Evidence map›Paper›PMID 38337418›Full record

ReviewJournal of clinical medicine2024

Current Evidence Regarding Shoulder Instability in the Paediatric and Adolescent Population.

Aziz Rawal, Franziska Eckers, Olivia S H Lee, Bettina Hochreiter, Kemble K Wang, Eugene T Ek

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Physical Exam for Athletic Shoulder Injuries in Adolescent Patients.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
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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

6 authors at 4 institutions in 2 countries.

Aziz RawalMelbourne Orthopaedic Group, Windsor, Melbourne, VIC 3181, Australia.ORCID 0000-0003-0394-7745
Franziska EckersMelbourne Orthopaedic Group, Windsor, Melbourne, VIC 3181, Australia.
Olivia S H LeeVictorian Paediatric Rehabilitation Service, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Bettina HochreiterMelbourne Orthopaedic Group, Windsor, Melbourne, VIC 3181, Australia.
Kemble K WangDepartment of Orthopaedic Surgery, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Eugene T EkMelbourne Orthopaedic Group, Windsor, Melbourne, VIC 3181, Australia.ORCID 0000-0003-3779-3545
Royal Children's Hospital · AUMonash University · AUUniversity Hospital of Basel · CHUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Paediatric and adolescent shoulder instability is caused by a unique combination of traumatic factors, ligamentous laxity, and pattern of muscle contractility. The multifactorial nature of its aetiology makes interpretation of the literature difficult as nomenclature is also highly variable. The purpose of this review is to summarize the existing literature and shed light on the nuances of paediatric and adolescent shoulder instability. The epidemiology, clinical features, imaging, and management of all forms of paediatric shoulder instability are presented. The main findings of this review are that structural abnormalities following a dislocation are uncommon in pre-pubertal paediatric patients. Young post-pubertal adolescents are at the highest risk of failure of non-operative management in the setting of traumatic instability with structural abnormality, and early stabilisation should be considered for these patients. Remplissage and the Latarjet procedure are safe treatment options for adolescents at high risk of recurrence, but the side-effect profile should be carefully considered. Patients who suffer from instability due to generalized ligamentous laxity benefit from a structured, long-term physiotherapy regimen, with surgery in the form of arthroscopic plication as a viable last resort. Those who suffer from a predominantly muscle patterning pathology do not benefit from surgery and require focus on regaining neuromuscular control.

Indexed as

adolescentatraumatic instabilitymultidirectional instabilitymuscle patterningpaediatricshoulder dislocationshoulder instabilitytraumatic instability

Identifiers

PMID38337418
PMCPMC10856087
OpenAlexW4391251714

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.