RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW

Lara, Paulo Henrique Schmidt; Ribeiro, Leandro Masini; Andreoli, Carlos Vicente; Pochini, Alberto de Castro; Belangero, Paulo Santoro; Ejnisman, Benno

doi:10.1590/1413-785220243201e273366

Paulo Henrique Schmidt Lara

substantial contribution in the study conception and design

writing of the article

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0002-1623-2071

Leandro Masini Ribeiro

substantial contribution in data interpretation

writing of the article

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0002-6714-8398

Carlos Vicente Andreoli

critical review of the intellectual content of the article

final approval of the version of the manuscript to be published

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0003-3761-0745

Alberto de Castro Pochini

critical review of the intellectual content of the article

final approval of the version of the manuscript to be published

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0003-3229-2063

Paulo Santoro Belangero

substantial contribution in the study conception and design

final approval of the version of the manuscript to be published

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0003-4441-4742

Benno Ejnisman

substantial contribution in the study conception and design

final approval of the version of the manuscript to be published

Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology, São Paulo, SP, Brazil.

https://orcid.org/0000-0002-3301-1457

All authors declare no potential conflict of interest related to this article.

The study was conducted at the Federal University of São Paulo, São Paulo School of Medicine, Center of Sport Traumatology.

Correspondence: Paulo Henrique Schmidt Lara. Rua Estado de Israel, 713, Sao Paulo, SP, Brazil, 04022002. phslara@gmail.com

Author	Type of study	Shoulders (n)	Surgical technique	Surgical indications	Range of motion	Quality of studies	Follow-up (months)
Abdelhady et al 2015 ¹⁸18. Abdelhady A, Abouelsoud M, Eid M. Latarjet procedure in patients with multiple recurrent anterior shoulder dislocation and generalized ligamentous laxity. Eur J Orthop Surg Traumatol. 2015;25(4):705-8.	Prospective cohort	13 (10 men/3 women)	Latarjet open	1) Hill-Sachs < 20% humeral head diameter; 2) Ligament hyperlaxity	1) Lateral rotation in adduction	Weak	33.64
Abouelsoud and Abdelrahman 2015 ²⁸28. Abouelsoud MM, Abdelrahman AA. Recurrent anterior shoulder dislocation with engaging Hill-Sachs defect: remplissage or Latarjet? Eur Orthop Traumatol. 2015;6:151-6.	Randomized controlled trial	32 (no gender was mentioned)	Latarjet open (16) x Remplissage (16)	1) 3 episodes of dislocation in 12 months of conservative treatment; 2) Hill-Sachs 20-30% of the size of the humeral head on NMR	1) Loss of lateral rotation in adduction	Appendix 2	31.31
Ali et al. 2020 ¹⁹19. Ali J, Altintas B, Pulatkan A, Boykin RE, Aksoy DO, Bilsel K. Open versus arthroscopic Latarjet procedure for the treatment of anterior glenohumeral instability with glenoid bone loss. Arthroscopy. 2020;36(4):940-9.	Prospective cohort	48 (open Latarjet: 12 Men/3 women; arthrsoscopic Latarjet: 29 men/4 women)	Open Latarjet (15) x Arthroscopic Latarjet (33)	1) > 18 years old; 2) Osteochondral glenoid defect > 13.5%; 3) ISIS > 3 combined to seizure in the intermediate range of motion	Loss of: 1) Elevation; 2) Abduction; 3) Lateral rotation in abduction; 4) Medial rotation in abduction	Weak	30.5
Auffarth et al. 2008 ²⁰20. Auffarth A, Schauer J, Matis N, Kofler B, Hitzl W, Resch H. The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation. Am J Sports Med. 2008;36(4):638-47.	Prospective cohort	46 (40 men/6 women)	Open Eden-Hybinette	1) Glenoid defect > 5mm in length on AP and axial radiographs	Loss of: 1) Elevation; 2) Abduction; 3) Lateral rotation in adduction; 4) Lateral rotation in abduction	Weak	90
Belangero et al. 2021 ²⁹29. Belangero PS, Lara PHS, Figueiredo EA, Andreoli CV, Pochini AC, Ejnisman B, Smith RL. Bristow versus Latarjet in high-demand athletes with anterior shoulder instability: a prospective randomized comparison. JSES Int. 2021;5(2):165-70.	Randomized controlled trial	41 (37 men/4 women)	Open Latarjet (22) x Open Bristow (19)	1) Competitive sport 2) 10-20% anterior glenoid wear (CT)	1) Elevation; 2) Lateral rotation in adduction	Appendix 2	60
Burkhart et al. 2007 ¹²12. Burkhart SS, De Beer JF, Barth JRH, Cresswell T, Roberts C, Richards DP. Results of modified Latarjet reconstruction in patients with anteroinferior instability and significant bone loss. Arthroscopy. 2007;23(10):1033-41.	Prospective cohort	47 (46 men/1 woman)	Open Latarjet	1) Inverted pear glenoid; 2) Hill-Sachs with engaging	1) Elevation; 2) Lateral rotation in adduction	Weak	52
Cautiero et al. 2017 ³⁰30. Cautiero F, Russo R, Di Pietto F, Sabino G. Computerized tomographic assessment and clinical evaluation in shoulder instability treated with the Latarje-Patte procedure using one screw and washer. Muscles Ligaments Tendons J. 2017;7(1):26-33.	Prospective cohort	26 (does not mention genders)	Open Latarjet	1) Glenoid bone loss > 15% (CT - PICO method); 2) Hill-Sachs > 1/3 humeral head diameter; 3) Competitive sport of contact or above the head; 4) HAGL injury; 5) Very thin capsular tissue	Loss of: 1) Elevation; 2) Lateral rotation in adduction; 3) Medial rotation in adduction	Weak	53
Frank et al. 2018 ²¹21. Frank RM, Romeo AA, Richardson C, Sumner S, Verma NN, Cole BJ, et al. Outcomes of Latarjet versus distal tibia allograft for anterior shoulder instability repair: a matched cohort analysis. Am J Sports Med. 2018;46(5):1030-8.	Prospective cohort	100 (96 men/4 women)	Open Latarjet (50) x Open tibia allograft (50)	1) Glenoid bone loss > 15%; 2) Tibia allograft preference: glenoid bone loss > 25%; important cartilaginous component	1) Elevation; 2) Medial rotation in abduction; 3) Lateral rotation in abduction; 4) Extension; 5) Abduction	Regular	45
Kordasiewicz et al 2016 ²²22. Kordasiewicz B, Małachowski K, Kicinski M, Chaberek S, Pomianowski S. Comparative study of open and arthroscopic coracoid transfer for shoulder anterior instability (Latarjet)-clinical results at short term follow-up. Int Orthop. 2017;41(5):1023-33.	Prospective cohort	48 (46 men/2 women)	Open Latarjet (48) x Arthroscopic Latarjet (62)	1) Hill-Sachs engaging injury	1) Elevation; 2) Abduction; 3) Lateral rotation in adduction; 4) Lateral rotation in abduction	Regular	54.2
Kordasiewicz et al. 2019 ²³23. Kordasiewicz B, Kiciński M, Małachowski K, Boszczyk A, Chaberek S, Pomianowski S. Arthroscopic Latarjet stabilization: analysis of the learning curve in the first 90 primary cases: early clinical results and computed tomography evaluation. Arthroscopy. 2019;35(12):3221-37.	Prospective cohort	90 (80 men/10 women)	Latarjet Arthroscopic	1) Hill-Sachs engaging injury	1) Elevation; 2) Abduction; 3) Lateral rotation in adduction; 4) Lateral rotation in abduction	Regular	23.7
Moroder et al. 2018 ²⁴24. Moroder P, Stefanitsch V, Auffarth A, Matis N, Resch H, Plachel F. Treatment of recurrent anterior shoulder instability with the Latarjet or Bristow procedure in older patients. J Shoulder Elbow Surg. 2018;27(5):824-30.	Prospective cohort	25 (13 men/12 women)	Open Latarjet (15) x Open Bristow (10)	1) > 40 years old; 2) Glenoid defect associated with clinically compensated cuff injuries	1) Elevation; 2) Abduction;	Weak	29
Vadalà et al. 2017 ²⁵25. Vadalà A, Lanzetti RM, De Carli A, Lupariello D, Guzzini M, Desideri D, Ferretti A. Latarjet procedure: evolution of the bone block and correspondent clinical relevance-a clinical and radiological study. Musculoskelet Surg. 2017;101(Suppl 2):113-20.	Prospective cohort	24 (22 men/2 women)	Open Latarjet	1) ISIS > 6; 2) Participation in sports	1) Elevation; 2) Abduction; 3) Lateral rotation in adduction; 4) Lateral rotation in abduction	Weak	24
Yang et al. 2018 ²⁶26. Yang JS, Mehran N, Mazzocca AD, Pearl ML, Chen VW, Arciero RA. Remplissage versus modified Latarjet for off-track Hill-Sachs lesions with subcritical glenoid bone loss. Am J Sports Med. 2018;46(8):1885-91.	Prospective cohort	91 (86 men/5 women)	Open Latarjet	Hill-Sachs injury with engagement	1) Elevation; 2) Lateral rotation in adduction; 3) Lateral rotation in abduction; 4) Medial rotation in abduction	Good	38.4
Zhu et al. 2017 ²⁷27. Zhu Y, Jiang C, Song S. Arthroscopic versus open Latarjet in the treatment of recurrent anterior shoulder dislocation with marked glenoid bone loss: a prospective comparative study. Am J Sports Med. 2017;45(7):1645-53.	Prospective cohort	44 (32 men/12 women)	Open Latarjet	1) Glenoid bone loss > 20%	1) Elevation; 2) Lateral rotation in adduction; 3) Medial rotation in adduction	Weak	37.4

