Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis
Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Chen, Dong [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
Arthroscopic capsular plication |
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| Anmerkung: |
© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 |
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| Übergeordnetes Werk: |
Enthalten in: Knee surgery, sports traumatology, arthroscopy - Berlin : Springer, 1993, 24(2015), 2 vom: 12. Dez., Seite 630-639 |
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| Übergeordnetes Werk: |
volume:24 ; year:2015 ; number:2 ; day:12 ; month:12 ; pages:630-639 |
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| DOI / URN: |
10.1007/s00167-015-3901-4 |
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| Katalog-ID: |
SPR001401106 |
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| 520 | |a Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. | ||
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| 650 | 4 | |a Multidirectional instability |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Arthroscopic capsular plication |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Open inferior capsular shift |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Electrothermal arthroscopic capsulorrhaphy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Recurrent instability |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Goldberg, Jerome |4 aut | |
| 700 | 1 | |a Herald, Jonathan |4 aut | |
| 700 | 1 | |a Critchley, Ian |4 aut | |
| 700 | 1 | |a Barmare, Arshad |4 aut | |
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10.1007/s00167-015-3901-4 doi (DE-627)SPR001401106 (SPR)s00167-015-3901-4-e DE-627 ger DE-627 rakwb eng Chen, Dong verfasserin aut Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 Goldberg, Jerome aut Herald, Jonathan aut Critchley, Ian aut Barmare, Arshad aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 24(2015), 2 vom: 12. Dez., Seite 630-639 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:24 year:2015 number:2 day:12 month:12 pages:630-639 https://dx.doi.org/10.1007/s00167-015-3901-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 24 2015 2 12 12 630-639 |
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10.1007/s00167-015-3901-4 doi (DE-627)SPR001401106 (SPR)s00167-015-3901-4-e DE-627 ger DE-627 rakwb eng Chen, Dong verfasserin aut Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 Goldberg, Jerome aut Herald, Jonathan aut Critchley, Ian aut Barmare, Arshad aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 24(2015), 2 vom: 12. Dez., Seite 630-639 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:24 year:2015 number:2 day:12 month:12 pages:630-639 https://dx.doi.org/10.1007/s00167-015-3901-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 24 2015 2 12 12 630-639 |
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10.1007/s00167-015-3901-4 doi (DE-627)SPR001401106 (SPR)s00167-015-3901-4-e DE-627 ger DE-627 rakwb eng Chen, Dong verfasserin aut Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 Goldberg, Jerome aut Herald, Jonathan aut Critchley, Ian aut Barmare, Arshad aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 24(2015), 2 vom: 12. Dez., Seite 630-639 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:24 year:2015 number:2 day:12 month:12 pages:630-639 https://dx.doi.org/10.1007/s00167-015-3901-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 24 2015 2 12 12 630-639 |
| allfieldsGer |
10.1007/s00167-015-3901-4 doi (DE-627)SPR001401106 (SPR)s00167-015-3901-4-e DE-627 ger DE-627 rakwb eng Chen, Dong verfasserin aut Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 Goldberg, Jerome aut Herald, Jonathan aut Critchley, Ian aut Barmare, Arshad aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 24(2015), 2 vom: 12. Dez., Seite 630-639 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:24 year:2015 number:2 day:12 month:12 pages:630-639 https://dx.doi.org/10.1007/s00167-015-3901-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 24 2015 2 12 12 630-639 |
| allfieldsSound |
10.1007/s00167-015-3901-4 doi (DE-627)SPR001401106 (SPR)s00167-015-3901-4-e DE-627 ger DE-627 rakwb eng Chen, Dong verfasserin aut Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 Goldberg, Jerome aut Herald, Jonathan aut Critchley, Ian aut Barmare, Arshad aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 24(2015), 2 vom: 12. Dez., Seite 630-639 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:24 year:2015 number:2 day:12 month:12 pages:630-639 https://dx.doi.org/10.1007/s00167-015-3901-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 24 2015 2 12 12 630-639 |
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English |
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Enthalten in Knee surgery, sports traumatology, arthroscopy 24(2015), 2 vom: 12. Dez., Seite 630-639 volume:24 year:2015 number:2 day:12 month:12 pages:630-639 |
