Home / 2023 Congress / Abstracts

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

myRating

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

Moin Khan, MD, MSc, FRCSC, CANADA Kyle Gouveia, MD, CANADA Fayyaz Rizvi, BSc, CANADA Danielle Dagher, BHSc, CANADA Timothy Leroux, MD, MEd, FRCSC, CANADA Asheesh Bedi, MD, UNITED STATES

McMaster University , Hamilton, ON, CANADA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Shoulder

Summary: The assessment of glenoid and humeral bone loss essential to treatment decisions for patient with recurrent anterior shoulder instability. Glenoid bone loss is most commonly assessed using cross-sectional imaging, most often 3D CT, and some variation of a best-fit circle applied to the inferior portion of the glenoid. Hill-Sachs lesion assessment was also commonly done using three-dimensional imag

Purpose

The aim of this scoping review is to identify and summarize findings published in the literature over the past five years related to methods for assessment of bone loss in anterior shoulder instability.

Recent Findings: Of the 113 clinical studies included in this review, 76 reported a cutoff for glenoid bone loss when determining the patients indicated for one of the many stabilization procedures investigated. Bone loss on the glenoid side was evaluated most commonly with three-dimensional computed tomography (3D CT), and either linear or surface-area based methods were employed with the use of a best-fit circle. When combined with plain CT, the two methods comprise up 70% of the reported measurement techniques for glenoid bone loss (79 of 113 studies). On the humeral side, Hill-Sachs lesions were assessed more heterogeneously, though plain CT or 3D CT remained the methods of choice in the majority of studies (43 of 68, 63.2%). Lastly, the glenoid track was assessed by 27 of 113 studies (23.9%), again most commonly with 3D CT (13 studies) and plain CT (seven studies).

Summary: The assessment of glenoid and humeral bone loss essential to treatment decisions for patient with recurrent anterior shoulder instability. Glenoid bone loss is most commonly assessed using cross-sectional imaging, most often 3D CT, and some variation of a best-fit circle applied to the inferior portion of the glenoid. Hill-Sachs lesion assessment was also commonly done using three-dimensional imaging; however, there was more variability in assessment methods across studies and there is an obvious need to unify the approach to humeral bone loss assessment for the purposed of improving treatment decisions and to better assess on-track and off-track lesions.

