Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Latarjet operation carries three times the risk of failure in seizure versus non-seizure recurrent anterior dislocation of the shoulder joint: outcome of a systematic review with meta-analysis

  • Alok Rai (Department of Orthopedics, All India Institute of Medical Sciences) ;
  • Dushyant Chouhan (Department of Orthopedics, All India Institute of Medical Sciences) ;
  • Sandeep Kumar Nema (Department of Orthopedics, All India Institute of Medical Sciences) ;
  • Arkesh Madegowda (Department of Orthopedics, All India Institute of Medical Sciences) ;
  • Rudra Narayan (Department of Orthopedics, All India Institute of Medical Sciences) ;
  • Bikram K. Kar (Department of Orthopedics, All India Institute of Medical Sciences)
  • Received : 2023.10.28
  • Accepted : 2024.02.07
  • Published : 2024.06.01
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Abstract

Background: Recurrent anterior shoulder dislocation (RASD) in cases of seizure disorders (SDs) total 50%-80% of all SD-associated shoulder instabilities. Based on the extent of bone loss, treatment options include bony and soft-tissue reconstructions, arthroplasty, and arthrodesis. The primary objective of this paper was to review the treatment options for RASD in SDs. Methods: Several bibliographic databases were searched for RASD treatment options in SD patients. The demographic outcome measures, the failure rate (defined as the relative risk of recurrence of dislocation postoperation), and the postoperative seizure recurrence rate were recorded. Results: We pooled 171 cases (187 shoulders) from 11 studies. Of these, one, five, two, two, and one reports studied Bankart's operation with remplissage (27 cases/29 shoulders), the Latarjet procedure (106/118), bone block operation (21/23), arthroplasty (11/11), and arthrodesis (6/6), respectively, in treating SD-associated RASD. The relative risk of failure between SD and non-SD patients was 3.76 (1.36-10.38) after the Latarjet operation. The failure rates were 17% and 13% for Bankart's operation with remplissage and the Latarjet procedure in SD patients, respectively, but 0% each for bone block operation, arthroplasty, and arthrodesis. The total rate of seizure recurrence after operation was 33% of the pooled cases. Conclusions: SD recurrence in the postoperative period, the size of the bone block, and the muscular attachments to a small coracoid autograft are the determinants of failure among various reconstructive operations in SD-associated RASD.

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References

  1. Goudie EB, Murray IR, Robinson CM. Instability of the shoulder following seizures. J Bone Joint Surg Br 2012;94:721-8.
  2. Agha O, Rugg CM, Lansdown DA, et al. Surgical stabilization of shoulder instability in patients with or without a history of seizure: a comparative analysis. Arthroscopy 2020;36:2664-73.e3.
  3. Khater AH, Sobhy MH, Said HG, et al. Latarjet procedure for anterior shoulder instability due to tramadol-induced seizures: a multicenter study. Am J Sports Med 2016;44:957-62.
  4. Atwan Y, Wang A, Labrum JT 4th, et al. Management of shoulder instability in patients with seizure disorders. Curr Rev Musculoskelet Med 2023;16:201-10.
  5. Buhler M, Gerber C. Shoulder instability related to epileptic seizures. J Shoulder Elbow Surg 2002;11:339-44.
  6. Dzidzishvili L, Calvo C, Valencia M, Calvo E. Outcomes of arthroscopic latarjet procedure for anterior glenohumeral instability in patients with epilepsy: a case-control study. Am J Sports Med 2022;50:708-16.
  7. Thangarajah T, Lambert SM. Management of recurrent shoulder instability in patients with epilepsy. J Shoulder Elbow Surg 2016;25:1376-84.
  8. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev 2021;10:89.
  9. Ersen A, Bayram S, Birisik F, Atalar AC, Demirhan M. The effectiveness of the Latarjet procedure for shoulder instability in patients with epilepsy. Orthop Traumatol Surg Res 2017;103:1277-82.
  10. Thon SG, Branche K, Houck DA, et al. Effectiveness of Latarjet for anterior shoulder instability in patients with seizure disorder. JSES Int 2020;5:171-4.
  11. Austin DC, Honig RL, Rogers TH, et al. Shoulder arthroplasty in patients with a history of epilepsy is safe and effective. Semin Arthroplasty 2023;33:38-45.
  12. Guity MR, Sobhani Eraghi A. Mid-term results of arthroscopic Bankart repair and remplissage for recurrent anterior shoulder instability in patients with a history of seizures. BMC Musculoskelet Disord 2022;23:12.
  13. Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg Br 1995;77:928-32.
  14. Langenbruch L, Rickert C, Gosheger G, et al. Seizure-induced shoulder dislocations: case series and review of the literature. Seizure 2019;70:38-42.
  15. Mittal R, Jain S. Eden-Hybinette procedure for revision surgery in recurrent anterior shoulder instability in epilepsy. Indian J Orthop 2021;55:728-33.
  16. Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Joint Surg Br 2012;94:1260-4.
  17. Roach RP, Crozier MW, Moser MW, Struk AM, Wright TW. Management of bipolar shoulder injuries with humeral head allograft in patients with active, uncontrolled seizure disorder: case series and review of literature. JSES Int 2021;6:132-6.
  18. Robinson CM, Al-Hourani K, Malley TS, Murray IR. Anterior shoulder instability associated with coracoid nonunion in patients with a seizure disorder. J Bone Joint Surg Am 2012;94:e40.
  19. Thangarajah T, Alexander S, Bayley I, Lambert SM. Glenohumeral arthrodesis for the treatment of recurrent shoulder instability in epileptic patients. Bone Joint J 2014;96:1525-9.
  20. Thangarajah T, Falworth M, Lambert SM. Anatomical shoulder arthroplasty in epileptic patients with instability arthropathy and persistent seizures. J Orthop Surg (Hong Kong) 2017;25: 2309499017717198.
  21. Thangarajah T, Lambert S. The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience. J Shoulder Elbow Surg 2015;24:1723-7.
  22. Thangarajah T, Higgs D, Bayley JI, Lambert SM. Constrained fixed-fulcrum reverse shoulder arthroplasty improves functional outcome in epileptic patients with recurrent shoulder instability. World J Orthop 2016;7:434-41.
  23. Thangarajah T, Higgs D, Bayley JI, Lambert SM. Glenohumeral arthrodesis for recurrent types II and III shoulder instability. J Shoulder Elbow Surg 2017;26:687-91.