			Mean	SD	N
LR 1 Group R + C Group A		Group R	68.9	13	190
		68.4	7	79
		53.7	17.3	275
			Grp R	Grp R + C
LR1	Grp R + C		0.654
LR1	Grp A		< 0.001	< 0.001

			Mean	SD	N
LLR 1 Group R + C Group A		Group R	7.1	3	62
		13	5	26
		7	5	47
			Grp R	Grp R + C
LLR1	Grp R + C		< 0.001
LLR1	Grp A		0.903	< 0.001

			Mean	SD	N
LR 2 Group R + C Group A		Group R	82	12.4	100
		62.9	13	79
		66.7	16.4	138
			Grp R	Grp R + C
LR2	Grp R + C		< 0.001
LR2	Grp A		< 0.001	< 0.001

	Statistically positive results	Statistically negative results
Elevation	Group A	Group R Group R + C
Lateral rotation in adduction	Group R Group R + C	Group A
Lateral rotation in abduction	Group R	Group R + C Group A
Loss of lateral rotation in adduction	Group R Group A	Group R + C
Medial rotation in abduction	Group A	Group R Group R + C

[1] All authors declare no potential conflict of interest related to this article.

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RANGE OF MOTION AFTER BONE BLOCK PROCEDURES FOR SHOULDER INSTABILITY: SYSTEMATIC REVIEW

ARCO DE MOVIMENTO APÓS BLOQUEIO ÓSSEO PARA INSTABILIDADE DO OMBRO: REVISÃO SISTEMÁTICA

ABSTRACT

Objective:

Methods:

Results:

Conclusion: