Pediatric Shoulder Arthroscopy is Effective and Most Commonly Indicated for Instability, Obstetric Brachial Plexus Palsy, and Partial Rotator Cuff Tears

Imam, Nareena; Sudah, Suleiman Y.; Manzi, Joseph E.; Michel, C; Pizzo, Dane; Menendez, Mariano E.; Nicholson, Allen D.

doi:10.1016/j.asmr.2022.11.016

Cited by 1 publication

(5 citation statements)

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“…Arthroscopic repair has not been shown to lead to significantly better clinical outcomes. 5,13 Vezeridis et al 20 report excellent functional outcomes at a median follow-up of 12 months after open repair for 8 patients. However, arthroscopic treatment has better cosmetic results, allows treatment of any concomitant pathologic conditions, decreases the levels of postoperative pain, might decrease the risk of shoulder stiffness, and is characterized by a shorter recovery time.…”

Section: Treatmentmentioning

confidence: 99%

“…Whatever type of treatment is chosen, the risk of growth plate injury in these patients should be always considered when planning surgical interventions. 5 Azzam et al 6 suggest treating low-grade partial tears in young patients with arthroscopic debridement and highgrade tears with arthroscopic repair. Arthroscopic debridement may be performed to remove any damaged tissue within the tear.…”

Section: Treatmentmentioning

confidence: 99%

“…Furthermore, still debated is whether the RC repair should be performed open or arthroscopically. Arthroscopic repair has not been shown to lead to significantly better clinical outcomes 5,13 . Vezeridis et al 20 report excellent functional outcomes at a median follow-up of 12 months after open repair for 8 patients.…”

Section: Treatmentmentioning

confidence: 99%

“…However, arthroscopic treatment has better cosmetic results, allows treatment of any concomitant pathologic conditions, decreases the levels of postoperative pain, might decrease the risk of shoulder stiffness, and is characterized by a shorter recovery time. Whatever type of treatment is chosen, the risk of growth plate injury in these patients should be always considered when planning surgical interventions 5 …”

Section: Treatmentmentioning

confidence: 99%

“…Furthermore, shoulder arthroscopy might be more complex with an increased risk of complications in young patients than in adults 5 . Younger patients often have smaller joint spaces, tighter soft tissue, and less joint laxity compared with older individuals, increasing the likelihood of injury to adjacent structures.…”

mentioning

confidence: 99%

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Rotator Cuff Repair in Pediatric and Adolescent Athletes: Indications and Outcomes

Caldaria,

Giovannetti de Sanctis,

Palumbo

et al. 2023

Sports Medicine and Arthroscopy Review

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Rotator cuff (RC) tears in pediatric and adolescent athletes are rare events. In these patients, RC tears are more likely to be traumatic or related to overuse among overhead. Repeated movements of abduction and external rotation are frequent mechanisms of injury. The supraspinatus is the most commonly involved tendon and the articular-sided tears are more common than the bursal side. Magnetic resonance imaging is considered the gold standard for diagnosing RC tears. Conservative treatment, arthroscopic, and open repair are all effective treatment methods depending on the type of injury. The risk of growth plate injury in these patients should be always considered when planning surgical interventions. Return to sport for competitive-level throwing athletes represents the greatest challenge in the treatment of these injuries.

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Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%