{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:51:25Z","timestamp":1792003885934,"version":"4.4.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T00:00:00Z","timestamp":1641168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T00:00:00Z","timestamp":1641168000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Seizure predisposes patients to shoulder dislocation. However, there is no consensus regarding the best management approach for recurrent shoulder dislocation in patients who have a history of seizures. In this study, we report the outcome of arthroscopic Bankart repair augmented by Remplissage for the recurrent anterior shoulder dislocation in a series of patients with a history of seizures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>In this retrospective study, 27 patients with 29 recurrent anterior shoulder dislocations who were treated with the arthroscopic Bankart repair were included. All cases had deep Hill-Sachs lesions according to Hardy classification that was managed with a Remplissage technique. Patients with a glenoid defect of more than 20% in the CT scan were excluded. Twenty-two patients had an epileptic seizure, while the remaining five patients had convulsions due to other causes. The mean age of the patients was 28.3\u2009\u00b1\u20096.2\u2009years. The mean follow-up of the patients was 3.1\u2009\u00b1\u20091.2\u2009years. Outcome measures included the shoulder range of motion that was compared with the non-injured side in the unilateral subjects and the shoulder function that was evaluated by the Rowe score and the Walch-Duplay score.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The mean forward flexion, abduction, external rotation, and internal rotation were not significantly different between injured and non-injured shoulder (<jats:italic>p<\/jats:italic>\u2009=\u20090.34, <jats:italic>p<\/jats:italic>\u2009=\u20090.41, <jats:italic>p<\/jats:italic>\u2009=\u20090.11, <jats:italic>p<\/jats:italic>\u2009=\u20090.23). The mean Rowe score was 49.1\u2009\u00b1\u20097.8 before the surgery and 92.1\u2009\u00b1\u20096.4 at the last visit (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). According to the Walch-Duplay score, the shoulders were categorized as excellent, good, and fair in 17 (58.7%), 11 (37.9%), and 1 (3.4%) shoulder, respectively. The overall rate of instability recurrence was 17.2% (<jats:italic>n<\/jats:italic>\u2009=\u20095).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>In patients with a history of seizures, arthroscopic Bankart repair augmented by Remplissage could be regarded as a safe and efficient method for the treatment of recurrent anterior shoulder dislocation with glenoid defect &lt;\u200920%.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12891-021-04960-9","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T17:02:57Z","timestamp":1641229377000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Mid-term results of arthroscopic Bankart repair and remplissage for recurrent anterior shoulder instability in patients with a history of seizures"],"prefix":"10.1186","volume":"23","author":[{"given":"Mohammad Reza","family":"Guity","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Sobhani Eraghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,3]]},"reference":[{"issue":"5","key":"4960_CR1","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1007\/BF00932317","volume":"108","author":"K Kr\u00f8ner","year":"1989","unstructured":"Kr\u00f8ner K, Lind T, Jensen J. The epidemiology of shoulder dislocations. Arch Orthop Trauma Surg. 1989;108(5):288\u201390.","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"4960_CR2","doi-asserted-by":"publisher","first-page":"188","DOI":"10.4055\/cios.2009.1.4.188","volume":"1","author":"YG Rhee","year":"2009","unstructured":"Rhee YG, Cho NS, Cho SH. Traumatic anterior dislocation of the shoulder: factors affecting the progress of the traumatic anterior dislocation. Clin Orthop Surg. 2009;1(4):188\u201393.","journal-title":"Clin Orthop Surg"},{"key":"4960_CR3","doi-asserted-by":"publisher","first-page":"875","DOI":"10.2174\/1874325001711010875","volume":"11","author":"A Huerta","year":"2017","unstructured":"Huerta A, Rinc\u00f3n G, Peidro L, Combalia A, Sastre S. Controversies in the surgical Management of Shoulder Instability: open vs arthroscopic procedures. Open Orthop J. 2017;11:875\u201381.","journal-title":"Open Orthop J"},{"issue":"1","key":"4960_CR4","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1007\/s00167-018-5261-3","volume":"27","author":"E Brilakis","year":"2019","unstructured":"Brilakis E, Avramidis G, Malahias MA, Stathellis A, Deligeorgis A, Chiotis I, et al. Long-term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging hill-Sachs lesions. Knee Surg Sports Traumatol Arthrosc. 