1,078 results match your criteria Anterior Glenohumeral Instability


Reverse shoulder arthroplasty in the treatment of glenohumeral instability.

J Shoulder Elbow Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Orthopaedics, Balgrist University Hospital, University of Zürich, Zürich, Switzerland.

Background: Glenohumeral instability is a rare indication for primary reverse total shoulder arthroplasty (RTSA), accounting for fewer than 1% of the indications in the literature. The aim of this study was to analyze the clinical and radiographic outcomes of RTSA for recurrent instability after failed operative repair or instability associated with major bone loss in elderly patients.

Methods: A retrospective matched case-control study was performed. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10582746193006
Publisher Site
http://dx.doi.org/10.1016/j.jse.2019.02.001DOI Listing
April 2019
1 Read

Dynamic Anterior Shoulder Stabilization With the Long Head of the Biceps Tendon: A Biomechanical Study.

Am J Sports Med 2019 Apr 9:363546519833990. Epub 2019 Apr 9.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, Connecticut, USA.

Background: The concept of dynamic anterior shoulder stabilization (DAS) combines a Bankart repair with the additional sling effect of the long head of the biceps (LHB) tendon to treat anterior glenohumeral instability. This surgical technique was created to close the gap between the indications for isolated Bankart repair and those requiring bone transfer techniques.

Purpose: To biomechanically investigate the stabilizing effects of the DAS technique in comparison with the standard Bankart repair in different defect models. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546519833990DOI Listing
April 2019
2 Reads

Editorial Commentary: I Have a Hip Labral Tear? Well, That Makes Sense Because I Had a Labral Tear in My Shoulder Too.

Authors:
Joshua D Harris

Arthroscopy 2019 Apr;35(4):1080-1082

Most acetabular labral tears are caused by abnormal osseous morphology, such as cam and/or pincer morphology and dysplasia. There is a high prevalence of asymptomatic cam morphology, pincer morphology, dysplasia, and acetabular labral tears in the general population. The addition of subjective patient symptoms and objective physical examination findings to imaging (plain radiographs, magnetic resonance imaging, and computed tomography) may yield the diagnosis of femoroacetabular impingement syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2019.01.005DOI Listing
April 2019
2 Reads

Adhesive capsulitis of the shoulder: protocol for the adhesive capsulitis biomarker (AdCaB) study.

BMC Musculoskelet Disord 2019 Apr 5;20(1):145. Epub 2019 Apr 5.

Barwon Centre for Orthopaedic Research and Education (B-CORE), Barwon Health, St John of God Hospital and Deakin University, PO Box 281, Geelong, 3220, Australia.

Background: Adhesive capsulitis (AC) is a disabling and poorly understood pathological condition of the shoulder joint. The current study aims to increase our understanding of the pathogenesis, diagnosis and clinical outcomes of people with AC by investigating: 1) transcriptome-wide alterations in gene expression of the glenohumeral joint capsule in people with AC compared to people with non-inflammatory shoulder instability (controls); 2) serum and urine biomarkers to better understand diagnosis and staging of AC; and 3) clinical outcomes in people with AC compared to controls 12-months following arthroscopic capsular release or labral repair respectively.

Methods: The study is a prospective multi-centre longitudinal study investigating people undergoing arthroscopic capsulotomy for AC compared to people undergoing arthroscopic stabilization for shoulder instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-019-2536-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451260PMC
April 2019
1 Read

Prospective Evaluation of Glenoid Bone Loss After First-time and Recurrent Anterior Glenohumeral Instability Events.

Am J Sports Med 2019 Apr;47(5):1082-1089

Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.

Background:: Determining the amount of glenoid bone loss in patients after anterior glenohumeral instability events is critical to guiding appropriate treatment. One of the challenges in treating the shoulder instability of young athletes is the absence of clear data showing the effect of each event.

Purpose:: To prospectively determine the amount of bone loss associated with a single instability event in the setting of first-time and recurrent instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546519831286DOI Listing
April 2019
2 Reads

Novel and effective arthroscopic extracapsular stabilization technique for anterior shoulder instability-BLS.

