scholarly journals Recurrence in traumatic anterior shoulder dislocations increases the prevalence of Hill–Sachs and Bankart lesions: a systematic review and meta-analysis

2022 ◽  
Author(s):  
Cain Rutgers ◽  
Lukas. P. E. Verweij ◽  
Simone Priester-Vink ◽  
Derek F. P. van Deurzen ◽  
Mario Maas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Level Of Evidence ◽  
Associated Lesions ◽  
Bony Bankart ◽  
Significant Difference ◽  
First Time ◽  
Bankart Lesions

Abstract Purpose The extent of shoulder instability and the indication for surgery may be determined by the prevalence or size of associated lesions. However, a varying prevalence is reported and the actual values are therefore unclear. In addition, it is unclear whether these lesions are present after the first dislocation and whether or not these lesions increase in size after recurrence. The aim of this systematic review was (1) to determine the prevalence of lesions associated with traumatic anterior shoulder dislocations, (2) to determine if the prevalence is higher following recurrent dislocations compared to first-time dislocations and (3) to determine if the prevalence is higher following complete dislocations compared to subluxations. Methods PubMed, EMBASE, Cochrane and Web of Science were searched. Studies examining shoulders after traumatic anterior dislocations during arthroscopy or with MRI/MRA or CT published after 1999 were included. A total of 22 studies (1920 shoulders) were included. Results The proportion of Hill–Sachs and Bankart lesions was higher in recurrent dislocations (85%; 66%) compared to first-time dislocations (71%; 59%) and this was statistically significant (P < 0.01; P = 0.05). No significant difference between recurrent and first-time dislocations was observed for SLAP lesions, rotator-cuff tears, bony Bankart lesions, HAGL lesions and ALPSA lesions. The proportion of Hill–Sachs lesions was significantly higher in complete dislocations (82%) compared to subluxations (54%; P < 0.01). Conclusion Higher proportions of Hill–Sachs and Bankart were observed in recurrent dislocations compared to first-time dislocations. No difference was observed for bony Bankart, HAGL, SLAP, rotator-cuff tear and ALPSA. Especially when a Hill–Sachs or Bankart is present after first-time dislocation, early surgical stabilization may need to be considered as other lesions may not be expected after recurrence and to limit lesion growth. However, results should be interpreted with caution due to substantial heterogeneity and large variance. Level of evidence IV.

Quality of life in adolescents and young adults with CHD is not reduced: a systematic review and meta-analysis

2015 ◽  
Vol 26 (3) ◽  
pp. 415-425 ◽  
Author(s):  
Morten Schrøder ◽  
Kirsten A. Boisen ◽  
Jesper Reimers ◽  
Grete Teilmann ◽  
Jesper Brok
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Young Adults ◽  
Meta Analysis ◽  
Adolescents And Young Adults ◽  
Analysis Model ◽  
Significant Difference ◽  
Newcastle Ottawa Scale ◽  
First Time

AbstractPurposeWe performed a systematic review and meta-analysis of observational studies assessing quality of life in adolescents and young adults born with CHD compared with age-matched controls.MethodsWe carried out a systematic search of the literature published in Medline, Embase, PsychINFO, and the Cochrane Library’s Database (1990–2013); two authors independently extracted data from the included studies. We used the Newcastle–Ottawa scale for quality assessment of studies. A random effects meta-analysis model was used. Heterogeneity was assessed using the I2-test.ResultsWe included 18 studies with 1786 patients. The studies were of acceptable-to-good quality. The meta-analysis of six studies on quality of life showed no significant difference – mean difference: −1.31; 95% confidence intervals: −6.51 to +3.89, I2=90.9% – between adolescents and young adults with CHD and controls. Similar results were found in 10 studies not eligible for the meta-analysis. In subdomains, it seems that patients had reduced physical quality of life; however, social functioning was comparable or better compared with controls.ConclusionFor the first time in a meta-analysis, we have shown that quality of life in adolescents and young adults with CHD is not reduced when compared with age-matched controls.