Comparison of Slap Repair and Biceps Tenodesis: A Trends and Outcome Analysis ePoster Presentation Tim Kreulen, MD, UNITED STATES Amil Agarwal, BS, UNITED STATES Jacob D Mikula, MD, UNITED STATES Suresh K Nayar, MD, UNITED STATES Andrew Miller, UNITED STATES Matthew J Best, MD, UNITED STATES Uma Srikumaran, MD, MBA, MPH, UNITED STATES
Anterior Glenohumeral Capsular Ligament Reconstruction With Hamstring Autograft for Internal Impingement With Anterior Instability of the Shoulder In Overhead Athletes ePoster Presentation Tadanao Funakoshi, MD, PhD, JAPAN Kozo Furushima, MD, PhD, JAPAN Toru Takahashi, MD, JAPAN Azusa Miyamoto, PT, JAPAN Toshiki Murayama, PT, JAPAN
Outcomes of SLAP Repair vs. Biceps Tenodesis of SLAP Lesions in Females: A Retrospective Review ePoster Presentation Adeeb Jacob Hanna, BS, UNITED STATES Matthew P Wallingford, BS, UNITED STATES Emma Johnson, BA, UNITED STATES John Hayden Sonnier, MS, UNITED STATES William Johns, MD, UNITED STATES Sommer Hammoud, MD, UNITED STATES Brandon Erickson, MD, UNITED STATES Steven B. Cohen, MD, UNITED STATES Michael G. Ciccotti, MD, UNITED STATES Meghan E. Bishop, MD, UNITED STATES
A Comprehensive Comparison and Evaluation of Surgical Techniques for Anterior Shoulder Instability: A Bayesian Network Meta-Analysis ePoster Presentation Moin Khan, MD, MSc, FRCSC, CANADA Saad Masud, BSc, UNITED STATES David Momtaz, MPH, UNITED STATES Marcel Betsch , MD, GERMANY Filippo Migliorini, MD, MBA, PhD, GERMANY Abdullah Ghali, MD, UNITED STATES Kyle Gouveia, MD, CANADA Timothy Leroux, MD, MEd, FRCSC, CANADA Ryan M. Degen, MD, FRCSC, CANADA
Epidemiology of Shoulder Instability Procedures: An Analysis of Complications and Costs ePoster Presentation Amil Agarwal, BS, UNITED STATES Jacob D Mikula, MD, UNITED STATES Suresh K Nayar, MD, UNITED STATES Sribava Sharma, MS, UNITED STATES Matthew J Best, MD, UNITED STATES Edward G McFarland, MD, FAAOS, UNITED STATES Uma Srikumaran, MD, MBA, MPH, UNITED STATES
Beach Chair Versus Lateral Decubitus Positioning For Primary Arthroscopic Posterior Shoulder Stabilization ePoster Presentation Bobby Yow, MD, UNITED STATES Ashley Bee Anderson, MD, UNITED STATES Patrick K Mescher, MD, UNITED STATES David J Tennent, MD, UNITED STATES John-Paul Rue, MD, UNITED STATES Brett D. Owens, MD, UNITED STATES Michael A Donohue, MD, UNITED STATES Kenneth L. Cameron, PhD, MPH, ATC, UNITED STATES Jon F. Dickens, MD, UNITED STATES
The Influence Of Glenoidal Concavity On Shoulder Stability: A Comparison Between Computed Tomography and Magnetic Resonance Imaging ePoster Presentation Sebastian Oenning, MD, GERMANY Jens Wermers, MD, GERMANY Philipp Michel, MD, GERMANY Sebastian Oenning, MD, GERMANY Mats Jonas Wiethölter, MD, GERMANY Alina Köhler, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY J. Christoph Katthagen, MD, GERMANY
Biomechanical Evaluation of Fixation Strengths of the Screw and Button Constructs in the Latarjet Procedure: A Cadaveric PSI Guided Latarjet Study ePoster Presentation Ashish Gupta, MBBS, MSc, FRACS, FAORTHOA, AUSTRALIA Brandon Ziegenfuss, BSc(Hons) MPH, AUSTRALIA Marine Launay, MEng, AUSTRALIA Nicholas Green, MEng, BDes, AUSTRALIA Kathirazhagan Stalin, MS Orthopaedics, DNB, MRCS, FAOA, INDIA Deniz Erbulut, PhD, AUSTRALIA Sarah Whitehouse, PhD, AUSTRALIA Jashint Maharaj, MBBS, FRSPH, AUSTRALIA Praveen Vijaysegaran, FRACS, AUSTRALIA Kenneth Cutbush, MBBS, FRACS, FAOrthA, AUSTRALIA
