Glenoid bone loss and Hill-Sachs width percentage score are useful to select optimal operation for the treatment of glenohumeral instability in overhead athletes: Arthroscopic Bankart repair with remplissage versus open Latarjet.
arthroscopic Bankart and remplissage
athletes
glenohumeral instability
open Latarjet
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
27 Jun 2024
27 Jun 2024
Historique:
revised:
16
05
2024
received:
24
09
2023
accepted:
21
05
2024
medline:
27
6
2024
pubmed:
27
6
2024
entrez:
27
6
2024
Statut:
aheadofprint
Résumé
Glenohumeral instability with combined bone lesion in contact and overhead athletes with subcritical bone loss is challenging to treat with high recurrent instability. Treatment options are arthroscopic Bankart repair with remplissage and Latarjet operations. However, there is no consensus on their effectiveness. This study aims to compare the clinical outcomes and return to sports after both operations and whether evaluating the glenoid bone loss and Hill-Sachs width to calculate the total bone loss can help determine the appropriate operation. In this retrospective comparative analysis, 30 athletes who underwent index arthroscopic Bankart repair with remplissage (n = 16) or Latarjet procedure (n = 14) between 2017 and 2020 were included. Computed tomography (CT) and magnetic resonance imaging (MRI) were routinely performed. The quick Disabilities of the Arm, Shoulder and Hand (qDASH), American Shoulder and Elbow Surgeons (ASES), instability severity index (ISI) scores and range of motion (ROM) were recorded preoperatively and at a mean follow-up of 53 months (SD = 12). Follow-up included time-to-return sports, self-perceived sports performance level and complications/recurrent dislocations. Preoperative qDASH, ASES, ISI scores, ages and genders were similar. The Latarjet group had significantly larger glenoid bone loss, Hill-Sachs width and total bone loss (p < 0.01). Both groups had significant improvement in patient-reported outcomes (PROs) after the operations (p < 0.01). Athletes with a total bone loss <25% underwent arthroscopic Bankart repair with remplissage and total bone loss ≥25% underwent Latarjet procedure, and there were no differences between the groups in terms of postoperative PROs, ROM, time-to-return sports and performance. There were no re-dislocations. Arthroscopic Bankart repair with remplissage or Latarjet procedure can adequately address glenohumeral instability with combined bone lesions. Patients with total bone loss scores greater than or equal to 25 may particularly benefit from the Latarjet procedure, while the minimally invasive arthroscopic Bankart repair with remplissage can yield equally satisfying scores for total bone loss less than 25. Level III.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : None
Informations de copyright
© 2024 European Society of Sports Traumatology, Knee Surgery and Arthroscopy.
Références
Abouelsoud, M.M. & Abdelrahman, A.A. (2015) Recurrent anterior shoulder dislocation with engaging Hill–Sachs defect: remplissage or Latarjet? European Orthopaedics and Traumatology, 6(3), 151–156. Available from: https://doi.org/10.1007/s12570-015-0313-3
Argintar, E., Heckmann, N., Wang, L., Tibone, J.E. & Lee, T.Q. (2016) The biomechanical effect of shoulder remplissage combined with Bankart repair for the treatment of engaging Hill–Sachs lesions. Knee Surgery, Sports Traumatology, Arthroscopy, 24(2), 585–592. Available from: https://doi.org/10.1007/s00167-014-3092-4
Bah, A., Lateur, G.M., Kouevidjin, B.T., Bassinga, J.Y.S., Issa, M., Jaafar, A. et al. (2018) Chronic anterior shoulder instability with significant Hill–Sachs lesion: arthroscopic Bankart with remplissage versus open Latarjet procedure. Orthopaedics & Traumatology: Surgery & Research, 104(1), 17–22. Available from: https://doi.org/10.1016/j.otsr.2017.11.009
Balg, F. & Boileau, P. (2007) The instability severity index score. A simple pre‐operative score to select patients for arthroscopic or open shoulder stabilisation. The Journal of Bone and Joint Surgery. British Volume, 89‐B(11), 1470–1477. Available from: https://doi.org/10.1302/0301-620X.89B11.18962
