<?xml version="1.0" encoding="utf-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:hal="http://hal.archives-ouvertes.fr/" xmlns:gml="http://www.opengis.net/gml/3.3/" xmlns:gmlce="http://www.opengis.net/gml/3.3/ce" version="1.1" xsi:schemaLocation="http://www.tei-c.org/ns/1.0 http://api.archives-ouvertes.fr/documents/aofr-sword.xsd">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>HAL TEI export of hal-02135782</title>
      </titleStmt>
      <publicationStmt>
        <distributor>CCSD</distributor>
        <availability status="restricted">
          <licence target="https://creativecommons.org/publicdomain/zero/1.0/">CC0 1.0 - Universal</licence>
        </availability>
        <date when="2026-05-25T13:39:25+02:00"/>
      </publicationStmt>
      <sourceDesc>
        <p part="N">HAL API Platform</p>
      </sourceDesc>
    </fileDesc>
  </teiHeader>
  <text>
    <body>
      <listBibl>
        <biblFull>
          <titleStmt>
            <title xml:lang="en">Posterior shoulder instability: prospective non-randomised comparison of operative and non-operative treatment in 51 patients</title>
            <author role="aut">
              <persName>
                <forename type="first">Eduardo Miguel</forename>
                <surname>Cruz-Ferreira</surname>
              </persName>
              <idno type="halauthorid">1588730-0</idno>
              <affiliation ref="#struct-560408"/>
              <affiliation ref="#struct-450803"/>
              <affiliation ref="#struct-414772"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Pierre</forename>
                <surname>Abadie</surname>
              </persName>
              <idno type="halauthorid">599880-0</idno>
              <affiliation ref="#struct-414772"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Arnaud</forename>
                <surname>Godenèche</surname>
              </persName>
              <idno type="halauthorid">1588177-0</idno>
              <affiliation ref="#struct-418946"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Pierre</forename>
                <surname>Mansat</surname>
              </persName>
              <idno type="halauthorid">1090675-0</idno>
              <affiliation ref="#struct-300075"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Philippe</forename>
                <surname>Clavert</surname>
              </persName>
              <idno type="halauthorid">1351757-0</idno>
              <affiliation ref="#struct-211628"/>
              <affiliation ref="#struct-1225951"/>
            </author>
            <author role="aut">
              <persName>
                <forename type="first">Pierre Henri</forename>
                <surname>Flurin</surname>
              </persName>
              <idno type="halauthorid">1588731-0</idno>
              <affiliation ref="#struct-414772"/>
            </author>
            <editor role="depositor">
              <persName>
                <forename>Open Archive Toulouse Archive Ouverte</forename>
                <surname>(OATAO)</surname>
              </persName>
              <email type="md5">ac3f71840d50da799c1bb19c7b808bac</email>
              <email type="domain">listes-diff.inp-toulouse.fr</email>
            </editor>
          </titleStmt>
          <editionStmt>
            <edition n="v1" type="current">
              <date type="whenSubmitted">2019-05-21 15:33:02</date>
              <date type="whenModified">2026-03-03 17:09:46</date>
              <date type="whenReleased">2019-05-23 10:37:10</date>
              <date type="whenProduced">2017-12</date>
              <date type="whenEndEmbargoed">2019-05-21</date>
              <ref type="file" target="https://hal.science/hal-02135782v1/document">
                <date notBefore="2019-05-21"/>
              </ref>
              <ref type="file" subtype="author" n="1" target="https://hal.science/hal-02135782v1/file/Cruz-Ferreira_23104.pdf" id="file-2135782-2127595">
                <date notBefore="2019-05-21"/>
              </ref>
              <ref type="externalLink" target="https://doi.org/10.1016/j.otsr.2017.08.004"/>
            </edition>
            <respStmt>
              <resp>contributor</resp>
              <name key="146910">
                <persName>
                  <forename>Open Archive Toulouse Archive Ouverte</forename>
                  <surname>(OATAO)</surname>
                </persName>
                <email type="md5">ac3f71840d50da799c1bb19c7b808bac</email>
                <email type="domain">listes-diff.inp-toulouse.fr</email>
