Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review
Abstract Background To determine the incidence of concomitant intra-articular glenohumeral injuries in patients undergoing surgical management from distal clavicle fractures (DCF) with shoulder arthroscopy and their impact on outcome. Methods This systematic review was conducted following the PRISMA...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-022-02919-7 |
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| author | Theodorakys Marín Fermín Filippo Migliorini Emmanuel Papakostas Khalid Al-Khelaifi David Ricardo Maldonado Jean Michel Hovsepian Nicola Maffulli |
| author_facet | Theodorakys Marín Fermín Filippo Migliorini Emmanuel Papakostas Khalid Al-Khelaifi David Ricardo Maldonado Jean Michel Hovsepian Nicola Maffulli |
| author_sort | Theodorakys Marín Fermín |
| collection | DOAJ |
| description | Abstract Background To determine the incidence of concomitant intra-articular glenohumeral injuries in patients undergoing surgical management from distal clavicle fractures (DCF) with shoulder arthroscopy and their impact on outcome. Methods This systematic review was conducted following the PRISMA guidelines. PubMed, EMBASE, and Virtual Health Library databases were accessed in October 2021. All the clinical studies evaluating the surgical management of DCF and using concomitant intra-operatory shoulder arthroscopy were included. Studies that did not specify the concomitant injury type were not eligible. Data from the incidence of intra-articular glenohumeral injuries, injury type, length of the follow-up, and clinical outcomes were retrieved. The quantitative content assessment was performed using the STROBE statement checklist. Evaluation of the publication bias of the included studies was performed using the risk of bias assessment tool for systematic reviews. Results Data from five retrospective and five prospective cohort studies were analyzed. Eight of the included studies were conducted on patient cohorts with Neer type II injuries. Data pooling revealed a mean of 17.70% of concomitant glenohumeral injuries, whereas 84.21% of them required additional surgical management (Table 1). Rotator cuff injuries, labral tears, and biceps pulley lesions were the most common concomitant injuries. Conclusion Preoperative MRI or diagnostic arthroscopy to evaluate glenohumeral associated injuries to DCF should be recommended. |
| first_indexed | 2024-04-14T01:05:57Z |
| format | Article |
| id | doaj.art-0e52fcb710d147cb9d1915360e5a8ab3 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T01:05:57Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-0e52fcb710d147cb9d1915360e5a8ab32022-12-22T02:21:13ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-01-011711710.1186/s13018-022-02919-7Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic reviewTheodorakys Marín Fermín0Filippo Migliorini1Emmanuel Papakostas2Khalid Al-Khelaifi3David Ricardo Maldonado4Jean Michel Hovsepian5Nicola Maffulli6Aspetar Orthopedic and Sports Medicine HospitalDepartment of Orthopedic, Trauma, and Reconstructive Surgery, RWTH Aachen University HospitalAspetar Orthopedic and Sports Medicine HospitalAspetar Orthopedic and Sports Medicine HospitalKerlan-Jobe InstituteDepartment of Sports Orthopedics, Hessing KlinikDepartment of Medicine, Surgery and Dentistry, University of SalernoAbstract Background To determine the incidence of concomitant intra-articular glenohumeral injuries in patients undergoing surgical management from distal clavicle fractures (DCF) with shoulder arthroscopy and their impact on outcome. Methods This systematic review was conducted following the PRISMA guidelines. PubMed, EMBASE, and Virtual Health Library databases were accessed in October 2021. All the clinical studies evaluating the surgical management of DCF and using concomitant intra-operatory shoulder arthroscopy were included. Studies that did not specify the concomitant injury type were not eligible. Data from the incidence of intra-articular glenohumeral injuries, injury type, length of the follow-up, and clinical outcomes were retrieved. The quantitative content assessment was performed using the STROBE statement checklist. Evaluation of the publication bias of the included studies was performed using the risk of bias assessment tool for systematic reviews. Results Data from five retrospective and five prospective cohort studies were analyzed. Eight of the included studies were conducted on patient cohorts with Neer type II injuries. Data pooling revealed a mean of 17.70% of concomitant glenohumeral injuries, whereas 84.21% of them required additional surgical management (Table 1). Rotator cuff injuries, labral tears, and biceps pulley lesions were the most common concomitant injuries. Conclusion Preoperative MRI or diagnostic arthroscopy to evaluate glenohumeral associated injuries to DCF should be recommended.https://doi.org/10.1186/s13018-022-02919-7GlenohumeralDistal clavicle fracturesArthroscopy |
| spellingShingle | Theodorakys Marín Fermín Filippo Migliorini Emmanuel Papakostas Khalid Al-Khelaifi David Ricardo Maldonado Jean Michel Hovsepian Nicola Maffulli Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review Journal of Orthopaedic Surgery and Research Glenohumeral Distal clavicle fractures Arthroscopy |
| title | Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review |
| title_full | Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review |
| title_fullStr | Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review |
| title_full_unstemmed | Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review |
| title_short | Concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic-assisted surgery: a systematic review |
| title_sort | concomitant glenohumeral injuries in patients with distal clavicle fractures undergoing arthroscopic assisted surgery a systematic review |
| topic | Glenohumeral Distal clavicle fractures Arthroscopy |
| url | https://doi.org/10.1186/s13018-022-02919-7 |
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