Beaton, D.E., Wright, J.G., Katz, J.N., Beaton, D.E., Wright, J.G. & Katz, J.N. (2005) Development of the QuickDASH: comparison of three item‐reduction approaches. The Journal of Bone and Joint Surgery. American Volume, 87(5), 1038–1046. Available from: https://doi.org/10.2106/00004623-200505000-00015
Bishop, J.Y., Hidden, K.A., Jones, G.L., Hettrich, C.M., Wolf, B.R., Baumgarten, K.M. et al. (2019) Factors influencing surgeon's choice of procedure for anterior shoulder instability: a multicenter prospective cohort study. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35(7), 2014–2025. Available from: https://doi.org/10.1016/j.arthro.2019.02.035
Brilakis, E., Mataragas, E., Deligeorgis, A., Maniatis, V. & Antonogiannakis, E. (2016) Midterm outcomes of arthroscopic remplissage for the management of recurrent anterior shoulder instability. Knee Surgery, Sports Traumatology, Arthroscopy, 24(2), 593–600. Available from: https://doi.org/10.1007/s00167-014-2848-1
Buza, J.A., Iyengar, J.J., Anakwenze, O.A., Ahmad, C.S. & Levine, W.N. (2014) Arthroscopic Hill‐Sachs remplissage: a systematic review. Journal of Bone and Joint Surgery, 96(7), 549–555. Available from: https://doi.org/10.2106/JBJS.L.01760
Calvo, E. & Delgado, C. (2023) Management of off‐track Hill‐Sachs lesions in anterior glenohumeral instability. Journal of Experimental Orthopaedics, 10(1), 30. Available from: https://doi.org/10.1186/s40634-023-00588-x
Cho, N.S., Yoo, J.H. & Rhee, Y.G. (2016) Management of an engaging Hill–Sachs lesion: arthroscopic remplissage with Bankart repair versus Latarjet procedure. Knee Surgery, Sports Traumatology, Arthroscopy, 24(12), 3793–3800. Available from: https://doi.org/10.1007/s00167-015-3666-9
Davis, W.H., DiPasquale, J.A., Patel, R.K., Sandler, A.B., Scanaliato, J.P., Dunn, J.C. et al. (2023) Arthroscopic remplissage combined with Bankart repair results in a higher rate of return to sport in athletes compared with Bankart repair alone or the Latarjet procedure: a systematic review and meta‐analysis. The American Journal of Sports Medicine, 51(12), 3304–3312. Available from: https://doi.org/10.1177/03635465221138559
Di Giacomo, G., Itoi, E. & Burkhart, S.S. (2014) Evolving concept of bipolar bone loss and the Hill‐Sachs lesion: from “engaging/non‐engaging” lesion to “on‐track/off‐track” lesion. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 30(1), 90–98. Available from: https://doi.org/10.1016/j.arthro.2013.10.004
Domos, P., Ascione, F. & Wallace, A.L. (2019) Arthroscopic Bankart repair with remplissage for non‐engaging Hill‐Sachs lesion in professional collision athletes. Shoulder & Elbow, 11(1), 17–25. Available from: https://doi.org/10.1177/1758573217728414
Griesser, M.J., Harris, J.D., McCoy, B.W., Hussain, W.M., Jones, M.H., Bishop, J.Y. et al. (2013) Complications and re‐operations after Bristow‐Latarjet shoulder stabilization: a systematic review. Journal of Shoulder and Elbow Surgery, 22(2), 286–292. Available from: https://doi.org/10.1016/j.jse.2012.09.009
Haroun, H.K., Sobhy, M.H. & Abdelrahman, A.A. (2020) Arthroscopic Bankart repair with remplissage versus Latarjet procedure for management of engaging Hill‐Sachs lesions with subcritical glenoid bone loss in traumatic anterior shoulder instability: a systematic review and meta‐analysis. Journal of Shoulder and Elbow Surgery, 29(10), 2163–2174. Available from: https://doi.org/10.1016/j.jse.2020.04.032
Hudak, P.L., Amadio, P.C., Bombardier, C., Beaton, D., Cole, D., Davis, A. et al. (1996) Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). American Journal of Industrial Medicine, 29(6), 602–608. Available from: https://doi.org/10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L
Hurley, E.T., Lunn, K., Bethell, M., Levin, J., Pasqualini, I., Frangiamore, S. et al. (2024) Return to play following operative management of anterior shoulder instability in overhead athletes—a systematic review. Shoulder & Elbow, 16(1), 15–23. Available from: https://doi.org/10.1177/17585732231205175