scholarly journals An Evidence-Based Approach to Assess the Accuracy of MRI in Diagnosing Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Wen-Fei Li ◽  
Tahir Mehmood Shakir ◽  
Yuemei Zhao ◽  
Tao Chen ◽  
Chen Niu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears ◽  
Evidence Based

Treatment of Rotator Cuff Tears: A Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Peter Lapner ◽  
Patrick Henry ◽  
George S. Athwal ◽  
Joel Moktar ◽  
Daniel McNeil ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals Arthroscopic-Assisted Latissimus Dorsi Tendon Transfer for Massive Rotator Cuff Tears: A Systematic Review

2018 ◽  
Vol 6 (6) ◽  
pp. 232596711877773 ◽  
Author(s):  
Muzammil Memon ◽  
Jeffrey Kay ◽  
Emily Quick ◽  
Nicole Simunovic ◽  
Andrew Duong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Shoulder Pain ◽  
Latissimus Dorsi ◽  
Tendon Transfer ◽  
Clinical Findings ◽  
Rotator Cuff Tears ◽  
Level Of Evidence ◽  
Massive Rotator Cuff Tears

Background: Arthroscopic-assisted latissimus dorsi tendon transfer (LDTT) has shown promising results with good outcomes in patients with massive rotator cuff tears (MRCTs), as reported by individual studies. However, to the best of the authors’ knowledge, no systematic review has been performed to assess the collective outcomes of these individual studies. Purpose/Hypothesis: The primary purpose of this study was to assess patient outcomes after arthroscopic-assisted LDTT for the management of MRCTs. The secondary objectives were to report on the management of MRCTs, including diagnostic investigations, surgical decision making, and arthroscopic techniques, as well as to evaluate the quality of evidence of the existing literature. It was hypothesized that nearly all patients were satisfied with arthroscopic-assisted LDTT and that they experienced improvements in pain symptoms, function, and strength after the procedure, with an overall complication rate of less than 10%. Study Design: Systematic review; Level of evidence, 4. Methods: The databases MEDLINE, Embase, and PubMed were searched from database inception (1946) until August 18, 2017, with titles, abstracts, and full-text articles screened independently by 2 reviewers. Inclusion criteria were English-language studies investigating arthroscopic-assisted LDTT for the management of MRCTs on patients of all ages. Conference papers, book chapters, review articles, and technical reports were excluded. The quality of the included studies was categorized by level of evidence and the Methodological Index for Non-Randomized Studies (MINORS) checklist. Results: In total, 8 studies (7 case series [median MINORS score, 7 of 16] and 1 prospective comparative study [median MINORS score, 14 of 24]) were identified; the studies included 258 patients (258 shoulders) with MRCTs treated with LDTT using arthroscopic-assisted techniques. The decision to pursue surgery was based on both clinical findings and investigations in 5 studies, investigations only in 2 studies, and clinical findings only in 1 study. Overall, 88% of patients were satisfied with the results of surgery and experienced significant improvement in their symptoms, including shoulder pain, strength, range of motion, and overall function, over a mean follow-up period of 34.3 months. Overall, there was a low rate of complications (7%) associated with the procedure. Conclusion: Arthroscopic-assisted LDTT for MRCTs provides patients with marked improvement in shoulder pain, strength, and function, and the procedure is associated with a low risk of complication. Further high-quality comparative studies are warranted to validate these findings in comparison with other operative techniques.