Knee Surg Sports Traumatol Arthrosc 2019 Apr 2. Epub 2019 Apr 2.

Department of Orthopedics, St Luke's Hospital, Bystrzańska 94B, 43-316, Bielsko-Biała, Poland.

Purpose: Arthroscopic Bankart repair for the treatment of anterior shoulder instability is associated with a high rate of recurrent instability. Extracapsular stabilization of the glenohumeral joint with enhancement of anterior wall soft tissues may be an effective alternative treatment technique. The aim of this study is to retrospectively assess clinical outcomes in the treatment of anterior shoulder instability using a novel technique of anterior extracapsular stabilization-"between glenohumeral ligaments and subscapularis tendon" (BLS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-019-05496-1DOI Listing

Coracoacromial morphology: a contributor to recurrent traumatic anterior glenohumeral instability?

J Shoulder Elbow Surg 2019 Mar 27. Epub 2019 Mar 27.

Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA; Scientific Computing and Imaging Institute, School of Computing, University of Utah, Salt Lake City, UT, USA; Department of Bioengineering, University of Utah, Salt Lake City, UT, USA. Electronic address:

Background: Although scapular morphology contributes to glenohumeral osteoarthritis and rotator cuff disease, its role in traumatic glenohumeral instability remains unknown. We hypothesized that coracoacromial and glenoid morphology would differ between healthy subjects and patients with recurrent traumatic anterior shoulder instability.

Methods: Computed tomography scans of 31 cadaveric control scapulae and 54 scapulae of patients with recurrent traumatic anterior shoulder instability and Hill-Sachs lesions were 3-dimensionally reconstructed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.01.009DOI Listing
March 2019
2 Reads

An Ancillary Sign in the Diagnosis of Bankart and Bankart Variants in Patients With Glenohumeral Instability on Nonarthrographic Magnetic Resonance Imaging: Preglenoid Fat Thickness.

J Comput Assist Tomogr 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopedic, Medical Faculty, Ataturk University, Erzurum, Turkey.

Objective: We investigated whether preglenoid fat thickness can be used as an ancillary sign for preliminary diagnosis of Bankart and its variants on nonarthrographic magnetic resonance imaging.

Materials And Methods: Sixty-eight anterior dislocation patients were included in this retrospective study. Forty-eight patients with Bankart and its variants, as detected by arthroscopy and magnetic resonance arthrography, were included in the study group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/RCT.0000000000000856DOI Listing

10 Years of Arthroscopic Latarjet Procedure: Outcome and Complications.

Indian J Orthop 2019 Jan-Feb;53(1):102-110

Department of ShoulderTeam, Etzelclinic, Center for Minimally Invasive Surgery, 8808 Pfäffikon, Switzerland.

Background: The treatment of anterior glenohumeral instability with a Bankart repair combined with a capsular plication is a frequently used arthroscopic technique. Latarjet created an open bone block procedure in 1954 for the treatment of anteroinferior glenohumeral instability. This procedure has been further developed by Lafosse in 2003 for arthroscopic surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ortho.IJOrtho_273_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394195PMC

Arthroscopic Trillat Coracoid Transfer Procedure Using a Cortical Button for Chronic Anterior Shoulder Instability.

Arthrosc Tech 2019 Feb 28;8(2):e199-e204. Epub 2019 Jan 28.

Shoulder Unit, Clinique Bizet, Paris, France.

The Trillat procedure has been proposed to treat chronic anterior shoulder instability by performing a closing wedge osteotomy of the coracoid process fixed with a coracoscapular screw above the subscapularis. The goal of this osteotomy is to distalize and medialize the coracoid tip to place the conjoint tendon in front of the glenohumeral joint. This in turn distalizes and reinforces the subscapularis in abduction and allows the conjoint tendon to act as a sling and push the humeral head posteriorly. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2018.10.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6410926PMC
February 2019

First-Time Traumatic Anterior Shoulder Instability Management in the Young and Active Patient.

