Recurrent anterior shoulder dislocation with engaging Hill–Sachs defect: remplissage or Latarjet?

AbouElsoud, Maged; Abdelrahman, Amr Ahmed

doi:10.1007/s12570-015-0313-3

Cited by 12 publications

(17 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With this, a total of 14 articles were selected for the systematic review, which included 12 prospective cohort studies 12 , 18 - 27 and two randomized controlled trials. 28 , 29 A flow diagram based on PRISMA is shown in Figure 1 . In addition, the characteristics of the included studies and their methodological quality are presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Range of Motion After Bone Block Procedures for Shoulder Instability: Systematic Review

Lara,

Ribeiro,

Andreoli

et al. 2024

Acta ortop. bras.

View full text Add to dashboard Cite

Objective: to determine the surgical indications for glenoid bone grafting associated with better postoperative ranges of motion. Methods: This systematic review was conducted according to PRISMA. The included studies were subdivided according to the criteria used to indicate glenoid bone graft surgery: group for radiological indications only (Group R), group for radiological indications associated with clinical indications (Group R + C), and group for arthroscopic indications (Group A). The extracted and evaluated data were the range of motion of the shoulder. Results: in the electronic search conducted in October 2022, 1567 articles were selected. After applying the inclusion criteria, 14 articles were selected for the systematic review. Regarding the ranges of motion, group A had the highest number of statistically positive results together with group R. Group A showed positive results in elevation parameters, loss of lateral rotation in adduction, and medial rotation in abduction. Group R showed positive results in lateral rotation in adduction and loss of lateral rotation in adduction. On the other hand, Group R + C was the one that presented the highest number of statistically negative results, in the following parameters: elevation, lateral rotation in abduction, loss of lateral rotation in adduction, and medial rotation in abduction. Conclusion: the subgroups presented variable results in the evaluated parameters; however, the groups with arthroscopic and radiological indications showed the highest number of positive results, with the latter group showing the best results regarding lateral rotation. Level of Evidence II, Systematic Reviews.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Four studies included 20 , 21 , 27 , 28 used only radiological criteria and contained a total of 206 shoulders. Five studies included 18 , 19 , 24 , 25 , 29 used clinical and radiological criteria, with 245 shoulders.…”

Section: Resultsmentioning

confidence: 99%

Range of Motion After Bone Block Procedures for Shoulder Instability: Systematic Review

Lara,

Ribeiro,

Andreoli

et al. 2024

Acta ortop. bras.

View full text Add to dashboard Cite

show abstract

“…3,15,18,25,35 Our study affirms similar PROs and return to sport for REMP and Latarjet, whereas ROM results are mixed in the literature. 2,4,12,34 A concern regarding REMP is the possibility of decreased ER based on biomechanical studies. 3,15,18,35 We noted a 4 ER decrease in the REMP patients compared with a 10 increase in the Latarjet patients after the procedure (-4 ± 13 vs þ10 ± 22 , respectively; P ¼ .017), which coincides with findings by Bah et al 4 (45 vs 56 ; P < .001).…”

Section: Discussionmentioning

confidence: 99%

“…11,12,27,30,31 Investigators have noted similar results when comparing REMP and Latarjet for off-track patients with subcritical bone loss, and both procedures offer a low recurrent dislocation profile, although REMP may be associated with fewer complications. 2,4,13,15,24 Although REMP is increasingly recognized as a powerful tool in the shoulder surgeon's armamentarium, it has not been adequately compared with Latarjet in patients with high levels of bone loss (ie, >15%), and one may consider whether its use could be expanded to patients with increasing GBL.…”

mentioning

confidence: 99%

Arthroscopic Bankart Repair With Remplissage as an Alternative to Latarjet for Anterior Glenohumeral Instability With More Than 15% Glenoid Bone Loss

Horinek¹,

Menendez

Narbona

et al. 2022

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Surgical management of anterior shoulder instability continues to evolve. The clinical effectiveness of arthroscopic Bankart repair with remplissage (REMP) in patients with increasing glenoid bone loss (GBL) has not been thoroughly compared with Latarjet. Purpose/Hypothesis: The purpose of this study was to compare 2-year outcomes of REMP versus open Latarjet in patients with >15% GBL. We hypothesized that there would be no difference. Study Design: Cohort study; Level of evidence, 3. Methods: A multicenter, retrospective study was performed on a consecutive series of patients who underwent primary REMP or Latarjet by 4 shoulder specialists between August 2013 and December 2019 for >15% GBL. Procedure performance was based on shared decision making between the surgeon and patient. Baseline and 2-year postoperative range of motion (ROM) and the following patient-reported outcomes (PROs) were collected: Western Ontario Shoulder Instability Index, Single Assessment Numeric Evaluation, and visual analog scale for pain. Return to sport, satisfaction, complications, recurrence, and revisions were reviewed. Results: A total of 47 patients were available for study, including 22 who underwent REMP and 25 who underwent Latarjet. Baseline demographic characteristics, ROM, and PROs were similar between the groups. Mean preoperative GBL (REMP 25.8% ± 7.8% vs Latarjet 25.1% ± 9.0%; P = .800) and off-track lesions (REMP 59.1% vs Latarjet 44.0%; P = .302) were similar. Postoperative change in external rotation favored Latarjet (10° ± 22° vs –4° ± 13°; P = .017). Postoperative PROs, return to the sports (86.4% vs 87.5%; P = .99), and satisfaction (95.5% vs 95.8%; P = .99) were similar between groups. There were no recurrent dislocations in either group. One infected hematoma was encountered in the Latarjet cohort. Conclusion: At short-term follow-up, the hypothesis was upheld. REMP and Latarjet provided similar outcomes for patients with >15% GBL, although REMP patients experienced slightly decreased external rotation. Although larger series and longer-term follow-ups are required, remplissage may be considered in patients with >15% glenoid bone loss.

show abstract

“…conocida como lesión de Hill-Sachs, el cual es un hallazgo común asociado con la inestabilidad anterior del hombro, la cual se encuentra presente en aproximadamente 47% de las luxaciones glenohumerales anteriores por primera vez y en 90% en los casos recurrentes. 2 Se ha observado que la tasa de recurrencia, después de un primer episodio de inestabilidad anterior del hombro es de 50%, y 25% de los pacientes se someten a cirugía para estabilización del hombro. 3…”

unclassified

Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage

Medélez¹,

Jacobo-Nájera²,

Téllez-Ávila³

et al. 2021

Ortho-Tips

View full text Add to dashboard Cite

La dislocación del hombro puede resultar en una variedad de lesiones en donde se ven involucrados los tejidos blandos y óseos de la articulación glenohumeral. Se ha descrito que la lesión de tejido blando más común es un desprendimiento del labrum del borde glenoideo, conocida como lesión de Bankart. 1 Así como se puede presentar una fractura por compresión posterolateral de la cabeza humeral, Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage Experience in treatment of anterior shoulder instability with remplissage technique

show abstract

Recurrent anterior shoulder dislocation with engaging Hill–Sachs defect: remplissage or Latarjet?

Cited by 12 publications

References 30 publications

Range of Motion After Bone Block Procedures for Shoulder Instability: Systematic Review

Range of Motion After Bone Block Procedures for Shoulder Instability: Systematic Review

Arthroscopic Bankart Repair With Remplissage as an Alternative to Latarjet for Anterior Glenohumeral Instability With More Than 15% Glenoid Bone Loss

Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage

Contact Info

Product

Resources

About