Evidence map›Paper›PMID 33459831›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Decreased motion with normal strength after Latarjet procedure has minimal impact on return to activity.

Skand Sinha, Santanu Kar, Ananta K Naik, Jaswant Kumar, Rakesh Goyal, Vijay K Jain, Rajendra K Arya

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Review
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  10. Latarjet procedure without capsular repair produces favorable clinical results and avoids limitation in external rotation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Skand SinhaSports Injury Centre, Safdarjung & VMMC, New Delhi, 110029, India. skandsinha@gmail.com.ORCID http://orcid.org/0000-0002-8403-0367
Santanu KarDepartment of Orthopaedics, PGIMER & Dr RML Hospital, New Delhi, 110001, India.
Ananta K NaikDepartment of Orthopaedics, PGIMER & Dr RML Hospital, New Delhi, 110001, India.
Jaswant KumarSports Injury Centre, Safdarjung & VMMC, New Delhi, 110029, India.
Rakesh GoyalSports Injury Centre, Safdarjung & VMMC, New Delhi, 110029, India.
Vijay K JainDepartment of Orthopaedics, PGIMER & Dr RML Hospital, New Delhi, 110001, India.
Rajendra K AryaSports Injury Centre, Safdarjung & VMMC, New Delhi, 110029, India.
Safdarjang Hospital · INPost Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Latarjet procedure can affect the range of motion (ROM) and strength of the shoulder, which determine the time to return to the preinjury level of activity. This study prospectively assessed whether the Latarjet procedure leads to a decrease in range of motion and muscle strength, affecting the time to return to the previous level of activity.

methodsFifty-one consecutive patients who underwent the Latarjet procedure for recurrent dislocation of the shoulder were included prospectively. The ROM, strength, Walch-Duplay score, and Rowe score were measured every 3 months for 1 year and then every 6 months for 2 years. Radiological assessments were performed to confirm the graft location, union, and the humeral head position in abduction and external rotation (ER).

resultsOut of 51 patients, 49 completed all follow-ups. The median age was 27 years (17-45 years), and the dominant side was involved in 36 patients. The median number of dislocations was 11 (5-50). Twelve patients were sleep dislocators. There was a significant loss (p < 0.0001) of abduction, forward flexion (FF), ER, and internal rotation (IR) in the affected shoulder compared to the contralateral shoulder. Recovery plateaued at 12 months. There was near complete recovery of muscle strength after the Latarjet procedure, and the difference between the affected and contralateral shoulders was not significant (n.s.). The modified Rowe score was excellent in 44 (90%) patients, and the Walch-Duplay score was excellent in 43 patients (88%) at 24 months. Suboptimal results were associated with non-compliance with rehabilitation in two (4%) patients and neglected unreduced dislocation in one (2%) patient. The coracoid graft position was below the equator in 44 patients (90%). Forty-six patients (94%) could return to the previous level of activity.

conclusionThe Latarjet procedure results in a restricted ROM of the shoulder, but there is no loss of muscle strength. LEVEL OF EVIDENCE: III.

Indexed as

Joint InstabilityShoulder DislocationShoulder JointArthroscopyHumansInfant, NewbornRange of Motion, ArticularRecurrenceRetrospective StudiesPost-Latarjet recovery range of motion strength

Identifiers

PMID33459831
OpenAlexW3121202149

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.