2019;27(1):305\u201313.","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"5","key":"4960_CR5","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.seizure.2006.02.001","volume":"15","author":"U Rethnam","year":"2006","unstructured":"Rethnam U, Ulfin S, Sinha A. Post seizure anterior dislocation of shoulder\u2014beware of recurrence. Seizure. 2006;15(5):348\u20139.","journal-title":"Seizure."},{"key":"4960_CR6","doi-asserted-by":"publisher","first-page":"928","DOI":"10.1302\/0301-620X.77B6.7593109","volume":"77","author":"JW Hutchinson","year":"1995","unstructured":"Hutchinson JW, Neumann L, Wallace WA. Bone buttress operation for recurrent anterior shoulder dislocation in epilepsy. J Bone Joint Surg (Br). 1995;77:928.","journal-title":"J Bone Joint Surg (Br)"},{"issue":"4","key":"4960_CR7","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1067\/mse.2002.124524","volume":"11","author":"M B\u00fchler","year":"2002","unstructured":"B\u00fchler M, Gerber C. Shoulder instability related to epileptic seizures. J Shoulder Elb Surg. 2002;11(4):339\u201344.","journal-title":"J Shoulder Elb Surg"},{"issue":"8","key":"4960_CR8","doi-asserted-by":"publisher","first-page":"1376","DOI":"10.1016\/j.jse.2016.03.005","volume":"25","author":"T Thangarajah","year":"2016","unstructured":"Thangarajah T, Lambert SM. Management of recurrent shoulder instability in patients with epilepsy. J Shoulder Elb Surg. 2016;25(8):1376\u201384.","journal-title":"J Shoulder Elb Surg"},{"issue":"9","key":"4960_CR9","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1302\/0301-620X.94B9.29401","volume":"94","author":"P Raiss","year":"2012","unstructured":"Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the Latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. J Bone Joint Surg (Br). 2012;94(9):1260\u20134.","journal-title":"J Bone Joint Surg (Br)"},{"issue":"7","key":"4960_CR10","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1007\/s00590-011-0883-x","volume":"22","author":"P Hardy","year":"2012","unstructured":"Hardy P, Lopes R, Bauer T, Conso C, Gaudin P, Sanghavi S. New quantitative measurement of the hill\u2013Sachs lesion: a prognostic factor for clinical results of arthroscopic glenohumeral stabilization. Eur J Orthop Surg Traumatol. 2012;22(7):541\u20137.","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"1","key":"4960_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2106\/00004623-197860010-00001","volume":"60","author":"CR Rowe","year":"1978","unstructured":"Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg Am. 1978;60(1):1\u201316.","journal-title":"J Bone Joint Surg Am"},{"key":"4960_CR12","volume-title":"Directions for the use of the quotation of anterior instabilities of the shoulder","author":"G Walch","year":"1987","unstructured":"Walch G. Directions for the use of the quotation of anterior instabilities of the shoulder. Paris: First open congress of the European Society of Surgery of the Shoulder and Elbow; 1987."},{"issue":"11","key":"4960_CR13","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1016\/j.jse.2015.04.008","volume":"24","author":"T Thangarajah","year":"2015","unstructured":"Thangarajah T, Lambert S. The management of recurrent shoulder instability in patients with epilepsy: a 15-year experience. J Shoulder Elb Surg. 2015;24(11):1723\u20137.","journal-title":"J Shoulder Elb Surg"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04960-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12891-021-04960-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12891-021-04960-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T17:05:27Z","timestamp":1641229527000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-021-04960-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,3]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["4960"],"URL":"https:\/\/doi.org\/10.1186\/s12891-021-04960-9","relation":{},"ISSN":["1471-2474"],"issn-type":[{"value":"1471-2474","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,3]]},"assertion":[{"value":"1 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 December 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Ethics Committee of Iran University of Medical Sciences approved the present study (Ethics code: IR.IUMS.REC.1399.580). The study was performed in accordance with the Declaration of Helsinki. Patients signed inform consent before participating in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"12"}}