Dataset Information

Systematic review of arthroscopic versus open repair for recurrent anterior shoulder dislocations.

ABSTRACT: It remains unknown if arthroscopic repair of recurrent anterior shoulder instability is as effective as open repair.The purpose of this study is to analyze the literature to provide clinical recommendations regarding the most appropriate therapeutic intervention for recurrent anterior shoulder instability.Systematic review of level I and II studies.PubMed, EMBASE, the Cochrane Database of Systematic Reviews, and secondary references from 1967 to March 2010 were appraised for studies that met the inclusion criteria.Inclusion criteria were English-language level I or level II trials involving the treatment of recurrent anterior shoulder instability. Exclusion criteria included non-English-language studies; level III, IV, or V studies; and trials examining treatment of first-time shoulder dislocation, posterior shoulder dislocation, or diagnoses other than recurrent anterior shoulder dislocations.Included studies underwent quality appraisal independently by each author identifying strengths, weaknesses, and biases.Four randomized controlled trials compared the use of arthroscopic and open repair for recurrent anterior shoulder dislocations. These studies show no statistically significant difference between the 2 operative approaches. No long-term follow-up data describing the effects of either surgical approach are available at this time. Each investigation had weaknesses in study design that decreased the validity of its findings.While limited, the available evidence from randomized controlled trials does not show a statistically significant difference in redislocation rates, return to activity, and functional outcomes between the arthroscopic and open repair groups. Range of motion is marginally better following arthroscopic treatment when compared with open repair. Recommendations on the optimal surgical intervention cannot be provided.

SUBMITTER: Godin J

PROVIDER: S-EPMC3445197 | biostudies-other | 2011 Jul

REPOSITORIES: biostudies-other

ACCESS DATA

Publications

Systematic review of arthroscopic versus open repair for recurrent anterior shoulder dislocations.

Godin Jonathan J Sekiya Jon K JK

Sports health 20110701 4

<h4>Context</h4>It remains unknown if arthroscopic repair of recurrent anterior shoulder instability is as effective as open repair.<h4>Objective</h4>The purpose of this study is to analyze the literature to provide clinical recommendations regarding the most appropriate therapeutic intervention for recurrent anterior shoulder instability.<h4>Study design</h4>Systematic review of level I and II studies.<h4>Data sources</h4>PubMed, EMBASE, the Cochrane Database of Systematic Reviews, and secondar ...[more]

PMID: 23016034

Similar Datasets

Project description:PurposeThe purpose of this systematic review was to examine the effect that sex has on recurrence of anterior shoulder instability following primary arthroscopic anterior shoulder stabilization.MethodsA systematic review using PRISMA guidelines was performed by searching PubMed, Embase and Cochrane Library databases to identify studies reporting recurrence rates following arthroscopic anterior shoulder stabilization with a minimum follow-up period of 2 years. Patient demographics as well as preoperative, intraoperative and postoperative findings, including patient-reported outcomes and recurrence rates, were analyzed by 2 independent reviewers. Recurrence was defined as an episode of dislocation, subluxation or instability following primary arthroscopic anterior shoulder stabilization. Study methodological quality was evaluated with the Modified Coleman Methodology Score (MCMS). Risk bias was evaluated using the Methodological Index for Non-randomized Studies (MINORS score). Descriptive statistics are presented.ResultsTen studies (1 Level I, 1 Level II, 5 Level III, and 3 Level IV), including a total of 7,102 patients with primary traumatic and/or recurrent traumatic shoulder instability without previous procedures who underwent primary arthroscopic anterior shoulder stabilization, were included (mean follow-up, 34.6 months; mean age, 25.4 years). There was a total of 5,097 males (71.8%) and 2,005 females (28.2%). There was a higher recurrence rate in males (6%-37%) compared to females (0-32%). Clinical outcomes were inconsistently reported, so no quantitative analysis of clinical outcomes or return-to-sport between sexes was possible. The average MCMS of all 10 studies was 76.8 ± 8.0, indicating good methodology.ConclusionsMales may have higher recurrence rates than females following primary arthroscopic anterior shoulder stabilization; however, the heterogeneity of the included studies precludes any definitive conclusions.Level of evidenceIV, Systematic Review of Level I-IV.

Dataset Information

Systematic review of arthroscopic versus open repair for recurrent anterior shoulder dislocations.

Publications

Systematic review of arthroscopic versus open repair for recurrent anterior shoulder dislocations.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets