Current practice in shoulder pathology

Results of a web-based survey among a community of 1,084 orthopedic surgeons

P. Randelli, P. Arrigoni, F. Cabitza, V. Ragone, P. Cabitza

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Purpose: The aim of this study was to report orthopedic surgeons' management of choice for difficult clinical scenarios of shoulder pathologies. Methods: A web questionnaire was developed including four clinical scenarios of shoulder pathologies. Subsequently, opinions were solicited from more than 1,000 members of an international association of surgeons specialized in sports traumatology and knee surgery (ESSKA). Results: The response rate was 40% (412 questionnaires). For scenario 1, first anterior dislocation of the shoulder, the most indicated treatment for 71% of respondents was an arthroscopic Bankart repair (P <0.001). For scenario 2, shoulder arthritis with concentric erosion and cuff tear, 38% chose a shoulder replacement, while 37% preferred a supraspinatus tendon repair in combination with long head of biceps (LHB) tenodesis or tenotomy. For scenario 3, large tendon tears with 70% fatty infiltration of the infraspinatus tendon and lateral LHB instability, 70% of surgeons considered that, among conservative treatments, hyaluronic acid injection was not an appropriate management. Arthroscopic rotator cuff repair, arthroscopic acromioplasty, and LHB tenotomy gained larger consensus (81, 80, and 79% of respondents, respectively). A double-row technique for rotator cuff repair was preferred to a single-row technique (P = 0.02). Scenario 4, adhesive capsulitis, split the respondents equally, with 51% in favor of a surgical approach and 49% in favor of a conservative approach (N.S.). Conclusions: On-line questionnaires have the potential to improve knowledge about current trends in clinical practice and can help orthopedic surgeons to develop guidelines. Level of evidence: Cross-sectional; Level V (expert opinion).

Original languageEnglish
Pages (from-to)803-815
Number of pages13
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume20
Issue number5
DOIs
Publication statusPublished - May 2012

Fingerprint

Rotator Cuff
Pathology
Tendons
Tenotomy
Tenodesis
Shoulder Dislocation
Bursitis
Traumatology
Expert Testimony
Hyaluronic Acid
Tears
Arthritis
Sports
Surveys and Questionnaires
Orthopedic Surgeons
Knee
Guidelines
Injections
Surgeons
Therapeutics

Keywords

  • Guidelines
  • On-line questionnaires
  • Shoulder pathology
  • Treatments
  • Web-based surveys

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Current practice in shoulder pathology : Results of a web-based survey among a community of 1,084 orthopedic surgeons. / Randelli, P.; Arrigoni, P.; Cabitza, F.; Ragone, V.; Cabitza, P.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 20, No. 5, 05.2012, p. 803-815.

Research output: Contribution to journalArticle

Randelli, P. ; Arrigoni, P. ; Cabitza, F. ; Ragone, V. ; Cabitza, P. / Current practice in shoulder pathology : Results of a web-based survey among a community of 1,084 orthopedic surgeons. In: Knee Surgery, Sports Traumatology, Arthroscopy. 2012 ; Vol. 20, No. 5. pp. 803-815.
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