              </name>
            </respStmt>
          </editionStmt>
          <publicationStmt>
            <distributor>CCSD</distributor>
            <idno type="halId">hal-02135782</idno>
            <idno type="halUri">https://hal.science/hal-02135782</idno>
            <idno type="halBibtex">cruzferreira:hal-02135782</idno>
            <idno type="halRefHtml">&lt;i&gt;Orthopaedics &amp; Traumatology: Surgery &amp; Research&lt;/i&gt;, 2017, 103 (8), pp.S185-S188. &lt;a target="_blank" href="https://dx.doi.org/10.1016/j.otsr.2017.08.004"&gt;&amp;#x27E8;10.1016/j.otsr.2017.08.004&amp;#x27E9;&lt;/a&gt;</idno>
            <idno type="halRef">Orthopaedics &amp; Traumatology: Surgery &amp; Research, 2017, 103 (8), pp.S185-S188. &amp;#x27E8;10.1016/j.otsr.2017.08.004&amp;#x27E9;</idno>
            <availability status="restricted">
              <licence target="https://about.hal.science/hal-authorisation-v1/">HAL Authorization<ref corresp="#file-2135782-2127595"/></licence>
            </availability>
          </publicationStmt>
          <seriesStmt>
            <idno type="stamp" n="CNRS">CNRS - Centre national de la recherche scientifique</idno>
            <idno type="stamp" n="ENGEES">Ecole Nationale du Génie de l'Eau et de l'Environnement de Strasbourg</idno>
            <idno type="stamp" n="UNIV-STRASBG">Université de Strasbourg</idno>
            <idno type="stamp" n="INSA-STRASBOURG">Institut National des Sciences Appliquées de Strasbourg</idno>
            <idno type="stamp" n="INC-CNRS">Institut de Chimie du CNRS</idno>
            <idno type="stamp" n="AGREENIUM">Archive ouverte en agrobiosciences</idno>
            <idno type="stamp" n="SITE-ALSACE">Archive ouverte du site Alsace</idno>
            <idno type="stamp" n="INSA-GROUPE">Groupe INSA</idno>
            <idno type="stamp" n="UNIVOAK">UNIVOAK</idno>
            <idno type="stamp" n="UMR7357">Laboratoire des sciences de l’ingénieur, de l’informatique et de l’imagerie</idno>
          </seriesStmt>
          <notesStmt>
            <note type="audience" n="2">International</note>
            <note type="popular" n="0">No</note>
            <note type="peer" n="1">Yes</note>
          </notesStmt>
          <sourceDesc>
            <biblStruct>
              <analytic>
                <title xml:lang="en">Posterior shoulder instability: prospective non-randomised comparison of operative and non-operative treatment in 51 patients</title>
                <author role="aut">
                  <persName>
                    <forename type="first">Eduardo Miguel</forename>
                    <surname>Cruz-Ferreira</surname>
                  </persName>
                  <idno type="halauthorid">1588730-0</idno>
                  <affiliation ref="#struct-560408"/>
                  <affiliation ref="#struct-450803"/>
                  <affiliation ref="#struct-414772"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Pierre</forename>
                    <surname>Abadie</surname>
                  </persName>
                  <idno type="halauthorid">599880-0</idno>
                  <affiliation ref="#struct-414772"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Arnaud</forename>
                    <surname>Godenèche</surname>
                  </persName>
                  <idno type="halauthorid">1588177-0</idno>
                  <affiliation ref="#struct-418946"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Pierre</forename>
                    <surname>Mansat</surname>
                  </persName>
                  <idno type="halauthorid">1090675-0</idno>
                  <affiliation ref="#struct-300075"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Philippe</forename>
                    <surname>Clavert</surname>
                  </persName>
                  <idno type="halauthorid">1351757-0</idno>
                  <affiliation ref="#struct-211628"/>
                  <affiliation ref="#struct-1225951"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">Pierre Henri</forename>
                    <surname>Flurin</surname>
                  </persName>
                  <idno type="halauthorid">1588731-0</idno>
                  <affiliation ref="#struct-414772"/>
                </author>
              </analytic>
              <monogr>
                <idno type="halJournalId" status="VALID">87908</idno>
                <idno type="issn">1877-0568</idno>
                <idno type="eissn">1877-0568</idno>
                <title level="j">Orthopaedics &amp; Traumatology: Surgery &amp; Research</title>
