GRASPLancet (London, England) 2021
Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial, randomised controlled trial.
Progressive exercise was not superior to a single advice session at 12 months. Injection gave a short-term benefit at 8 weeks but not at 12 months.
Randomised trialManagementShoulder
UK FROSTLancet (London, England) 2020
Management of adults with primary frozen shoulder in secondary care (UK FROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial.
All three groups improved substantially; differences between them did not reach clinical importance. Capsular release carried more risk and cost, and manipulation under anaesthesia was the most cost-effective.
Randomised trialManagementShoulder
Shoulder replacement HES cohortBMJ (Clinical research ed.) 2019
Serious adverse events and lifetime risk of reoperation after elective shoulder replacement: population based cohort study using hospital episode statistics for England.
Serious adverse events were associated with older age, comorbidity and male sex, while lifetime revision risk was greatest in younger patients, particularly younger men, with most revisions occurring in the early years after surgery.
Registry studyPrognosisShoulder
FIMPACTBMJ (Clinical research ed.) 2018
Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial.
There was no clinically relevant difference in pain between decompression and diagnostic arthroscopy at two years.
Randomised trialManagementShoulder
CSAWLancet (London, England) 2018
Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial.
Both surgical arms improved slightly more than no treatment, but decompression gave no clinically important benefit over arthroscopy alone. The difference between the two surgical groups was not significant.
Randomised trialManagementShoulder
UKUFFThe bone & joint journal 2017
Effectiveness of open and arthroscopic rotator cuff repair (UKUFF): a randomised controlled trial.
There was no significant difference in Oxford Shoulder Score, re-tear rate or complications between arthroscopic and open repair.
Randomised trialManagementShoulder
Hegedus shoulder examination meta-analysisBritish journal of sports medicine 2012
Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests.
Most individual shoulder tests had limited diagnostic accuracy on their own, and many labral and impingement tests performed poorly.
Systematic review / meta-analysisDiagnosisShoulder
Moosmayer cuff surgery vs physiotherapyThe Journal of bone and joint surgery. British volume 2010
Comparison between surgery and physiotherapy in the treatment of small and medium-sized tears of the rotator cuff: A randomised controlled study of 103 patients with one-year follow-up.
Primary repair gave significantly better Constant and ASES scores, pain-free abduction and pain relief at one year. Roughly a fifth of the physiotherapy group went on to secondary repair because of insufficient improvement.
Randomised trialManagementShoulder
Robinson primary arthroscopic stabilisationThe Journal of bone and joint surgery. American volume 2008
Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial.
Early arthroscopic Bankart repair significantly reduced recurrent instability and improved shoulder-specific function compared with lavage.
Randomised trialManagementShoulder
Robinson recurrence after dislocationThe Journal of bone and joint surgery. American volume 2006
Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients.
Recurrence was common, mostly within the first two years, and was most strongly associated with young age and male sex.
Cohort studyPrognosisShoulder