{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T21:39:02Z","timestamp":1773610742859,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,8,23]],"date-time":"2017-08-23T00:00:00Z","timestamp":1503446400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,8,23]],"date-time":"2017-08-23T00:00:00Z","timestamp":1503446400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,8,23]],"date-time":"2017-08-23T00:00:00Z","timestamp":1503446400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To report outcomes of a conjoined tendon transfer procedure in a small case series of young active patients of various activity levels with recurrent traumatic anterior shoulder instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective chart review identified 10 consecutive patients who underwent conjoined tendon transfer (8 open and 2 arthroscopic) for anterior glenohumeral instability from January 2009 through December 2012. The indications were traumatic anterior shoulder instability with 25% or greater anterior glenoid bone loss, engaging Hill\u2010Sachs lesion, or absent anterior\u2010inferior labral tissue with anterior capsular tissue that did not readily hold sutures or a combination of these deficiencies. Patients did not undergo the procedure if they had healthy capsulolabral tissue and small bony defects or if they competed in high\u2010level collision sports or were overhead throwers. The American Shoulder and Elbow Surgeons (ASES) questionnaire and a physical examination were completed preoperatively. Postoperatively, patients answered questions about shoulder stability and completed ASES and Western Ontario Shoulder Index questionnaires. A physical examination was performed postoperatively to assess range of motion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 10 patients, 9 were available for follow\u2010up. The mean age was 33.0\u00a0years (range, 18\u201051\u00a0years) at the time of surgery. Eight of nine patients underwent a physical examination at 31.3\u00a0\u00b1\u00a010.5\u00a0months (range, 24\u201058\u00a0months) postoperatively. There were no revisions or complications except for recurrent instability in 1 patient who underwent the arthroscopic procedure and reported gross deviation from the postoperative protocol. The ASES score improved significantly (62.8 \u00b1 21.2 at baseline vs 89.2 \u00b1 11.5 at final follow\u2010up,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01). The postoperative Western Ontario Shoulder Index score was 74.5 \u00b1 19.7. No significant change was found in external rotation in 90\u00b0 of abduction (80.6\u00b0 \u00b1 12.9\u00b0 at baseline vs 88.4\u00b0 \u00b1 6.1\u00b0 at final follow\u2010up,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .11) or in flexion (145.6\u00b0\u00a0\u00b1\u00a014.9\u00b0 at baseline vs 153.1\u00b0 \u00b1 16.4\u00b0 at final follow\u2010up,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .19). All patients returned to their previous activity level.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stability was restored and no significant range\u2010of\u2010motion loss was observed in noncollision athletes who underwent conjoined tendon transfer. Recurrent instability occurred in 1 patient who underwent the arthroscopic procedure. There were no other complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.06.044","type":"journal-article","created":{"date-parts":[[2017,8,23]],"date-time":"2017-08-23T23:03:29Z","timestamp":1503529409000},"page":"12-20","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["Conjoined Tendon Transfer for Traumatic Anterior Glenohumeral Instability in Patients With Large Bony Defects and Anterior Capsulolabral Deficiency"],"prefix":"10.1002","volume":"34","author":[{"given":"Wiemi A.","family":"Douoguih","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery MedStar Washington Hospital Center Washington DC 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