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Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature
BACKGROUND: Reports of glenohumeral translation in shoulders with traumatic anterior instability have been presented. The aim of this systematic review was to investigate anterior-posterior translation in shoulders with traumatic anterior instability. METHODS: This systematic review follows the Pref...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625004/ https://www.ncbi.nlm.nih.gov/pubmed/37928995 http://dx.doi.org/10.1016/j.xrrt.2023.07.002 |
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author | Malmberg, Catarina Andreasen, Kristine Rask Bencke, Jesper Hölmich, Per Barfod, Kristoffer Weisskirchner |
author_facet | Malmberg, Catarina Andreasen, Kristine Rask Bencke, Jesper Hölmich, Per Barfod, Kristoffer Weisskirchner |
author_sort | Malmberg, Catarina |
collection | PubMed |
description | BACKGROUND: Reports of glenohumeral translation in shoulders with traumatic anterior instability have been presented. The aim of this systematic review was to investigate anterior-posterior translation in shoulders with traumatic anterior instability. METHODS: This systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies including patients aged ≥15 years with previous traumatic anterior shoulder dislocation or subluxation were included. The outcome was anterior-posterior glenohumeral translation. A search of PubMed, Embase, and Cochrane library was performed on July 17, 2022. Two reviewers individually screened titles and abstracts, reviewed full text, extracted data, and performed quality assessment. RESULTS: Twenty studies (582 unstable shoulders in total) of varying quality were included. There was a lack of standardization and unity across studies. Radiography, ultrasound, computed tomography, magnetic resonance imaging, motion tracking, instrumentation, and manual testing were used to assess the glenohumeral translation. The glenohumeral translation in unstable shoulders ranged from 0.0 ± 0.8 mm to 11.6 ± 3.7 mm, as measured during various motion tasks, arm positions, and application of external force. The glenohumeral translation was larger or more anteriorly directed in unstable shoulders than in stable when contralateral healthy shoulders or a healthy control group were included in the studies. Several studies found that the humeral head was more anteriorly located on the glenoid in the unstable shoulders. CONCLUSION: This systematic review provides an overview of the current literature on glenohumeral translation in traumatic anterior shoulder instability. It was not able to identify a threshold for abnormal translation in unstable shoulders, due to the heterogeneity of data. The review supports that not only the range of translation but also the direction hereof as well as the location of the humeral head on the glenoid seem to be part of the pathophysiology. Technical development and increased attention to research methodology in recent years may provide more knowledge and clarity on this topic in the future. |
format | Online Article Text |
id | pubmed-10625004 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-106250042023-11-05 Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature Malmberg, Catarina Andreasen, Kristine Rask Bencke, Jesper Hölmich, Per Barfod, Kristoffer Weisskirchner JSES Rev Rep Tech Reviews and Full Length Articles BACKGROUND: Reports of glenohumeral translation in shoulders with traumatic anterior instability have been presented. The aim of this systematic review was to investigate anterior-posterior translation in shoulders with traumatic anterior instability. METHODS: This systematic review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies including patients aged ≥15 years with previous traumatic anterior shoulder dislocation or subluxation were included. The outcome was anterior-posterior glenohumeral translation. A search of PubMed, Embase, and Cochrane library was performed on July 17, 2022. Two reviewers individually screened titles and abstracts, reviewed full text, extracted data, and performed quality assessment. RESULTS: Twenty studies (582 unstable shoulders in total) of varying quality were included. There was a lack of standardization and unity across studies. Radiography, ultrasound, computed tomography, magnetic resonance imaging, motion tracking, instrumentation, and manual testing were used to assess the glenohumeral translation. The glenohumeral translation in unstable shoulders ranged from 0.0 ± 0.8 mm to 11.6 ± 3.7 mm, as measured during various motion tasks, arm positions, and application of external force. The glenohumeral translation was larger or more anteriorly directed in unstable shoulders than in stable when contralateral healthy shoulders or a healthy control group were included in the studies. Several studies found that the humeral head was more anteriorly located on the glenoid in the unstable shoulders. CONCLUSION: This systematic review provides an overview of the current literature on glenohumeral translation in traumatic anterior shoulder instability. It was not able to identify a threshold for abnormal translation in unstable shoulders, due to the heterogeneity of data. The review supports that not only the range of translation but also the direction hereof as well as the location of the humeral head on the glenoid seem to be part of the pathophysiology. Technical development and increased attention to research methodology in recent years may provide more knowledge and clarity on this topic in the future. Elsevier 2023-08-22 /pmc/articles/PMC10625004/ /pubmed/37928995 http://dx.doi.org/10.1016/j.xrrt.2023.07.002 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Reviews and Full Length Articles Malmberg, Catarina Andreasen, Kristine Rask Bencke, Jesper Hölmich, Per Barfod, Kristoffer Weisskirchner Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title | Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title_full | Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title_fullStr | Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title_full_unstemmed | Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title_short | Anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
title_sort | anterior-posterior glenohumeral translation in shoulders with traumatic anterior instability: a systematic review of the literature |
topic | Reviews and Full Length Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625004/ https://www.ncbi.nlm.nih.gov/pubmed/37928995 http://dx.doi.org/10.1016/j.xrrt.2023.07.002 |
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