Bull Hosp Jt Dis (2013) 2019 Mar;77(1):21-32

Anterior instability of the glenohumeral joint is a common and functionally limiting shoulder condition, particularly in young and active patients. In this population, non-operative management has been increasingly demonstrated to be associated with recurrent instability and increased long-term morbidity. Surgical treatment options include both arthroscopic and open techniques. Read More

View Article

Download full-text PDF

Source

Imaging Quantification of Glenoid Bone Loss in Patients With Glenohumeral Instability: A Systematic Review.

AJR Am J Roentgenol 2019 Mar 5:1-10. Epub 2019 Mar 5.

1 Department of Radiology, Musculoskeletal Division, NYU Langone Health, 301 E 17th St, 6th Fl, New York, NY 10003.

Objective: The purpose of this study is to determine the most accurate imaging techniques to measure glenoid bone loss in anterior glenohumeral instability through a systematic review of existing literature.

Materials And Methods: We performed a comprehensive literature search of five databases for original research measuring glenoid bone loss at radiography, CT, or MRI, using prospective or retrospective cohort, case-control, or cadaveric study designs up to January 2018. The Quality Assessment of Diagnostic Accuracy Studies-2 tool aided qualitative assessment of the methods. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2214/AJR.18.20504DOI Listing
March 2019
2 Reads

Bone block procedures for glenohumeral joint instability.

J Clin Orthop Trauma 2019 Mar-Apr;10(2):231-235. Epub 2018 Oct 12.

Department of Trauma & Orthopaedics, Medway NHS Foundation Trust, Windmill Road, Gillingham, Kent, ME7 5NY, UK.

Glenoid bone loss is a well established cause of instability and long term morbidity if not adequadely addressed. Anterior glenohumeral instability due an anterior glenoid defect is significantly more common, and for many years has been well treated with open anterior bone block augmentation procedures, most commonly the latarjet procedure. However, with refinement of this technique and some interest in reducing morbidity associated with iliac crest bone harvest, arthroscopic bone block procedures with allograft has become more popular. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcot.2018.10.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383128PMC
October 2018
1 Read

Arthroscopic Bankart repair following traumatic recurrent shoulder dislocation: A prospective review of 30 cases.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019832708

2 Department of Orthopaedics, Military Hospital, Bagdogra, Siliguri, West Bengal, India.

Background:: Literature on outcomes of arthroscopic Bankart repair at the intervening time intervals in traumatic recurrent dislocation of shoulder joint is limited.

Study Design:: Case series.

Subjects And Methods:: A prospective review of 30 shoulders, aged 20-40 years with clinically and magnetic resonance imaging established findings that were treated with primary arthroscopic Bankart repair and followed up for a minimum of 2 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499019832708DOI Listing
March 2019
1 Read

Arthroscopic anterior shoulder stabilisation in overhead sport athletes: 5-year follow-up.

Ir J Med Sci 2019 Feb 15. Epub 2019 Feb 15.

Department of Trauma & Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.

Introduction: Shoulder instability following traumatic glenohumeral dislocation is a common injury sustained by athletes particularly in contact and collision sports. Overhead contact sports such as gaelic football and hurling pose a unique hazard to the glenohumeral joint, increasing the risk of dislocation.

Aims: To assess return to sport, level of play, recurrence and functional outcomes in gaelic football and hurling athletes in comparison with players of other sports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11845-019-01986-wDOI Listing
February 2019
1 Read

Comparative Systematic Review of Fixation Methods of the Coracoid and Conjoined Tendon in the Anterior Glenoid to Treat Anterior Shoulder Instability.

Orthop J Sports Med 2019 Jan 25;7(1):2325967118820539. Epub 2019 Jan 25.

University of São Paulo, São Paulo, Brazil.

Background: Coracoid process transfer for the treatment of recurrent glenohumeral dislocations is a safe and reliable procedure; however, there is no consensus as to which is the best method, the Bristow or Latarjet procedure.

Purpose: To analyze the results of coracoid process transfer for the treatment of recurrent glenohumeral dislocations and to compare the results of this transfer between the Bristow and Latarjet techniques.

