Table 2.
Summary of the four case series (25 patients) included in the systematic review.
| Article characteristics |
Patient demographics and clinical characteristics |
Procedure characteristics |
Post-operative data |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Author/Year | Study design (level of evidence) | Sample size (n) | Mean age (years) | Gender | Side | Clinical features | Primary tissue affected | Location | Position | Portals | Procedure | Follow-up (months) | Outcome | Complications | Recurrence |
| Lunn et al. (2007)4 | Retrospective case series (IV) | 15 | 40 | M | NR | Pain (93%), locking (40%), decreased ROM (40%) | Synovium | NR | Beach chair | P, A, + /– accessory portals PRN | ELB, anterior release | 63.6 (27.6–198) | Constant score: improvement in pain (11.3 post-op vs. 8.9 pre-op) and ADLs (18.7 post-op vs. 12.9 pre-op) | Arthritis (severe) | No |
| 28 | F | Synovium | Beach chair | 1) ELB + synovectomy 2) ELB + synovectomy 3) ELB 4) synovectomy + tenodesis | Incomplete excision of loose bodies | Yes (3 years post-op) | |||||||||
| 27 | F | Synovium | Beach chair | 1) ELB 2) ELB + synovectomy + tenodesis | Arthritis (mild) | No | |||||||||
| 18 | F | Synovium | Beach chair | ELB, synovectomy, tenodesis | Arthritis (mild) | No | |||||||||
| 34 | F | Synovium | Beach chair | ELB, synovectomy | Incomplete excision of loose bodies | No | |||||||||
| 18 | F | Synovium | Beach chair | ELB, synovectomy, tenodesis | No | No | |||||||||
| 19 | F | Synovium | Beach chair | 1) ELB 2) ELB + synovectomy 3) ELB + synovectomy | Arthritis (mild) | Yes (12 years post-op) | |||||||||
| 41 | M | Synovium | Beach chair | ELB | Arthritis (moderate) | No | |||||||||
| 42 | M | Synovium | Beach chair | ELB, synovectomy, tenodesis | Arthritis (severe) | No | |||||||||
| 42 | M | Synovium | Beach chair | ELB, synovectomy | Arthritis (moderate) | No | |||||||||
| 33 | F | Synovium | Beach chair | ELB, synovectomy, tenodesis | Arthritis (severe) | No | |||||||||
| 20 | M | Synovium | Beach chair | 1) ELB 2) ELB | Incomplete excision of loose bodies, arthritis (mild) | No | |||||||||
| 49 | M | Synovium | Beach chair | ELB, synovectomy | Arthritis (moderate) | No | |||||||||
| 47 | M | Synovium | Beach chair | ELB, synovectomy | No | No | |||||||||
| 41 | M | Synovium | Beach chair | ELB, synovectomy, tenodesis | Arthritis (severe) | No | |||||||||
| Ranalletta et al. (2009)27 | Case series (IV) | 3 | 35 | M | R | Pain × 2 years, decreased ROM | Synovium | GHJ | NR | NR | ELB, partial synovectomy | 59 | Significant improvements in shoulder ROM, patient satisfaction, VAS, UCLA, DASH, Constant scores | No | No |
| 29 | M | L | Pain × 5 years, stiffness, decreased ROM | Synovium | GHJ | NR | NR | ELB, partial synovectomy, arthroscopic capsulotomy, subacromial bursa adhesiolysis | 28 | Significant improvements in shoulder ROM, patient satisfaction, VAS, UCLA, DASH, Constant scores | No | No | |||
| 24 | M | R | Pain, stiffness, locking × 14 years, decreased ROM, severe deltoid and biceps atrophy | Synovium | GHJ | NR | NR | ELB, partial synovectomy, arthroscopic capsulotomy | 26 | Significant improvements in shoulder ROM, patient satisfaction, VAS, UCLA, DASH, Constant scores | No | No | |||
| Urbach et al. (2008)28 | Case series (IV) | 5 | 28 | M | L | Pain, decreased ROM | Synovium | NR | Lateral decubitus | P, A | ELB, partial synovectomy | 108 | Constant score: 96 (post-op) vs. 100 (unaffected side) | No | No |
| 30 | M | L | Synovium | NR | Lateral decubitus | 108 | Constant score: 100 (post-op) vs. 100 (unaffected side) | No | Yes | ||||||
| 22 | M | R | Synovium | NR | Lateral decubitus | 96 | Constant score: 100 (post-op) vs. 100 (unaffected side) | No | Yes | ||||||
| 30 | M | R | Synovium | NR | Lateral decubitus | 84 | Constant score: 98 (post-op) vs. 100 (unaffected side) | No | No | ||||||
| 34 | F | R | Synovium | NR | Lateral decubitus | 48 | Constant score: 91 (post-op) vs. 100 (unaffected side) | No | No | ||||||
| Utashima et al. (2020)5 | Case series (IV) | 2 (of 10 underwent arthroscopic management | 57 | F | NR | Pain × 1 year | Synovium | GHJ, bicipital groove | Beach chair | P, A | ELB | 36 | Constant score: 78 (post-op) vs. 65 (pre-op) | No | No |
| 65 | M | NR | Pain × 6 months | Synovium | Subacromial space | Beach chair | P, L | ELB, acromioplasty | 30 | Constant score: 90 (post-op) vs. 58 (pre-op) | No | No | |||
A: anterior; A-I: anteroinferior; A-S: anterosuperior; BTS: bicipital tendon sheath; ELB: excision of loose bodies; GHJ: glenohumeral joint; I: inferior; L: lateral; NR: not reported; P: posterior; P-L: posterolateral; PRN: as needed; ROM: range of motion; RTW: return to work; S: superior. ADL: activity of daily living; DASH: the disabilities of the arm, shoulder and hand score; UCLA: The University of California Los Angeles shoulder rating scale; VAS: visual analog score. Bold indicates the cases that had failed arthroscopic management.