Hurley, E.T., Toale, J.P., Davey, M.S., Colasanti, C.A., Pauzenberger, L., Strauss, E.J. et al. (2020) Remplissage for anterior shoulder instability with Hill‐Sachs lesions: a systematic review and meta‐analysis. Journal of Shoulder and Elbow Surgery, 29(12), 2487–2494. Available from: https://doi.org/10.1016/j.jse.2020.06.021
Itoi, E. (2017) “On‐track” and “off‐track” shoulder lesions. EFORT Open Reviews, 2(8), 343–351. Available from: https://doi.org/10.1302/2058-5241.2.170007
Lazarides, A.L., Duchman, K.R., Ledbetter, L., Riboh, J.C. & Garrigues, G.E. (2019) Arthroscopic remplissage for anterior shoulder instability: a systematic review of clinical and biomechanical studies. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 35(2), 617–628. Available from: https://doi.org/10.1016/j.arthro.2018.09.029
Marquardt, B., Witt, K.‐A., Liem, D., Steinbeck, J. & Pötzl, W. (2006) Arthroscopic Bankart repair in traumatic anterior shoulder instability using a suture anchor technique. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 22(9), 931–936. Available from: https://doi.org/10.1016/j.arthro.2006.04.105
Martetschläger, F., Kraus, T.M., Hardy, P. & Millett, P.J. (2013) Arthroscopic management of anterior shoulder instability with glenoid bone defects. Knee Surgery, Sports Traumatology, Arthroscopy, 21(12), 2867–2876. Available from: https://doi.org/10.1007/s00167-012-2198-9
Mouelhi, Y., Jouve, E., Castelli, C. & Gentile, S. (2020) How is the minimal clinically important difference established in health‐related quality of life instruments? Review of anchors and methods. Health and Quality of Life Outcomes, 18(1), 136. Available from: https://doi.org/10.1186/s12955-020-01344-w
Nazzal, E.M., Herman, Z.J., Engler, I.D., Dalton, J.F., Freehill, M.T. & Lin, A. (2023) First‐time traumatic anterior shoulder dislocation: current concepts. Journal of ISAKOS, 8(2), 101–107. Available from: https://doi.org/10.1016/j.jisako.2023.01.002
Nourissat, G., Kilinc, A.S., Werther, J.R. & Doursounian, L. (2011) A prospective, comparative, radiological, and clinical study of the influence of the “remplissage” procedure on shoulder range of motion after stabilization by arthroscopic Bankart repair. The American Journal of Sports Medicine, 39(10), 2147–2152. Available from: https://doi.org/10.1177/0363546511416315
Park, I., Oh, M.‐J. & Shin, S.‐J. (2020) Effects of glenoid and humeral bone defects on recurrent anterior instability of the shoulder. Clinics in Orthopedic Surgery, 12(2), 145–150. Available from: https://doi.org/10.4055/cios19060
Provencher, M.T., Midtgaard, K.S., Owens, B.D. & Tokish, J.M. (2021) Diagnosis and management of traumatic anterior shoulder instability. Journal of the American Academy of Orthopaedic Surgeons, 29(2), e51–e61. Available from: https://doi.org/10.5435/JAAOS-D-20-00202
Purchase, R.J., Wolf, E.M., Hobgood, E.R., Pollock, M.E. & Smalley, C.C. (2008) Hill‐Sachs “remplissage”: an arthroscopic solution for the engaging Hill‐Sachs lesion. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 24(6), 723–726. Available from: https://doi.org/10.1016/j.arthro.2008.03.015
Shaha, J.S., Cook, J.B., Song, D.J., Rowles, D.J., Bottoni, C.R., Shaha, S.H. et al. (2015) Redefining “critical” bone loss in shoulder instability: functional outcomes worsen with “subcritical” bone loss. The American Journal of Sports Medicine, 43(7), 1719–1725. Available from: https://doi.org/10.1177/0363546515578250
Wyrwich, K.W., Tierney, W.M. & Wolinsky, F.D. (1999) Further evidence supporting an SEM‐based criterion for identifying meaningful intra‐individual changes in health‐related quality of Life. Journal of Clinical Epidemiology, 52(9), 861–873. Available from: https://doi.org/10.1016/S0895-4356(99)00071-2
Yang, J.S., Mehran, N., Mazzocca, A.D., Pearl, M.L., Chen, V.W. & Arciero, R.A. (2018) Remplissage versus modified Latarjet for off‐track Hill‐Sachs lesions with subcritical glenoid bone loss. The American Journal of Sports Medicine, 46(8), 1885–1891. Available from: https://doi.org/10.1177/0363546518767850