Study Design: Systematic review; Level of evidence, 4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967118820539DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348521PMC
January 2019
5 Reads

A comparison of glenohumeral joint translation between young and older asymptomatic adults using ultrasonography: a secondary analysis.

Physiother Theory Pract 2019 Feb 1:1-9. Epub 2019 Feb 1.

a Department of Pharmacy and Applied Science , La Trobe University , Bendigo , VIC , Australia.

Background: The rotator cuff muscles are subject to age-related changes, but the effect of aging on glenohumeral joint stability is poorly understood.

Objectives: This study aimed to compare glenohumeral joint translation in asymptomatic young and older people.

Methods: Twenty young (23. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/09593985.2019.1571138DOI Listing
February 2019
1 Read

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 Mar 30;47(3):682-687. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose:: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518819199DOI Listing
March 2019
14 Reads

The role of bone in glenohumeral stability.

EFORT Open Rev 2018 Dec 20;3(12):632-640. Epub 2018 Dec 20.

Università degli Studi di Roma La Sapienza, Dipartimento di Medicina Sperimentale, Trauma and Orthopaedics, Rome, Italy.

Shoulder stability depends on several factors, either anatomical or functional. Anatomical factors can be further subclassified under soft tissue (shoulder capsule, glenoid rim, glenohumeral ligaments etc) and bony structures (glenoid cavity and humeral head).Normal glenohumeral stability is maintained through factors mostly pertaining to the scapular side: glenoid version, depth and inclination, along with scapular dynamic positioning, can potentially cause decreased stability depending on the direction of said variables in the different planes. Read More

View Article

Download full-text PDF

Source
https://online.boneandjoint.org.uk/doi/10.1302/2058-5241.3.1
Publisher Site
http://dx.doi.org/10.1302/2058-5241.3.180028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335605PMC
December 2018
10 Reads

Axillary Artery Injury Following Closed Reduction of an Age-Indeterminate Anterior Glenohumeral Dislocation.

J Orthop Case Rep 2018 Jul-Aug;8(4):53-56

Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA.

Introduction: Axillary artery injury is a rare and potentially devastating sequelae of glenohumeral dislocation. While neurovascular exam is critical in all presentations, the presence of "soft" and/or "hard" signs should prompt a more thorough examination and possible employment of advanced imaging techniques.

Case Report: We present a case of a 51-year-old male with an axillary artery injury associated with an anterior glenohumeral dislocation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343555PMC
January 2019
2 Reads

The Development Process of Bipolar Bone Defects From Primary to Recurrent Instability in Shoulders With Traumatic Anterior Instability.

Am J Sports Med 2019 Mar 23;47(3):695-703. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

Background:: Recurrence of glenohumeral joint instability after primary traumatic anterior instability is not rare, and bipolar bone loss is one of the most critical factors for recurrent instability, but the development process of bipolar bone defects is still unclear.

Purpose:: To investigate the development process of bipolar bone defects from primary to recurrent instability among shoulders with traumatic anterior instability evaluated at least twice by computed tomography (CT).

Study Design:: Case series; Level of evidence, 4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518819471DOI Listing

Comparison Between Modified Latarjet Performed as a Primary or Revision Procedure in Competitive Athletes: A Comparative Study of 100 Patients With a Minimum 2-Year Follow-up.

Orthop J Sports Med 2018 Dec 21;6(12):2325967118817233. Epub 2018 Dec 21.

Department of Orthopedics and Traumatology, Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Background: The literature lacks evidence comparing outcomes between the Latarjet procedure performed as a primary procedure versus a revision procedure in competitive athletes.

Purpose: To compare return to sport, functional outcomes, and complications of the modified Latarjet performed as a primary or revision procedure in competitive athletes.

Study Design: Cohort study; Level of evidence, 3. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967118817233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304702PMC
December 2018
10 Reads

Arthroscopic Remplissage for Anterior Shoulder Instability: A Systematic Review of Clinical and Biomechanical Studies.

Arthroscopy 2019 Feb 3;35(2):617-628. Epub 2019 Jan 3.