Suture and anchors may be retained during treatment of deep infection after rotator cuff repair: a systematic review

2019 ◽  
Vol 4 (2) ◽  
pp. 108-112
Author(s):  
Michael R Rosen ◽  
Harrison Lakehomer ◽  
Connor S Kasik ◽  
Kyle Stephenson
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Suture Material ◽  
Deep Infection ◽  
Suture Anchors ◽  
Level Of Evidence ◽  
Irrigation And Debridement ◽  
Significant Difference ◽  
Full Text Review ◽  
Treatment Of Infection

ImportanceRotator cuff repairs (RCRs) are one of the most common orthopaedic surgeries performed, and infection is a rare but serious complication. It is important to know the ideal management of infection after RCR.ObjectiveTo systematically review the literature regarding deep infection following RCR to characterise the success and failure rates of irrigation and debridement (I & D), with particular attention focused on potential predictors of failure, retention of suture anchor hardware and the necessity for serial I & Ds.Evidence reviewFour databases (Embase, PubMed, Google Scholar and EBSCOHost) were screened for clinical studies involving the treatment of infection after RCR. A full-text review of eligible studies was conducted. Inclusion and exclusion criteria were applied to the searched studies. Data from the selected studies were combined for comparative analysis to elucidate factors associated with the success of I & D.FindingsWe identified 11 eligible studies involving 172 patients. These studies described the number of I & D procedures necessary for successful treatment of infection after RCR. The mean number of I & Ds while retaining suture anchors and suture material was 2.3, compared with 2.2 I & Ds when removing all hardware. Propionibacterium acnes was the most common organism cultured, seen in 75 of 172 (43.6%) patients. Staphylococcus aureus and S. epidermidis accounted for 40 (23.3%) and 42 (24.4%) cases, respectively.Conclusions and relevanceIn managing infection following RCR, the current literature supports retaining suture anchors and suture material when the prior repair is found intact at the initial I & D. Further studies are necessary to strengthen the evidence for retaining hardware and ensuring there is not a statistically significant difference between the number of I & Ds needed to eradicate infection with the routine retention versus removal of suture anchors in this setting.Level of evidenceLevel IV, systematic review of Level III and IV studies.

scholarly journals Efficacy of concomitant acromioplasty in the treatment of rotator cuff tears: A systematic review and meta-analysis

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207306 ◽  
Author(s):  
Cong Cheng ◽  
Bin Chen ◽  
Hongwei Xu ◽  
Zhongwei Zhang ◽  
Weibin Xu
Keyword(s):  
Systematic Review ◽  
Rotator Cuff ◽  
Meta Analysis ◽  
Rotator Cuff Tears

scholarly journals The Effectiveness and Safety of Acupuncture for Patients with Chronic Urticaria: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Qin Yao ◽  
Shanshan Li ◽  
Xiaoxu Liu ◽  
Zongshi Qin ◽  
Zhishun Liu
Keyword(s):  
Systematic Review ◽  
Relative Risk ◽  
Chronic Urticaria ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Symptom Improvement ◽  
Control Groups ◽  
Level Of Evidence ◽  
Randomized Controlled ◽  
Significant Difference

Background. Acupuncture might have effectiveness in relieving the symptoms of chronic urticaria. There are currently no systematic reviews of acupuncture for chronic urticaria published in English.Objective. We conducted a systematic review to assess the effectiveness and safety of acupuncture for chronic urticaria.Methods. A systematic review and meta-analysis of randomized, controlled trials were performed. The primary outcome was global symptom improvement.Results. We included 6 studies with 406 participants. Three trials showed significant difference between acupuncture and drugs in global symptom improvement (relative risk 1.37; 95% CI 1.11–1.70;P=0.003). As an adjuvant to medication, acupuncture was also beneficial for global symptom improvement (relative risk 1.77; 95% CI 1.41–2.22;P<0.01). There were no severe adverse events related to acupuncture.Limitations. Some methodological limitations were observed. The overall risk of bias in the 6 included trials was high and all included RCTs were conducted in China and published in Chinese. Besides, the lack of proper control groups and the use of different rating methods and cut-offs in the included trials also made the evidence of this review limited.Conclusions. Acupuncture might be effective and safe for chronic urticaria in relieving symptoms, based on a low level of evidence. To draw a reliable conclusion, more high quality trials are needed in the future. This trial is registered with PROSPEROCRD42015015702.

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