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Enthalten in Knee surgery, sports traumatology, arthroscopy 24(2015), 2 vom: 12. Dez., Seite 630-639 volume:24 year:2015 number:2 day:12 month:12 pages:630-639 |
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Shoulder Multidirectional instability Arthroscopic capsular plication Open inferior capsular shift Electrothermal arthroscopic capsulorrhaphy Recurrent instability |
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Knee surgery, sports traumatology, arthroscopy |
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Chen, Dong @@aut@@ Goldberg, Jerome @@aut@@ Herald, Jonathan @@aut@@ Critchley, Ian @@aut@@ Barmare, Arshad @@aut@@ |
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2015-12-12T00:00:00Z |
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Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. 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|
| author |
Chen, Dong |
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Chen, Dong misc Shoulder misc Multidirectional instability misc Arthroscopic capsular plication misc Open inferior capsular shift misc Electrothermal arthroscopic capsulorrhaphy misc Recurrent instability Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
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Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis Shoulder (dpeaa)DE-He213 Multidirectional instability (dpeaa)DE-He213 Arthroscopic capsular plication (dpeaa)DE-He213 Open inferior capsular shift (dpeaa)DE-He213 Electrothermal arthroscopic capsulorrhaphy (dpeaa)DE-He213 Recurrent instability (dpeaa)DE-He213 |
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misc Shoulder misc Multidirectional instability misc Arthroscopic capsular plication misc Open inferior capsular shift misc Electrothermal arthroscopic capsulorrhaphy misc Recurrent instability |
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misc Shoulder misc Multidirectional instability misc Arthroscopic capsular plication misc Open inferior capsular shift misc Electrothermal arthroscopic capsulorrhaphy misc Recurrent instability |
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misc Shoulder misc Multidirectional instability misc Arthroscopic capsular plication misc Open inferior capsular shift misc Electrothermal arthroscopic capsulorrhaphy misc Recurrent instability |
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Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
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Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
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Knee surgery, sports traumatology, arthroscopy |
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effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
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Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
| abstract |
Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 |
| abstractGer |
Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 |
| abstract_unstemmed |
Purpose The purpose of this study was to assess the effectiveness of arthroscopic and open surgical techniques on the treatment of shoulder multidirectional instability. Methods Literature searches were conducted using the databases MEDLINE, Embase, ClinicalTrials.gov, the Cochrane Library, and the Cochrane Central Register of Controlled Trials. Original articles on the surgical management of multidirectional instability were retrieved against selection criteria. Data were extracted and divided into three groups by surgical technique. Proportion and mean meta-analyses were performed for comparison. Results The available evidence was from 35 level IV and 1 level II studies. The recurrent instability rate was 9.9 % (95 % CI 7.3–12.9 %) in open capsular shift (OCS) group and 6.0 % (95 % CI 3.7–8.9 %) in arthroscopic capsular plication (ACP) group, between which no difference was observed. However, thermal capsular shrinkage (TCS) group resulted in a recurrent instability rate of 23.9 % (95 % CI 16.6–32.2 %), significantly higher than the above two groups. OCS and ACP groups revealed low reoperation rates of approximately 5.2 % (95 % CI 2.7–8.5 %) and 4.8 % (95 % CI 2.3–8.0 %), respectively, which are lower than that in TCS group of 16.9 % (95 % CI 12.4–21.8 %). OCS caused more loss of external rotation than ACP, losing 7.0 (95 % CI 3.3–10.6) degrees versus 2 (95 % CI 0.9–2.4) degrees, respectively. Conclusions ACP and OCS techniques have similar primary outcomes, but the former causes less post-operative stiffness. It is suggestible to avoid TCS in the treatment of MDI. Level of evidence Level IV. © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015 |
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Effects of surgical management on multidirectional instability of the shoulder: a meta-analysis |
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https://dx.doi.org/10.1007/s00167-015-3901-4 |
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Goldberg, Jerome Herald, Jonathan Critchley, Ian Barmare, Arshad |
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| score |
7.398978 |