Midwest Orthopedics at Rush, Rush University Medical Center, Chicago, Illinois, U.S.A.

Purpose: To examine the clinical outcomes and biomechanical data supporting the use of the remplissage procedure.

Methods: A query of the Embase, PubMed, Scopus, and Web of Science databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines from 2000 to 2017. Data were extracted from included studies for a qualitative review of both clinical and biomechanical outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.09.029DOI Listing
February 2019
4 Reads

Is the Instability Severity Index Score a Valid Tool for Predicting Failure After Primary Arthroscopic Stabilization for Anterior Glenohumeral Instability?

Arthroscopy 2019 Feb 3;35(2):361-366. Epub 2019 Jan 3.

Department of Biomedical Sciences, Humanitas University, Milan, Italy; Department of Orthopaedic and Trauma Surgery, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.

Purpose: To assess the validity of the Instability Severity Index Score in predicting the rate of recurrence of dislocation in patients undergoing arthroscopic Bankart repair.

Methods: The inclusion criteria were recurrent anterior traumatic glenohumeral instability and a minimum follow-up of 5 years. According to the preoperative Instability Severity Index Score, patients were divided into the following groups: ≤3 points (A), 4 to 6 points (B), and >6 points (C). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.09.027DOI Listing
February 2019
2 Reads

Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions.

Arthrosc Tech 2018 Dec 19;7(12):e1281-e1287. Epub 2018 Nov 19.

The Steadman Clinic, Vail, Colorado, U.S.A.

Anterior shoulder instability often results from avulsion of the anterior inferior glenohumeral ligament (aIGHL) off its insertion on the glenoid, yielding a Bankart lesion. Although less common, avulsion of the ligament attachment to the humerus results in a humeral avulsion of the glenohumeral ligament (HAGL) lesion. Combined Bankart and HAGL lesions, also termed the "floating aIGHL," create a complex pathology that is not detailed significantly in the literature. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S22126287183014
Publisher Site
http://dx.doi.org/10.1016/j.eats.2018.08.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305904PMC
December 2018
2 Reads

[Finite element analysis of the influence of anchorage number and location on Bankart repair strength of shoulder joint].

Zhongguo Gu Shang 2018 Dec;31(12):1136-1139

Department of Orthopaedics, the Second People's Hospital of Liaocheng, Linqing 252601, Shandong, China;

Objective: To study the influence of the number and position of anchor nails on the Bankart repair by the finite element analysis.

Methods: The 3D CT data of shoulder joints including normal adult volunteers were imported into Mimics 10.0 and Geomagic 2012 software to reconstruct the related tissues, and then meshed in Hypermesh 13. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3969/j.issn.1003-0034.2018.12.012DOI Listing
December 2018
18 Reads

Axillary Nerve Position in Humeral Avulsions of the Glenohumeral Ligament.

Orthop J Sports Med 2018 Dec 5;6(12):2325967118811044. Epub 2018 Dec 5.

Department of Mathematics and Statistics, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.

Background: The axillary nerve is at risk during repair of a humeral avulsion of the glenohumeral ligament (HAGL).

Purpose: To measure the distance between the axillary nerve and the free edge of a HAGL lesion on preoperative magnetic resonance imaging (MRI) and compare these findings to the actual intraoperative distance measured during open HAGL repair.

Study Design: Case series; Level of evidence, 4. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/2325967118811044
Publisher Site
http://dx.doi.org/10.1177/2325967118811044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287306PMC
December 2018
14 Reads

A three-dimensional scapular motion analysis in patients with arthroscopic anterior capsulolabral repair of the shoulder: The effect of scapular stabilization taping.

J Orthop Sci 2018 Dec 8. Epub 2018 Dec 8.

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

Background: The aim of this study was to investigate the scapular kinematics during dynamic humeral movements in patients with arthroscopic anterior capsulolabral repair of the shoulder along with the potential biomechanical corrective effects of scapular stabilization taping.

