.2 vs 4.2 ± 10.9; P = .013), abduction (36.0 ± 38.3 vs 7.6 ± 18.4; P < .001), and external rotation (19.7 ± 21.3 vs 6.7 ± 26.2; P = .023) in female patients were significantly higher than those in the men. There were no sex-based differences on any MRI parameter measured. Conclusion: Female patients had a similar recurrence rate as that of male patients after arthroscopic anterior shoulder stabilization. Most postoperative clinical outcome measures showed no significant difference between the sexes. Despite worse preoperative values, more significant improvements in postoperative shoulder function and active ROM were seen in women.

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Outcomes following arthroscopic Bankart repair in female patients

Cited by 15 publications

References 18 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

Short-term outcomes after knotless all-suture anchor Bankart repair

Sex-Based Differences in Clinical Outcomes After Arthroscopic Anterior Shoulder Stabilization: Results at 5-Year Follow-up

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