ReviewJournal of experimental orthopaedics2026
Internal rotation strength recovers fully after the open Latarjet via a subscapularis-split: A systematic review and meta-analysis.
Review in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To systematically evaluate postoperative internal rotation (IR) and external rotation (ER) strength recovery following the open Latarjet (OL) procedure performed through a subscapularis-split approach using isokinetic dynamometry. Methods: A systematic search of PubMed, Embase, and the Cochrane Library following PRISMA guidelines was performed to identify clinical studies reporting postoperative shoulder rotational strength after OL. Extracted outcomes included IR and ER peak torque and ER/IR ratios. A random-effects meta-analysis was conducted for studies reporting peak torque at 60°/s. Results: Eleven studies encompassing 274 patients met inclusion criteria. Across studies, rotational strength recovery followed a consistent temporal pattern. Early (<6 months) deficits were substantial for IR (18%-42%) and ER (8%-30%). Between 6 and 12 months, strength improved but did not fully normalise. At ≥18 months, IR strength typically recovered, whereas small but statistically significant ER deficits persisted (4%-15%). Meta-analysis demonstrated pooled deficits of 17.0% for ER (95% confidence interval [CI], 12.1-21.9) and 15.1% for IR (95% CI, 9.0-21.2), with significantly smaller deficits at late compared with early follow-up for both IR and ER strength. ER/IR ratios showed no overall asymmetry; however, subgroup analysis revealed a shift from early IR-dominant weakness to late ER-dominant weakness. Conclusions: Shoulder rotational strength recovery after the OL procedure through a subscapularis-split approach follows a predictable temporal pattern, with early internal rotation deficits resolving by 6-12 months and small but persistent external rotation deficits at long-term follow-up. These findings indicate that the split of the subscapularis muscle does not compromise IR strength at long-term follow-up, supporting its safety for young and active patients. Level of Evidence: Level III.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.