Methods: Twenty patients with unilateral traumatic anterior shoulder instability and arthroscopic anterior capsulolabral repair participated in the study. Dynamic shoulder kinematics were assessed during the scapular plane shoulder elevation for both the operated and non operated shoulders and also under two conditions: no-taping and taping. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jos.2018.11.005DOI Listing
December 2018
3 Reads

Anterior Glenohumeral Capsular Reconstruction Using a Human Acellular Dermal Allograft.

Arthrosc Tech 2018 Nov 29;7(11):e1235-e1241. Epub 2018 Oct 29.

Dalhousie University, Halifax, Nova Scotia, Canada.

Anterior capsular reconstruction needs to be done for most cases of anterior shoulder instability. Several surgical techniques using tendinous allografts and autografts have been used for the treatment of anterior glenohumeral capsular reconstruction. However, the outcomes of these procedures are not satisfactory. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2018.08.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261715PMC
November 2018
3 Reads

It's Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery.

Am J Sports Med 2018 Dec 10:363546518810711. Epub 2018 Dec 10.

Royal Devon and Exeter Hospital, Exeter, UK.

Background:: The surgical treatment of recurrent shoulder instability has evolved in recent years to include a variety of soft tissue and bone block procedures, undertaken with either an open or arthroscopic approach. Although the utilization of such techniques has rapidly expanded, the associated risk of complications remains poorly defined. This information is vital for clinical decision making and patient counseling. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518810711DOI Listing
December 2018
4 Reads

Bilateral shoulder proprioception deficit in unilateral anterior shoulder instability.

J Shoulder Elbow Surg 2019 Mar 28;28(3):561-569. Epub 2018 Nov 28.

Department of Traumatology, Orthopaedics and Hand Surgery, University of Medical Sciences in Poznan, Poznań, Poland.

Hypothesis And Background: Proprioception is an important element of shoulder dynamic stability. It has been shown to be affected in cases of capsular or labral injuries of the glenohumeral joint. Therefore, this study was conducted to investigate bilateral shoulder proprioception by active reproduction of joint position both in patients with post-traumatic recurrent unilateral shoulder instability and in normal healthy volunteers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.08.034DOI Listing
March 2019
10 Reads

Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment.

Orthop J Sports Med 2018 Nov 16;6(11):2325967118805983. Epub 2018 Nov 16.

Dalhousie University, Halifax, Nova Scotia, Canada.

Background: Anterior shoulder instability is the most common sequela of shoulder dislocation and can result in repeated dislocations or subluxation of the glenohumeral joint. Anterior shoulder instability can be treated conservatively or surgically with several procedures.

Purpose: To date, arthroscopic Bankart is the most common surgical procedure for the treatment of anterior shoulder instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967118805983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6243418PMC
November 2018
17 Reads

Biomechanics of posterior shoulder instability - current knowledge and literature review.

World J Orthop 2018 Nov 18;9(11):245-254. Epub 2018 Nov 18.

Department of Orthopedic Surgery, New York Presbyterian/Columbia University Medical Center, New York, NY 10032, United States.

Posterior instability of the shoulder is a rare condition and represents about 10% of shoulder instability. It has become more frequently recognized in the last year, even though it is more difficult to diagnose than anterior shoulder instability. As this form of shoulder pathology is somewhat rare, biomechanical knowledge is limited. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5312/wjo.v9.i11.245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242730PMC
November 2018
2 Reads

ARTHROSCOPIC LATARJET TECHNIQUE COMBINED WITH ENDOBUTTONS: FUNCTIONAL OUTCOMES IN 26 CASES.

Acta Ortop Bras 2018 ;26(5):328-331

Universidade de São Paulo, Faculdade de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: The cause of anterior shoulder instability is not fully understood and surgical management remains controversial. The objective of this study was to evaluate the results of patients undergoing arthroscopic Latarjet procedure with endobuttons.

Methods: A retrospective study of 26 patients undergoing arthroscopic Latarjet procedure with endobuttons to treat anterior shoulder instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220182605208650DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220660PMC
January 2018
23 Reads
0.156 Impact Factor

Epidemiology of the Frequency, Etiology, Direction, and Severity (FEDS) system for classifying glenohumeral instability.