Arthroscopic Latarjet Procedure Using Fibertape Cerclage – Clinical Outcome With Return To Work And Sports ePoster Presentation Sujit Jos, MS(Ortho), MCh(Ortho), MRCS Ed. , INDIA
Similar Results After Latarjet Procedure Between Primary Cases And Revision Cases After Prior Arthroscopic Bankart Procedure ePoster Presentation Efstathios Konstantinou, MD, MSc, UNITED STATES Theodoros Mylonas, MD, GREECE Alexandros Koskiniotis, MD, MSc, GREECE Nikolaos Stefanou, MD, GREECE Georgios Komnos, MD, PhD, GREECE Socratis Varitimidis, MD, PhD, GREECE Michael E. Hantes, MD, PhD, Prof., GREECE
Does the Use of a Single Anchor With Double Mattress Technique Suffice for Remplissage in Patients with Bankart and Hill Sach Lesions– An Analysis Of Clinical and Radiological Outcomes? ePoster Presentation Silvampatti Ramasamy Sundararajan, MS(Orth), INDIA Shivam Rajivkumar Shah, MBBS , MS (ORTHO), INDIA Ramakanth Rajagopalakrishnan, D.ortho, DNB(ortho).D.SICOT, INDIA Terence Dsouza, MS, DNB, FNB, INDIA S Rajasekaran, MS(Orth),DOrth,DNB,FRCS(Ed),FRCS(Lon),MCh(Liv),PhD, INDIA
Arthroscopic Inferior to Superior Capsular Shift Results in Superior Clinical Outcomes Compared to Arthroscopic Bankart Repair for the Treatment of Anterior Capsulolabral Tears After Shoulder Dislocation ePoster Presentation Jose Castillo de la Peña, MD, MEXICO Ivan Wong, MD, FRCSC, MACM, Dip. Sports Med, CANADA
Poor Clinical Outcomes and High Rates Of Recurrent Instability After Treating Seizure-Related Shoulder Injuries ePoster Presentation Davide Cucchi, MD, GERMANY Robert Ossendorff, MD, GERMANY Sebastian G. Walter, MD, GERMANY Tobias Baumgartner, MD, GERMANY Alessandra Menon, MD, ITALY Rainer Surges, Prof., GERMANY Pietro S. Randelli, MD, Prof., ITALY Max Julian Friedrich, MD, GERMANY
Overhead Athletes Have Equivalent Clinical Features and Postoperative Outcomes Compared With Non-Overhead Athletes After First-Time Anterior Shoulder Instability Events ePoster Presentation Zachary J Herman, MD, UNITED STATES Ehab M Nazzal, MD, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Janina Kaarre, MD MSc, UNITED STATES Robert Tisherman, UNITED STATES Justin James Greiner, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Ajinkya Rai, BS, UNITED STATES Noel Carlos, MS, UNITED STATES Lena Vodovotz, BS, UNITED STATES Confidence Njoku-Austin, BS, UNITED STATES Albert Lin, MD, UNITED STATES
Arthroscopic Coracoclavicular Stabilization with Augmentation of Acromioclavicular (AC) Ligament for Acute Severe AC Dislocation ePoster Presentation Daichi Morikawa, MD, PhD, JAPAN Hirohisa Uehara, MD, JAPAN Yoshiaki Itoigawa, MD, PhD, JAPAN Takayuki Kawasaki, JAPAN Yoshimasa Saigo, MD, JAPAN Muneaki Ishijima, MD, PhD, JAPAN
The Raj Kumar (RK) Test As A Pathognomonic Test For Superior Labrum Anterior Posterior (SLAP) Lesions And Shoulder Instability ePoster Presentation Rajkumar S. Amaravathi, MBBS, DNB, MNAMS, FRCS, INDIA Padmanaban Sekaran, MSc PT, INDIA Rinju Krishnan, MS,DNB,MNAMS , INDIA Rahul Shah, M.S. Ortho, D. Ortho, INDIA Anoop Pilar, MS, DNB, INDIA Hemanth Kumar Alladu, MS Orthopaedics, INDIA
Non-Rigid Fixation Results in Higher Failure Rates Compared to Screws Following Arthroscopic Glenoid Reconstruction ePoster Presentation Luke Heinrichs, MD, CANADA Ivan Wong, MD, FRCSC, MACM, Dip. Sports Med, CANADA
