Umile Giuseppe Longo1, Just A van der Linde2, Mattia Loppini3, Vito Coco4, Rudolf W Poolman2, Vincenzo Denaro4. 1. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Rome, Italy. Electronic address: g.longo@unicampus.it. 2. Onze Lieve Vrouwe Gasthuis, Joint Research, Department of Orthopaedic and Trauma Surgery, Postbus, Amsterdam, The Netherlands. 3. Department of Orthopaedic and Trauma Surgery, Humanitas Research Hospital, Via Alessandro Manzoni, Rozzano, Milan, Italy. 4. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, Rome, Italy.
Abstract
PURPOSE: To compare the outcome of surgical and nonoperative treatment in patients aged 18 years or younger with traumatic shoulder instability. METHODS: A systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A complete search of PubMed, Medline, Cochrane, CINAHL, Embase, and Google Scholar databases was performed using various combinations of the keywords "shoulder," "instability," "glenohumeral instability," "pediatric," "adolescent," "skeletally immature," "young," "open physis," "children," "management," "treatment," "surgical," "stabilization," and "recurrence." There was no time restriction. RESULTS: Fifteen articles met our inclusion criteria, including a total of 693 patients with 705 shoulders aged 18 years or younger. Of 411 shoulders, 293 (71.3%) treated with a nonoperative approach experienced a redislocation compared with 55 of 314 shoulders (17.5%) that received surgical treatment. The results of the quantitative synthesis showed that the recurrence rate was significantly lower in the surgical group compared with the nonoperative group. CONCLUSIONS: The recurrence rate is lower in patients undergoing surgical treatment. Further studies are necessary to clarify several points in the treatment of skeletally immature patients with traumatic shoulder instability. LEVEL OF EVIDENCE: Level III, systematic review of Level II and III studies and 1 case series.
PURPOSE: To compare the outcome of surgical and nonoperative treatment in patients aged 18 years or younger with traumatic shoulder instability. METHODS: A systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. A complete search of PubMed, Medline, Cochrane, CINAHL, Embase, and Google Scholar databases was performed using various combinations of the keywords "shoulder," "instability," "glenohumeral instability," "pediatric," "adolescent," "skeletally immature," "young," "open physis," "children," "management," "treatment," "surgical," "stabilization," and "recurrence." There was no time restriction. RESULTS: Fifteen articles met our inclusion criteria, including a total of 693 patients with 705 shoulders aged 18 years or younger. Of 411 shoulders, 293 (71.3%) treated with a nonoperative approach experienced a redislocation compared with 55 of 314 shoulders (17.5%) that received surgical treatment. The results of the quantitative synthesis showed that the recurrence rate was significantly lower in the surgical group compared with the nonoperative group. CONCLUSIONS: The recurrence rate is lower in patients undergoing surgical treatment. Further studies are necessary to clarify several points in the treatment of skeletally immature patients with traumatic shoulder instability. LEVEL OF EVIDENCE: Level III, systematic review of Level II and III studies and 1 case series.
Authors: Mohammed Adam; Ahmed Khalil Attia; Abduljabbar Alhammoud; Osama Aldahamsheh; Mohammed Al Ateeq Al Dosari; Ghalib Ahmed Journal: Int Orthop Date: 2018-07-07 Impact factor: 3.075
Authors: Umile Giuseppe Longo; Giuseppe Salvatore; Joel Locher; Laura Ruzzini; Vincenzo Candela; Alessandra Berton; Giovanna Stelitano; Emiliano Schena; Vincenzo Denaro Journal: Int J Environ Res Public Health Date: 2020-04-20 Impact factor: 3.390
Authors: Alexandre Hardy; Vincent Sabatier; Pierre Laboudie; Bradley Schoch; Geoffroy Nourissat; Philippe Valenti; Jean Kany; Julien Deranlot; Nicolas Solignac; Philippe Hardy; Marie Vigan; Jean-David Werthel Journal: Am J Sports Med Date: 2019-10-24 Impact factor: 6.202