J Shoulder Elbow Surg 2019 Jan 19;28(1):95-101. Epub 2018 Oct 19.

Vanderbilt Sports Medicine, Nashville, TN, USA.

Hypothesis: The purpose of this multicenter epidemiologic study was to determine the distribution of patients within the Frequency, Etiology, Direction, and Severity (FEDS) classification system to determine which categories are of clinical importance.

Methods: Shoulder instability patients were identified using International Classification of Diseases, Ninth Revision coding data from 3 separate institutions from 2005-2010. Data were collected retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.08.014DOI Listing
January 2019
8 Reads

A reduction in the rate of nerve injury after Latarjet: a before-after study after neuromonitoring.

J Shoulder Elbow Surg 2018 Dec 15;27(12):2153-2158. Epub 2018 Oct 15.

Boston Shoulder Institute, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

Background: Neurologic dysfunction is a known complication after the open Latarjet procedure. Although the reported clinical incidence is variable, a prior neuromonitoring study demonstrated a significant incidence of nerve dysfunction during surgery, presumably from nerve stretch. We aimed to determine whether a nerve stretch-reduction protocol reduced the incidence of neurologic injury after the open Latarjet procedure. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10582746183038
Publisher Site
http://dx.doi.org/10.1016/j.jse.2018.05.028DOI Listing
December 2018
9 Reads

Contribution of arthroscopy in the treatment of anterior glenoid rim fractures: a comparison with open surgery.

J Shoulder Elbow Surg 2019 Jan 24;28(1):42-47. Epub 2018 Sep 24.

Société Française de Chirurgie Orthopédique et Traumatologique (SOFCOT), Paris, France.

Background: This study assessed the clinical and radiologic outcomes of Ideberg type IA glenoid fractures treated using conventional open surgery compared with those treated with arthroscopic surgery.

Materials And Methods: This was a retrospective, multicenter study of anterior glenoid rim fractures (Ideberg IA) treated with conventional open surgery (group O) or arthroscopic surgery (group A). Included were 56 patients: 10 in group O and 46 in group A. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10582746183051
Publisher Site
http://dx.doi.org/10.1016/j.jse.2018.07.008DOI Listing
January 2019
6 Reads

The Safety of a Far Medial Arthroscopic Portal for Anatomic Glenoid Reconstruction: A Cadaveric Study.

Orthop J Sports Med 2018 Sep 17;6(9):2325967118795404. Epub 2018 Sep 17.

Dalhousie University, Halifax, Nova Scotia, Canada.

Background: An arthroscopic technique for anatomic glenoid reconstruction has been proposed for the treatment of glenohumeral bone loss in patients with recurrent shoulder instability. This technique is proposed as an alternative to open techniques as well as to the technically challenging arthroscopic Latarjet procedure. In arthroscopic anatomic glenoid reconstruction, a distal tibial allograft is inserted through a novel far medial portal, superior to the subscapularis tendon and lateral to the conjoint tendon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967118795404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141923PMC
September 2018

Open Surgical Stabilization of Glenohumeral Dislocations.

JBJS Essent Surg Tech 2018 Jun 13;8(2):e17. Epub 2018 Jun 13.

Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.

Traumatic anterior shoulder dislocations are the most common dislocations of the shoulder, and the recurrence rate is high when they are treated nonoperatively in young patients (<30 years old). This has led to a trend toward early surgical stabilization. Originally open Bankart repair was considered the standard of care, with good clinical outcomes and a low recurrence rate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.ST.17.00052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6143311PMC
June 2018
1 Read

Shoulder Instability: Interobserver and Intraobserver Agreement in the Assessment of Labral Tears.

Orthop J Sports Med 2018 Sep 6;6(9):2325967118793372. Epub 2018 Sep 6.

Investigation performed at the University of Iowa, Iowa City, Iowa, USA.