                <imprint>
                  <publisher>Elsevier</publisher>
                  <biblScope unit="volume">103</biblScope>
                  <biblScope unit="issue">8</biblScope>
                  <biblScope unit="pp">S185-S188</biblScope>
                  <date type="datePub">2017-12</date>
                </imprint>
              </monogr>
              <idno type="doi">10.1016/j.otsr.2017.08.004</idno>
            </biblStruct>
          </sourceDesc>
          <profileDesc>
            <langUsage>
              <language ident="en">English</language>
            </langUsage>
            <textClass>
              <keywords scheme="author">
                <term xml:lang="en">Treatment</term>
                <term xml:lang="en">Surgery</term>
                <term xml:lang="en">Shoulder</term>
                <term xml:lang="en">Posterior instability</term>
                <term xml:lang="en">Comparison</term>
              </keywords>
              <classCode scheme="halDomain" n="sdv.mhep">Life Sciences [q-bio]/Human health and pathology</classCode>
              <classCode scheme="halTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halOldTypology" n="ART">Journal articles</classCode>
              <classCode scheme="halTreeTypology" n="ART">Journal articles</classCode>
            </textClass>
            <abstract xml:lang="en">
              <p>BACKGROUND: The management of posterior shoulder instability remains controversial. Consequently, for a symposium on this topic, the French Arthroscopy Society (SFA) conducted a prospective multicentre study comparing outcomes of operative and non-operative treatment. OBJECTIVE: To compare outcomes after operative versus non-operative treatment of posterior shoulder instability. HYPOTHESIS: The surgical treatment of posterior shoulder instability may achieve better clinical outcomes than non-operative treatment in selected patients. MATERIAL AND METHODS: Fifty-one patients were included prospectively then followed-up for 12months. Three groups were defined based on the clinical presentation: recurrent dislocation or subluxation, involuntary instability or voluntary instability that had become involuntary, and shoulder pain with instability. Of the 51 patients, 19 received non-operative therapy involving a three-step rehabilitation programme and 32 underwent surgery with a posterior bone block, labral repair and/orcapsule tightening, or bone defect filling. At inclusion and at last follow-up, the Subjective Shoulder Value (SSV), Rowe score, Walch-Duplay score, and Constant score were determined. RESULTS: The preliminary results after the first 12 months are reported here. In the non-operative and operative groups, the Constant score was 78 versus 87, the Rowe score 64 versus 88, and the Walch-Duplay score 69 versus 82, respectively. These differences were statistically significant (P&lt;0.05). DISCUSSION: To our knowledge, this study is the first comparison of non-operative versus operative treatment in a cohort of patients with documented posterior shoulder instability. Outcomes were better with operative treatment. However, this finding remains preliminary given the short follow-up of only 1 year.</p>
            </abstract>
          </profileDesc>
        </biblFull>
      </listBibl>
    </body>
    <back>
      <listOrg type="structures">
        <org type="institution" xml:id="struct-560408" status="INCOMING">
          <orgName>Unidade Local de Saúde de Guarda (PORTUGAL)</orgName>
          <desc>
            <address>
              <country key="PT"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-450803" status="VALID">
          <idno type="ROR">https://ror.org/03nf36p02</idno>
          <orgName>University of Beira Interior [Portugal]</orgName>
          <orgName type="acronym">UBI</orgName>
          <desc>
            <address>
              <addrLine>UBI, Covilhã, PortugalRua Marquês D'Ávila e Bolama. 6201-001 Covilhã. Portugal.</addrLine>
              <country key="PT"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-414772" status="INCOMING">
          <orgName>Clinique du Sport Bordeaux</orgName>
          <desc>
            <address>
              <addrLine>Merignac</addrLine>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-418946" status="INCOMING">
          <orgName>Centre Orthopedique Santy, Lyon, France</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="institution" xml:id="struct-300075" status="VALID">
          <orgName>Centre Hospitalier Universitaire de Toulouse</orgName>