Imaging Analysis of Arthroscopic Shoulder Stabilization: Comparison of Repair in the Beach Chair vs. the Lateral Decubitus Position ePoster Presentation Steven Jones, MD, UNITED STATES Alex Lencioni, MD, UNITED STATES Todd H. Baldini, MS, UNITED STATES Adam Seidl, MD, UNITED STATES Rachel M. Frank, MD, UNITED STATES
Arthroscopic PRP Injected at the Repair Site After Labrum Repair in Unstable Shoulders Give Improved Structural and Functional Outcomes: A Case Control Study ePoster Presentation Nitesh Gahlot, MBBS, MS Ortho, DNB Ortho, FACS, MNAMS, INDIA Sheikh Azharuddin, MS, INDIA Pawan Kumar Garg, MD, INDIA Saptarshi Mandal, MD, INDIA
The Biomechanical Efficacy of Tape Cerclage as an Augment or Standalone for Coracoclavicular Ligament Reconstruction ePoster Presentation Ian James Wellington, MD, UNITED STATES Benjamin C Hawthorne, BS, UNITED STATES Brian Ford, MD, UNITED STATES Caitlin G Dorsey, BS, UNITED STATES Kevin Quindlen, MS, UNITED STATES Bennett Propp, BS, UNITED STATES ELIFHO OBOPILWE, ME, BSc, UNITED STATES Paul J. Cagle, MD, UNITED STATES Augustus D. Mazzocca, MS, MD, UNITED STATES
Open and Arthroscopic Posterior Bone Block Procedures with Iliac Crest Bone Graft for Posterior Shoulder Instability are Associated with High Complication Rates and Progression to Osteoarthritis - Systematic Review of Clinical and Radiological Outcomes ePoster Presentation Abu Zer Saeed, MBChB, BSc, MRCS, UNITED KINGDOM Nikhil Pandit, BMBS, BSc , UNITED KINGDOM Robert Jordan, MB BS, MSc, FRCS (Tr&Orth), UNITED KINGDOM Hubert J. Laprus, MD, PhD, POLAND Peter Alberto D'Alessandro, MBBS Hons. (UWA) FRACS FAOrthA, AUSTRALIA Ian K. Y. Lo, MD, FRCSC, CANADA Shahbaz S Malik, BSc, MB BCh, MSc (Orth Engin), LLM, FRCS (Tr&Orth), UNITED KINGDOM
Quality Assessment Of Youtube Content On Slap Tears ePoster Presentation Chelsea Matzko, BA, UNITED STATES Shreya M Saraf, MS, UNITED STATES Christopher Saker, BS, UNITED STATES Brendan O'Leary, BA, UNITED STATES Michaela A Stamm, MS, UNITED STATES Mary K. Mulcahey, MD, UNITED STATES
Low Revision Rate After Arthroscopic Management of Shoulder Instability in Collegiate American Football Players ePoster Presentation Camila Grandberg, MD, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Janina Kaarre, MD MSc, UNITED STATES Adam J. Popchak, DPT, PhD, UNITED STATES Brian M Godshaw, MD, UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Influence of Graft Positioning During the Latarjet Procedure on Shoulder Stability and Articular Contact Pressure: Computational Analysis of the Bone Block Effect ePoster Presentation Rita Martins, MEng, PORTUGAL Carlos Quental, PhD, Prof., PORTUGAL João Folgado, PhD, Prof., PORTUGAL Ana Catarina Ângelo, MD, PORTUGAL Clara Azevedo, MD, PhD, PORTUGAL
Utility of Talus Osteochondral Allograft Augmentation for Hill-Sachs Lesions: A Cadaveric Study ePoster Presentation Phob Ganokroj, MD, THAILAND Justin Hollenbeck, MS, UNITED STATES Alexander Garcia, BS, UNITED STATES Bradley Fossum, BA, UNITED STATES Annalise Peebles, BA , UNITED STATES Ryan J. Whalen, BS, UNITED STATES Matthew T. Provencher, MD, UNITED STATES

Menu

Search Filters

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

Purpose

More 2023 Congress Shoulder Instability ePosters

More 2023 ISAKOS Congress Content

Menu

Search Filters

Sign-in to ISAKOS

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

Assessing Bone Loss In The Unstable Shoulder: A Scoping Review

Purpose

More 2023 ISAKOS Congress Content