Evidence map›Paper›PMID 38022173›Full record

ArticleCureus2023

A Comparative Analysis Between Conservative Treatment, Arthroscopic Repair, and Biceps Tenodesis in Superior Labral Anterior-Posterior (SLAP) Lesions.

Evgeniy Nikolaevich Goncharov, Oleg Aleksandrovich Koval, Eduard Nikolaevich Bezuglov, Aleksandr Aleksandrovich Vetoshkin, Nikolay Gavriilovich Goncharov, Manuel de Jesus Encarnacion Ramirez, Oganesyan Sergey Khachaturovich, Nicola Montemurro

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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 3 institutions in 3 countries.

Evgeniy Nikolaevich GoncharovDepartment of Orthopaedics, Petrovsky Russian Scientific Center of Surgery, Moscow, RUS.
Oleg Aleksandrovich KovalDepartment of Orthopaedics, Petrovsky Russian Scientific Center of Surgery, Moscow, RUS.
Eduard Nikolaevich BezuglovDepartment of Orthopaedics, Sechenov First Moscow State Medical University, Moscow, RUS.
Aleksandr Aleksandrovich VetoshkinDepartment of Orthopaedics, The Nikiforov Russian Center of Emergency and Radiation Medicine, St. Petersburg, RUS.
Nikolay Gavriilovich GoncharovDepartment of Orthopaedics, Russian Medical Academy of Continuous Professional Education, Moscow, RUS.
Manuel de Jesus Encarnacion RamirezDepartment of Neurological Surgery, Peoples' Friendship University of Russia, Moscow, RUS.
Oganesyan Sergey KhachaturovichDepartment of Orthopaedics, Department of Health, Moscow Central Clinical Hospital, Moscow, RUS.
Nicola MontemurroDepartment of Neurosurgery, Azienda Ospedaliero Universitaria Pisana (AOUP), Pisa, ITA.
Peoples' Friendship University of Russia · RUCentral Clinical Hospital and Polyclinic · RURussian Scientific Center of Surgery · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background "Throwing shoulder" hinders athletes' shoulder functions, causing pain, weakness, and performance reduction due to anatomical, physiological, and biomechanical factors. Anatomical issues include superior labral anterior-posterior (SLAP) injuries, rotator cuff injuries, and glenohumeral instability. Methods This study compared arthroscopic labral repairs in patients under 40 years old with shoulder injuries between 2015 and 2017. Sixty eligible patients were divided into three groups: conservative treatment, arthroscopic repair, and tenodesis. Measures included pain, functional scores, and the range of motion pre-/post-operation. Results At the last follow-up, pain relief and functional improvement were most significant with tenodesis (97% pain relief, 95% functional improvement), followed by repair (85% pain relief, 70% functional improvement), and least in conservative treatment (45% pain relief, 40% functional improvement). While all treatments significantly reduced pain and improved function (p<0.001), tenodesis demonstrated the highest effectiveness, suggesting it as a potentially preferred method. Significant improvements in pain relief and function were observed across all methods; however, surgical options suggested improved outcomes. Conclusion Our study compares conservative treatment, arthroscopic labral repair, and biceps tenodesis (BT) for SLAP lesions, highlighting significant pain relief and functional improvement across all. Conservative treatment suits patients with milder symptoms, while arthroscopic repair addresses larger tears. As the effectiveness of arthroscopic treatment is not inferior to conservative one, BT excels in cases of substantial bicep involvement.

Indexed as

arthroscopic repairbiceps tenodesissurgical outcomethrower's shouldertraumatic injury

Identifiers

PMID38022173
PMCPMC10663969
OpenAlexW4387875271

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.