Evidence map›Paper›PMID 33074421›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Arthroscopic reduction and subscapularis remplissage (ARR) of chronic posterior locked shoulder dislocation leads to optimized outcomes and low rate of complications.

Alfonso M Romano, T Bradley Edwards, Guglielmo Nastrucci, Pasquale Casillo, Angelo Di Giunta, Marcello Zappia, Massimiliano Susanna, Francesco Ascione

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 15 citations in OpenAlex.

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  4. Anatomical reduction and fixation of reverse Hill-Sachs lesion: description of a surgical technique.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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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

8 authors at 5 institutions in 3 countries.

Alfonso M RomanoOrthopedics and Sport Medicine Unit, Campolongo Hospital, Salerno, Italy.
T Bradley EdwardsFondren Orthopedic Group, Texas Orthopedic Hospital, Houston, TX, USA.
Guglielmo NastrucciOrthopedics and Sport Medicine Unit, Campolongo Hospital, Salerno, Italy.
Pasquale CasilloOrthopedics and Sport Medicine Unit, Campolongo Hospital, Salerno, Italy.
Angelo Di GiuntaOrthopaedic Division of Policlinico 'G.B. Morgagni', Catania, Italy.
Marcello ZappiaDepartment of Medicine and Health Sciences, Università del Molise, Campobasso, Italy.
Massimiliano SusannaOrthopedic and Trauma Unit, San Donà di Piave Hospital, Venezia, Italy.
Francesco AscioneOrthopedics and Sport Medicine Unit, Campolongo Hospital, Salerno, Italy. francescoascione.md@gmail.com.ORCID http://orcid.org/0000-0002-7874-4531
Institute of Sports Medicine and Science · JPOspedale di San Donà di Piave · ITPoliclinico Universitario di Catania · ITTexas Orthopedic Hospital · USUniversity of Molise · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUnrecognized posterior shoulder dislocation with a concomitant humeral head fracture affects joint function and no consensus exists regarding treatment. The present study analyses clinical and radiographic outcomes of a novel arthroscopic technique for reducing chronic locked posterior shoulder dislocation associated with subscapularis remplissage.

methodsThe study comprises a retrospective analysis of consecutive chronic posterior locked shoulders (CPLS) with minimum 2-years follow-up of patients who had undergone McLaughlin technique arthroscopic modification for the treatment of CPLS with a reverse Hill-Sachs lesion. Active range of motion (ROM), Western Ontario (WOSI) and Constant Score (CS), were evaluated pre- and postoperatively. Plain radiographs and magnetic resonance imaging (MRI) scans were collected pre- and post-operatively, recording bone defect, osteoarthritis, cuff integrity/fatty infiltration, and the grade of filling of the reverse Hill-Sachs.

resultsTwelve male patients with a mean follow-up of 37.3 months ± 10.5 (range, 24-58) were included. Mean WOSI and CS scores improved from 41 to 92 and 28 to 94 points, respectively. ROM measurements all had significantly increased at final follow-up, with no significant differences in arm rotation. No defects were left unfilled at final MRI examination.

conclusionThe results of this uncontrolled study with a limited number of patients confirm that arthroscopic reduction and subscapularis remplissage is a highly effective and satisfactory treatment method resulting in no shoulder rotation deficits. LEVEL OF EVIDENCE: Level IV.

Indexed as

AdultArthroscopyHumansHumeral HeadJoint InstabilityMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritisPostoperative ComplicationsRange of Motion, ArticularRetrospective StudiesRotationRotator CuffShoulder DislocationShoulder FracturesArthroscopic reductionHumeral head defectLocked shoulderMcLaughlin lesionPosterior shoulder dislocationReverse Hill–SachsSubscapularis remplissage

Identifiers

PMID33074421
OpenAlexW3093153245

What OpenQuestion holds

Textmetadata
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.