          <orgName type="acronym">CHU Toulouse</orgName>
          <desc>
            <address>
              <addrLine>regroupe les hôpitaux  Purpan, Rangueil, Pierre-Paul Riquet, Larey, Paule de Viguier, Hôtel Dieu Saint-Jacques, La Grave, etc.</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.chu-toulouse.fr</ref>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-211628" status="VALID">
          <idno type="IdRef">030378842</idno>
          <idno type="ROR">https://ror.org/04bckew43</idno>
          <orgName>Hôpitaux Universitaires de Strasbourg</orgName>
          <orgName type="acronym">HUS</orgName>
          <desc>
            <address>
              <addrLine>1 place de l'hôpital BP 426 67091 Strasbourg cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.chru-strasbourg.fr/</ref>
          </desc>
        </org>
        <org type="researchteam" xml:id="struct-1225951" status="VALID">
          <orgName>Matériaux Multi-échelle et Biomécanique</orgName>
          <orgName type="acronym">ICube-MMB</orgName>
          <desc>
            <address>
              <addrLine>300 bd Sébastien Brant - F-67412 Illkirch Cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://mmb.icube.unistra.fr</ref>
          </desc>
          <listRelation>
            <relation active="#struct-217648" type="direct"/>
            <relation active="#struct-94023" type="indirect"/>
            <relation active="#struct-199013" type="indirect"/>
            <relation active="#struct-211628" type="indirect"/>
            <relation active="#struct-261615" type="indirect"/>
            <relation active="#struct-301232" type="indirect"/>
            <relation name="UMR7357" active="#struct-441569" type="indirect"/>
            <relation active="#struct-529627" type="indirect"/>
            <relation name="FR3627" active="#struct-199013" type="indirect"/>
            <relation active="#struct-237692" type="indirect"/>
            <relation active="#struct-303623" type="indirect"/>
            <relation active="#struct-341038" type="indirect"/>
            <relation name="FR3627" active="#struct-441569" type="indirect"/>
            <relation active="#struct-529628" type="indirect"/>
            <relation name="FR3678" active="#struct-199013" type="indirect"/>
            <relation active="#struct-441569" type="indirect"/>
          </listRelation>
        </org>
        <org type="laboratory" xml:id="struct-217648" status="VALID">
          <idno type="IdRef">176969721</idno>
          <idno type="RNSR">201320497C</idno>
          <idno type="ROR">https://ror.org/00k4e5n71</idno>
          <idno type="Wikidata">Q30262162</idno>
          <orgName>Laboratoire des sciences de l'ingénieur, de l'informatique et de l'imagerie</orgName>
          <orgName type="acronym">ICube</orgName>
          <date type="start">2013-01-01</date>
          <desc>
            <address>
              <addrLine>300 bd Sébastien Brant - BP 10413 - F-67412 Illkirch Cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://icube.unistra.fr</ref>
          </desc>
          <listRelation>
            <relation active="#struct-94023" type="direct"/>
            <relation active="#struct-199013" type="direct"/>
            <relation active="#struct-211628" type="direct"/>
            <relation active="#struct-261615" type="direct"/>
            <relation active="#struct-301232" type="indirect"/>
            <relation name="UMR7357" active="#struct-441569" type="direct"/>
            <relation active="#struct-529627" type="direct"/>
            <relation name="FR3627" active="#struct-199013" type="direct"/>
            <relation active="#struct-237692" type="indirect"/>
            <relation active="#struct-303623" type="indirect"/>
            <relation active="#struct-341038" type="indirect"/>
            <relation name="FR3627" active="#struct-441569" type="direct"/>
            <relation active="#struct-529628" type="direct"/>
            <relation name="FR3678" active="#struct-199013" type="direct"/>
            <relation active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-94023" status="VALID">
          <idno type="ROR">https://ror.org/02jhjzd11</idno>
          <orgName>École Nationale du Génie de l'Eau et de l'Environnement de Strasbourg</orgName>
          <orgName type="acronym">ENGEES</orgName>
          <desc>
            <address>
              <addrLine>1 quai Koch - BP 61039 - 67070 Strasbourg Cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://engees.unistra.fr</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-199013" status="VALID">
