International survey and surgeon's preferences in diagnostic work-up towards treatment of anterior shoulder instability
| Autor: | Derek F.P. van Deurzen, Michel P.J. van den Bekerom, Hanneke Weel, Wouter Tromp, Peter R. Krekel, Pietro Randelli |
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| Přispěvatelé: | Orthopedic Surgery and Sports Medicine, Graduate School |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Joint Instability
Health Knowledge Attitudes Practice medicine.medical_specialty Diagnostic tools 03 medical and health sciences 0302 clinical medicine Recurrence Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Diagnostic Practice Patterns Physicians' Survey Surgical treatment Surgeons 030222 orthopedics Anterior instability Shoulder Joint business.industry Shoulder Dislocation International survey Disease Management 030229 sport sciences General Medicine Anterior shoulder Work-up Orthopaedic Surgery Surgery medicine.anatomical_structure Orthopedic surgery Shoulder joint business |
| Zdroj: | Archives of orthopaedic and trauma surgery, 136(6), 741-746. J.F. Bergmann Archives of Orthopaedic and Trauma Surgery |
| ISSN: | 0936-8051 |
| DOI: | 10.1007/s00402-016-2443-7 |
| Popis: | Purpose Recurrent anterior shoulder instability after surgical treatment can be caused by bony defects. Several diagnostic tools have been designed to measure the extent of these bony lesions. Currently, there is no consensus which measurement tool to use and decide which type of surgery is most appropriate. We therefore performed an evaluation of agreement in surgeons’ preference of diagnostic work-up and surgical treatment of anterior shoulder instability. Methods An international survey was conducted amongst orthopaedic shoulder surgeons. The survey contained questions about surgeons’ experience, clinical and radiological examination and the subsequent treatment for anterior shoulder instability. Descriptive statistics were used to present the data, and percentages of responding surgeons were calculated. Results The questionnaire was completed by 197 delegates from 46 countries. 55 % of the respondents think evidence in current literature is sufficient on diagnostic work-up for anterior shoulder instability. Anamnestic, number of dislocations was most frequently asked (by 95 % of respondents), the most frequently used test is the apprehension test (91 %). For imaging, conventional X-ray in various directions was most performed, followed by MR arthrography and plane CT scan respectively. The responding surgeons perform surgery (labrum repair or Latarjet) in 51 % of the patients. A median of 25 % glenoid bone loss was given by the respondents, as cut-off from when to perform a bony repair. Conclusion Many different diagnostic examinations for assessing shoulder instability are used and a high variety is seen in the use of diagnostic tools. Also no consensus is seen in the use of different surgical options (arthroscopic and open procedures). This implies the need for more research on diagnostic imaging and the correlation with specific subsequent surgical treatment. Level of evidence Survey, level of evidence IV. |
| Databáze: | OpenAIRE |
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