Evidence map›Paper›PMID 32540371›Full record

ArticleArthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association2020

Surgical Stabilization of Shoulder Instability in Patients With or Without a History of Seizure: A Comparative Analysis.

Obiajulu Agha, Caitlin M Rugg, Drew A Lansdown, Shannon Ortiz, Carolyn M Hettrich, Brian R Wolf, Brian T Feeley

Open access · greenAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Obiajulu AghaDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, U.S.A.
Caitlin M RuggDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, U.S.A.. Electronic address: cmrugg@gmail.com.
Drew A LansdownDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, U.S.A.
Shannon OrtizDepartment of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, U.S.A.
Carolyn M HettrichDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, U.S.A.
Brian R WolfDepartment of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, U.S.A.
Brian T FeeleyDepartment of Orthopaedic Surgery, University of California, San Francisco, San Francisco, California, U.S.A.
University of California, San Francisco · USUniversity of Iowa · USBrigham and Women's Hospital · US

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
The University of Iowa Clinical and Translational Science AwardKL2TR002536 · NCATS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G · 2018 to 2022
$3.3M
NCATS NIH HHS KL2 TR002536NCATS NIH HHS UL1 TR002537
6 · The paper itself

Abstract

purposeTo compare patients from a large multicenter cohort with a history of seizure and those without a history of seizure regarding preoperative and intraoperative findings and surgical procedures performed.

methodsPatients undergoing shoulder stabilization from 2011 to 2018 at 11 orthopaedic centers were prospectively enrolled. Those with a history of seizure were identified and compared with non-seizure controls. Preoperative demographic, history, physical examination, and imaging findings were collected. Intraoperative findings and surgical procedures performed were recorded. The Mann-Whitney test, χ

resultsDuring enrollment, 25 of 1,298 shoulder stabilization patients (1.9%) had a history of seizure. The sex ratio and age were similar between groups, as was posterior instability incidence (23.2% in control group vs 28.0% in seizure group). Seizure patients more frequently had more than 5 dislocations in the year preceding surgery (P = .016) and had increased preoperative radiographic evidence of bone loss (P < .001). Intraoperatively, seizure patients had a higher prevalence of reverse Hill-Sachs lesions (P < .001) and large (>30% of glenoid fossa) bony Bankart lesions (P < .001). Arthroscopic Bankart repair was the most common procedure in both groups. However, open procedures were performed in 15.6% of controls and 40.0% of seizure patients (P = .001). These procedures were most commonly bony procedures.

conclusionsSeizure patients had more prior dislocations, had more preoperative bone loss, and underwent more open stabilization procedures than controls because of bone loss. Studies examining recurrence after stabilization will help establish appropriate management practices in this population. LEVEL OF EVIDENCE: Level III, retrospective review of prospectively collected cohort.

Indexed as

AdultArthroplastyArthroscopyBankart LesionsFemaleGlenoid CavityHumansIntraoperative PeriodJoint InstabilityMaleMiddle AgedRecurrenceReoperationRetrospective StudiesRisk FactorsSeizures

Identifiers

PMID32540371
PMCPMC7751058
OpenAlexW3034764137

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.