          <idno type="IdRef">131056549</idno>
          <idno type="ROR">https://ror.org/00pg6eq24</idno>
          <orgName>Université de Strasbourg</orgName>
          <orgName type="acronym">UNISTRA</orgName>
          <desc>
            <address>
              <addrLine>4 rue Blaise Pascal - CS 90032 - 67081 Strasbourg cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.unistra.fr/</ref>
          </desc>
        </org>
        <org type="regrouplaboratory" xml:id="struct-261615" status="VALID">
          <orgName>Institut National des Sciences Appliquées - Strasbourg</orgName>
          <orgName type="acronym">INSA Strasbourg</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.insa-strasbourg.fr/</ref>
          </desc>
          <listRelation>
            <relation active="#struct-301232" type="direct"/>
          </listRelation>
        </org>
        <org type="regroupinstitution" xml:id="struct-301232" status="VALID">
          <idno type="IdRef">162105150</idno>
          <orgName>Institut National des Sciences Appliquées</orgName>
          <orgName type="acronym">INSA</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
        </org>
        <org type="regroupinstitution" xml:id="struct-441569" status="VALID">
          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <idno type="ROR">https://ror.org/02feahw73</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
            <ref type="url">https://www.cnrs.fr/</ref>
          </desc>
        </org>
        <org type="regrouplaboratory" xml:id="struct-529627" status="VALID">
          <idno type="RNSR">201420878M</idno>
          <orgName>Matériaux et Nanosciences Grand-Est</orgName>
          <orgName type="acronym">MNGE</orgName>
          <date type="start">2014-01-01</date>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation name="FR3627" active="#struct-199013" type="direct"/>
            <relation active="#struct-237692" type="direct"/>
            <relation active="#struct-303623" type="direct"/>
            <relation active="#struct-341038" type="direct"/>
            <relation name="FR3627" active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
        <org type="institution" xml:id="struct-237692" status="VALID">
          <idno type="IdRef">026403250</idno>
          <idno type="ISNI">0000000404735039</idno>
          <idno type="ROR">https://ror.org/04k8k6n84</idno>
          <orgName>Université de Haute-Alsace (UHA) Mulhouse - Colmar</orgName>
          <orgName type="acronym">Université de Haute-Alsace (UHA)</orgName>
          <desc>
            <address>
              <addrLine>2, rue des Frères Lumière F-68093 Mulhouse Cedex</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.uha.fr/</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-303623" status="VALID">
          <idno type="IdRef">026388278</idno>
          <idno type="ROR">https://ror.org/02vjkv261</idno>
          <orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
          <orgName type="acronym">INSERM</orgName>
          <desc>
            <address>
              <addrLine>101, rue de Tolbiac, 75013 Paris</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.inserm.fr</ref>
          </desc>
        </org>
        <org type="institution" xml:id="struct-341038" status="VALID">
          <idno type="IdRef">232435103</idno>
          <idno type="ISNI">000000010626358X</idno>
          <idno type="ROR">https://ror.org/02cte4b68</idno>
          <orgName>Institut de Chimie - CNRS Chimie</orgName>
          <orgName type="acronym">INC-CNRS</orgName>
          <date type="start">2009-10-01</date>
          <desc>
            <address>
              <addrLine>CENTRE NATIONAL DE LA RECHERCHE SCIENTIFIQUE3 rue Michel-Ange75794 PARIS CEDEX 16 - France</addrLine>
              <country key="FR"/>
            </address>
            <ref type="url">http://www.cnrs.fr/inc</ref>
          </desc>
        </org>
        <org type="regrouplaboratory" xml:id="struct-529628" status="VALID">
          <orgName>Réseau nanophotonique et optique</orgName>
          <desc>
            <address>
              <country key="FR"/>
            </address>
          </desc>
          <listRelation>
            <relation name="FR3678" active="#struct-199013" type="direct"/>
            <relation active="#struct-237692" type="direct"/>
            <relation active="#struct-441569" type="direct"/>
          </listRelation>
        </org>
      </listOrg>
    </back>
  </text>
</TEI>