Evidence map›Paper›PMID 39625217›Full record

ArticleSICOT-J2024

The clinical and functional outcomes of closed reduction and arthroscopic McLaughlin procedure in patients with neglected locked posterior shoulder dislocation.

Wessam Fakhery Ebied, Ahmed Saeed Younis, Mohamed Amr Hemida, Ahmed H Khater, Yahia Haroun

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Article in SICOT-J, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Wessam Fakhery EbiedOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt - Orthopedic Surgery, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt.
Ahmed Saeed YounisOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt - Orthopedic Surgery, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt.ORCID 0000-0001-7291-6702
Mohamed Amr HemidaOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt - Orthopedic Surgery, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt.
Ahmed H KhaterOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt - Orthopedic Surgery, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt.
Yahia HarounOrthopedic Department, Faculty of Medicine, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt - Orthopedic Surgery, Ain Shams University, 38 Abbassia, next to the Al-Nour Mosque, 11566 Cairo, Egypt.ORCID 0000-0002-8208-0221

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPosterior shoulder dislocation with a reverse Hill-Sachs lesion is a rare and complex injury, requiring specialized treatment due to the difficulty in diagnosis, reduction, and addressing both sides of the pathology to reduce the potential for recurrent dislocation. PURPOSE: To evaluate the clinical and functional outcomes of closed reduction and arthroscopic McLaughlin procedure with posterior labral repair in patients with neglected locked posterior shoulder dislocation for less than 12 weeks.

methodsA prospective study was conducted at university hospitals, managing 15 patients with neglected locked posterior shoulder dislocation for less than 12 weeks and concomitant engaging reverse Hill-Sachs lesions of less than 40% of the humeral articular surface. They were treated with closed reduction and arthroscopic McLaughlin procedure with posterior labral repair. Patients' assessments included shoulder range of motion, pain levels using the visual analog scale (VAS) score, and functional outcome using the Oxford instability score and the University of California Los Angeles Shoulder Scale (UCLA) with at least 2 years of postoperative follow-up.

resultsAll 15 patients reported no recurrent dislocation and restored shoulder motion at the final follow-up. External rotation significantly improved from 0° to a mean of 65° in adduction, at 90° of abduction, the respective measurement was 85° (p < 0.01). Active forward flexion increased from 35° to 145° (p < 0.01). UCLA and Oxford instability scores Showed marked improvement (p < 0.01).

conclusionClosed reduction and arthroscopic McLaughlin procedure with posterior labral repair is a safe and effective way for managing patients with locked neglected posterior shoulder dislocations that have been neglected for less than 12 weeks with engaging reverse Hill-Sachs lesion defect, less than 40% of the humeral head.

Indexed as

Locked posterior shoulder dislocationMcLaughlin’s ProcedureReverse Hill-Sachs

Identifiers

PMID39625217
PMCPMC11613635

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