ReviewJSES reviews, reports, and techniques2025
Posterior shoulder instability - A systematic review and meta-analysis of glenoid osteotomy and bone block procedures.
Review in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
- [Treatment of acute, first-time posterior shoulder instability].Orthopadie (Heidelberg, Germany) · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Osseous glenoid surgery for posterior shoulder instability is a low-volume, high-complexity procedure. Consequently, evidence is limited to small case series from a specialist center. This study aims to systematically review and meta-analyze the effectiveness and complications profile of glenoid osteotomy and bone block procedures in treating posterior shoulder instability. Methods: A systematic search in MEDLINE and Embase identified studies involving adult patients undergoing bone block or glenoid osteotomy. Two reviewers screened and extracted data, including patient demographics, surgery types, recurrence rates, complications, and patient-reported outcomes. The methodological quality of each study was evaluated. Meta-analysis was conducted on the reported proportion of recurrence and complications. Results: Twenty-four studies met the inclusion criteria, with over 300 patients in both osteotomy and bone block groups. The osteotomy group was more predominantly male, younger, with increased retroversion and bilateral symptoms. Rates of symptomatic recurrence were 18% (95% CI: 4, 19) for glenoid osteotomy and 11% (8, 31) for bone block group. Postoperative degenerative change was found in 5% (0, 16) and 8% (1, 18), respectively. Fracture rate was 2% (0, 8) for the osteotomy, and graft lysis rate was 12% (1, 30) for the bone block. Patient-reported outcome reporting was highly heterogenous and could not be synthesized. Conclusion: Both glenoid osteotomy and bone block procedures can successfully address symptomatic posterior shoulder instability. However, due to the considerable recurrence and complication profile, careful patient selection and consideration of centralized service delivery is warranted. The study underscores the need for further research in developing specialized, patient-centric interventions and emphasizes the importance of comprehensive outcome assessments for effective management of posterior shoulder instability.
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Registered trials
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