Post-traumatic Shoulder Cartilage Lesions: A Review
Author Information
Author(s): Heidi Ruckstuhl, Eling D. de Bruin, Edgar Stussi, Benedicte Vanwanseele
Primary Institution: ETH Zurich
Hypothesis
What is the incidence and pathomechanism of post-traumatic glenohumeral cartilage lesions without bony lesions?
Conclusion
Most glenohumeral cartilage lesions without bony lesions are due to overuse, while those caused by acute trauma are rare or overlooked.
Supporting Evidence
- The agreement on data quality between reviewers was 93%.
- Acute trauma can disrupt humeral cartilage from the underlying bone.
- Chronic trauma is linked to overuse and associated with rotator cuff injuries.
- The majority of cartilage lesions occur in active individuals with high shoulder demands.
Takeaway
This study looked at shoulder injuries and found that most cartilage damage happens from using the shoulder too much, not from one big injury.
Methodology
A systematic review of articles from databases like PubMed and ScienceDirect, focusing on glenohumeral cartilage lesions due to trauma.
Potential Biases
Potential bias due to the retrospective nature of most studies included.
Limitations
Only a few reports on pure humeral cartilage damage from acute trauma were found, limiting conclusions.
Participant Demographics
The review included studies on active sportsmen and individuals with shoulder injuries.
Statistical Information
Confidence Interval
0.59–0.99
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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