Publications by authors named "Eoghan Hurley"
Purpose: To compare arthroscopic Bankart repair versus the open Latarjet procedure at a minimum of 10-year follow-up evaluating recurrence and arthropathy development rates.
Methods: A systematic review was performed in concordance with PRISMA guidelines. Studies were included if they reported on the arthroscopic Bankart repair or open Latarjet procedure with a minimum of 10-year follow-up.
The Latarjet procedure is a successful treatment for anterior shoulder instability with less than 5% having redislocations - revision surgery and prior surgery having been shown to be significant risk factors for recurrence. Approximately 90% of athletes return to play after Latarjet, comparable to arthroscopic Bankart repair. Patients may be physically unable to return to play, which may be due to persistent pain, apprehension, or weakness.
View Article and Find Full Text PDFBackground: Superior labral tears are common shoulder injuries among athletes, and for athletes undergoing surgical intervention, one of the main priorities is to return to preinjury levels of activity in a timely manner. However, the literature surrounding return to play after superior labral repair presents inconsistent results, with limited studies evaluating the timing of return to play.
Purpose: To systematically review the rate and timing of return to play in athletes after arthroscopic superior labral repair.
Background: Surgeons often use abduction pillows after reverse total shoulder arthroplasty (rTSA), but evidence for their benefits is limited. This study compares outcomes for patients using a sling with or without an abduction pillow post-operatively.
Methods: A retrospective review was conducted on patients undergoing primary rTSA.
Background: Operating room (OR) efficiency is of paramount importance for scheduling, cost efficiency and to allow for the high operating volume required to address the growing demand for arthroplasty. The purpose of this study was to develop a machine learning predictive model for Total Shoulder Arthroplasty (TSA) procedure duration and to identify factors which are predictive of a prolonged procedure.
Methods: A retrospective review was undertaken of all TSA between 2013-2021 in a large academic institution.
Purpose: To perform a systematic review to determine whether there were clinically significant differences in patient-reported outcome measures from 1- to 2-year follow-up following rotator cuff repair (RCR).
Methods: A literature search of 3 databases was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Randomized controlled trials (RCTs) reporting on patient-reported outcomes at the 1- and 2-year follow-up following RCR were included.
Background: The purpose of this study was to systematically review the literature to ascertain the clinical outcomes of the Latarjet procedure in patients with seizure disorders (SD) versus controls.
Methods: Two independent reviewers performed a literature search using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines using PubMed, Embase and Scopus databases. Only studies reporting on outcomes of the Latarjet procedure comparing patients with pre-existing SDs, or those comparing such patients versus controls were considered for inclusion.
Introduction: Anterior shoulder instability in adults over the age of 40 is frequently managed non-operatively. There is limited published evidence for the surgical management of these patients. This study aims to assess the risk of recurrence and functional outcomes in older adults after Arthroscopic Bankart Repair (ARB).
View Article and Find Full Text PDFObjective: To perform a systematic review and meta-analysis to compare the results of the Latarjet procedure performed using screws (S) or suture-button for coracoid graft fixation.
Methods: A systematic search in Pubmed, EMBASE, and The Cochrane Library databases was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Cohort studies comparing outcomes in the Latarjet procedure with screw fixation versus the Latarjet procedure with suture-button fixation were included.
Background: The purpose of this study was to systematically review the rate and time frame to return to sports in collision athletes following arthroscopic Bankart repair.
Methods: A systematic literature search based on Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, utilizing the EMBASE, MEDLINE, and The Cochrane Library Databases was performed. Manuscripts were included if they studied collision or contact athletes, reported on return to play rates or percentages, underwent arthroscopic Bankart repair, published in a peer-reviewed journal, and published in English.
Background: To systematically review the literature assessing glenoid bone loss restoration by different bone block options and compare their dimensions.
Methods: Systematic examination of articles in PubMed and EMBASE databases was performed per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to find studies of bone grafts for treating anterior glenohumeral instability. Statistical analyses were conducted via Review Manager, and a -value of <0.
Purpose: To determine the prevalence of spin in systematic reviews (SRs) and meta-analyses of clinical studies of the remplissage procedure.
Methods: Two reviewers independently performed a literature search of the PubMed, Scopus, and Embase databases using the search term "remplissage" in accordance with Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The full article of each included SR was assessed for the presence of the 15 most common types of spin.
Risk factors for recurrence after Latarjet procedure: a systematic review and meta-analysis.
J Shoulder Elbow Surg
November 2024
Background: The risk factors associated with recurrent instability following Latarjet procedure remain poorly understood. The purpose of this study was to conduct a systematic review to elucidate risk factors contributing to therapeutic failure after the Latarjet procedure.
Methods: A comprehensive literature search was performed using the PubMed/MEDLINE and Embase databases based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
Article Synopsis
- The study aimed to determine the time needed for patients with shoulder adhesive capsulitis to achieve clinically significant improvement after undergoing arthroscopic capsular release (ACR) and to identify factors that could delay these improvements.
