ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Patients' expectations of shoulder instability repair.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Outcomes are comparable using free bone block autografts versus allografts for the management of anterior shoulder instability with glenoid bone loss: a systematic review and meta-analysis of "The Non-Latarjet".Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- A service evaluation of a newly implemented Advanced Physiotherapy Practitioner led shoulder instability service.Shoulder & elbow · 2026Article
- Fulfillment of expectations and patient satisfaction following surgical treatment of complex proximal tibial fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Return to Skiing After Proximal Tibial Fracture: Postoperative Reality and Initial Expectations.Journal of clinical medicine · 2024Article
- Return to Sports After Surgical Treatment of Rotator Cuff Tear in Young Athletes: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2024Review
- Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study.Shoulder & elbow · 2023Article
- Preoperative Expectations in Hand Surgery Patients.Journal of hand and microsurgery · 2023Article
- Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Differences in Patients' and Surgeons' Expectations before Shoulder Stabilization Surgery.Journal of clinical medicine · 2021Article
- Outcomes After Arthroscopic Anterior Shoulder Stabilization in Professional Handball Players.Orthopaedic journal of sports medicine · 2021Article
- Maximal Medical Improvement Following Shoulder Stabilization Surgery May Require up to 1 Year: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Review
- Relationship Between Age at Initial Shoulder Instability and Overall Outcomes After Arthroscopic Bankart Repair: Mean 6-Year Follow-up.Orthopaedic journal of sports medicine · 2020Article
- Patients undergoing shoulder surgery have high preoperative expectations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Observational
- Early surgical treatment of first-time anterior glenohumeral dislocation in a young, active population is superior to conservative management at long-term follow-up.International orthopaedics · 2019Article
- Patients' expectations of osteotomies around the knee are high regarding activities of daily living.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- How do we measure success and at the same time meet patient expectations?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- "Great Expectations": Reflections on Possible Analogies between our Patients and the Characters of Charles Dickens.Joints · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyze and compare patient expectations of primary and revision shoulder stabilization and to assess the factors associated with patients' expectations.
methodsPre-operative patient expectations after shoulder instability repair were prospectively assessed using a self-designed questionnaire. The survey included questions on the expected level and type of return to sports, instability, pain, risk of osteoarthritis, and overall shoulder condition.
resultsOne-hundred and forty-five patients (99 primary; 46 revision repair) were included. A return to sport at the same level with slight to no restrictions was expected in 95%, a return to high-risk activities in 34%, to moderate in 58%, and to low-risk activities in 9%. No pain [instability] independent of the activity level was expected by 71% [79%] and occasional pain [instability] during contact and overhead activities by 25% [19%]. 61% expected to have no risk of glenohumeral osteoarthritis, 37% a slight, and 2% a significant risk. The overall expectation for the post-operative shoulder was indicated to be normal or nearly normal in 99% of patients. The revision group did not differ from the primary repair group in any variable. High pre-operative sport performance was positively correlated with post-operative sport expectations. The number of dislocations, the duration of instability, and the subjective instability level were negatively correlated with return to sport expectations.
conclusionPatient expectations for primary and revision shoulder instability repair are high. Realistic patient expectations regarding the surgical procedure are necessary to avoid low patient satisfaction, especially in pre-operatively highly active and demanding athletes. The surgeon must not solely base the treatment on the pathology and possible risk factors for failure but should also take the individual expectation of the patient into account. LEVEL OF EVIDENCE: III.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.