- Researchers analyzed data from 73 patients who were assessed with various patient-reported outcome measures (PROMs) before and at multiple intervals post-surgery.
- Results showed that most patients attained meaningful improvement within a year, with median times to reach minimum clinically important differences (MCIDs) ranging from 1 to 2 months, while age and other factors like higher body mass index (BMI) and diabetes were noted to potentially delay achieving these outcomes.
Background: The aim of this study was to systematically review the literature on concomitant repair of superior labral and rotator cuff tears, in light of the paucity of published clinical evidence.
Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses compliant search of PubMed, Embase, and Cochrane Library databases was performed for clinical studies of patients undergoing combined repairs of the rotator cuff and superior labrum.
Results: Ten studies comprising 241 shoulders were included, with a mean age of 52.
Background: Reverse shoulder arthroplasty (RSA) is an established operative treatment for failed rotator cuff repair (RCR) that may not be amenable to revision repair. The purpose of this meta-analysis is to evaluate the clinical outcomes for patients undergoing RSA following prior failed RCR compared with patients without prior RCR undergoing primary RSA.
Methods: A systematic search of articles in Pubmed, EMBASE and The Cochrane Library databases was carried out according to PRISMA guidelines.
Article Synopsis
- The study investigates the effectiveness of reducing radiation doses in CT scans used for planning shoulder arthroplasty, aiming to minimize patient exposure to ionizing radiation.
- Ten CT scans were conducted utilizing different radiation dose levels (100%, 70%, and 30%) to measure shoulder parameters manually and via software, with strict tolerance levels set for preoperative planning.
- Results indicated that both automated and manual measurements taken from the 70% and 30% dose images were generally accurate enough to be considered viable for preoperative planning, with high agreement in key shoulder measurements across the varying dose levels.
Treatment of Anterior Shoulder Instability: A Comprehensive Review.
J Hand Surg Glob Online
September 2024
Article Synopsis
- Anterior shoulder instability involves excessive movement of the humeral head in the shoulder joint, causing symptoms like discomfort and potential dislocations.
- Accurate diagnosis requires a detailed history, physical examination, and imaging to assess the instability's severity.
- Treatment options range from conservative methods to various surgical repairs, with choices depending on factors such as the patient's anatomy, severity of instability, and personal recovery goals.
Hypothesis: The purpose of this study was to systematically review complications arising from intramedullary nailing (IMN) of proximal and humeral shaft fractures. This study hypothesized that there would be a low rate of complications and revision among patients treated with IMN for humerus fractures.
Methods: Two independent reviewers performed a literature search in the PubMed database based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Article Synopsis
- The study aimed to systematically review clinical research on bioinductive collagen implants (BCI) for treating rotator cuff tears.
- After analyzing 21 studies, results showed significant improvements in patient-reported outcomes (ASES scores) and increased tendon thickness for both full and partial thickness tears.
- The study also highlighted low re-tear rates post-treatment and indicated BCI may be cost-effective, potentially saving between $5,338 and $13,061 per healed tendon.
Health care policy and arthroscopic rotator cuff repair prices in the United States.
J Shoulder Elbow Surg
January 2025
Background: Arthroscopic rotator cuff repair (ARCR) is one of the most common orthopedic procedures in the general population. Despite its prevalence, the price of ARCR varies significantly across regions, hospital models, and settings. The purpose of this study was to examine the effect of Geographic Region, Certificate of Need (CON) laws, and Medicaid expansion on ARCR pricing.
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- An isolated medial patellofemoral ligament reconstruction (MPFLR) is effective for preventing patellar instability, but there's increasing interest in combining it with a tibial tubercle osteotomy (TTO) for patients with elevated tibial tubercle-trochlear groove distance.
- A retrospective study matched patients who had MPFLR with TTO to those with isolated MPFLR, assessing factors like recurrent instability, pain scores, and patient satisfaction over an average of 49 months.
- Results showed no significant differences in pain, satisfaction, or revision surgeries between the two groups, indicating that adding TTO to MPFLR can lead to low complication rates and favorable patient outcomes.
Article Synopsis
- The study aimed to analyze the minimal clinically important difference (MCID) and patient-acceptable satisfactory state (PASS) values for patient-reported outcomes following shoulder instability surgeries (Bankart, Latarjet, and Remplissage).
- A systematic review was performed on studies published from 1985 to 2023, focusing on how MCID and PASS values were derived and their usage frequency in the literature.
- Out of 174 records screened, 8 studies were included, revealing that MCID was commonly reported, while PASS was less frequently mentioned, with the American Shoulder and Elbow Surgeons score being the most researched outcome measure.
Rotator cuff arthropathy is a spectrum of disease states secondary to full-thickness cuff tears classified by rotator cuff insufficiency and degenerative disease within the shoulder joint. Diagnosis can be made through standard physical exam and radiographic films demonstrating varying levels of weakness, along with acetabularization, femoralization, and superior migration of the humeral head. Severity of disease is classified through both the Hamada and Seebauer grading systems, which are used clinically to determine the appropriate treatment algorithm.
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