Background: The glenohumeral joint combines large range of motion and insufficient bony stabilization, making it susceptible to instability and dislocations. Arthroscopic surgery is routinely used as a diagnostic tool and has been considered the gold standard for the diagnosis of shoulder lesions. However, several studies have demonstrated variability in intraobserver and interobserver agreement. Read More

View Article

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1177/2325967118793372
Publisher Site
http://dx.doi.org/10.1177/2325967118793372DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128077PMC
September 2018
21 Reads

Recurrence After Arthroscopic Labral Repair for Traumatic Anterior Instability in Adolescent Rugby and Contact Athletes.

Am J Sports Med 2018 Oct 10;46(12):2969-2974. Epub 2018 Sep 10.

The Arm Clinic, HCA The Wilmslow Hospital, Wilmslow, UK.

Background: Traumatic glenohumeral dislocation of the shoulder is one of the most common shoulder injuries, especially among adolescent athletes. The treatment of instability for young athletes continues to be controversial owing to high recurrence rates.

Purpose: To investigate the recurrence rate of shoulder instability after arthroscopic capsulolabral repair for adolescent contact and collision athletes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518794673DOI Listing
October 2018
2 Reads

Current Concepts in the Evaluation and Management of Type II Superior Labral Lesions of the Shoulder.

Open Orthop J 2018 31;12:331-341. Epub 2018 Jul 31.

Tulane University School of Medicine, Department of Orthpaedic Surgery, New Orleans, LA 70112, USA.

Background: Superior labrum tears extending from anterior to posterior (SLAP lesion) are a cause of significant shoulder pain and disability. Management for these lesions is not standardized. There are no clear guidelines for surgical versus non-surgical treatment, and if surgery is pursued there are controversies regarding SLAP repair versus biceps tenotomy/tenodesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1874325001812010331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110065PMC
July 2018
4 Reads

Editorial Commentary: Science Bearing Fruit: Can the Inverted Pear Be Quantified?

Authors:
Mark J Lemos

Arthroscopy 2018 Sep;34(9):2567-2568

It has been reported and verified that anterior glenoid bone loss can lead to increased instability of the glenohumeral joint. Many authors have tried to quantify glenoid bone loss in recurrent instability of the glenohumeral joint. Techniques have included radiographic, magnetic resonance imaging, computed tomography (CT), 3-dimensional CT, and arthroscopic visualization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.05.024DOI Listing
September 2018

Concurrent validity of handheld dynamometer measurements for scapular protraction strength.

Braz J Phys Ther 2018 Aug 21. Epub 2018 Aug 21.

Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil.

Background: Handheld dynamometers (HHD) provide quick and low-cost assessments of muscle strength and their use has been increasing in clinical practice. There is no available data related to the validity of HHD for this measurement.

Objective: To verify the concurrent validity of scapular protraction measurements using an HHD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjpt.2018.08.002DOI Listing
August 2018
26 Reads

Ninety-day complications following the Latarjet procedure.

J Shoulder Elbow Surg 2019 Jan 16;28(1):88-94. Epub 2018 Aug 16.

Rothman Institute, New York, NY, USA.

Background: The purpose of this study was to describe the rate and type of complications occurring within 90 days following the Latarjet procedure for anterior glenohumeral instability.

Methods: Consecutive patients undergoing the Latarjet procedure by fellowship-trained surgeons from a single institution between 2007 and 2016 were included for analysis. Indications for the Latarjet procedure included primary or recurrent anterior instability with clinically significant anterior glenoid bone loss and/or failed prior arthroscopic stabilization. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.06.022DOI Listing
January 2019
39 Reads

The epidemiology of MRI detected shoulder injuries in athletes participating in the Rio de Janeiro 2016 Summer Olympics.

BMC Musculoskelet Disord 2018 Aug 17;19(1):296. Epub 2018 Aug 17.

Section of Musculoskeletal Imaging, Department of Radiology, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Ave., Boston, MA, 02118, USA.

Background: To use Magnetic Resonance Imaging (MRI) to characterize the severity, location, prevalence, and demographics of shoulder injuries in athletes at the Rio de Janeiro 2016 Summer Olympic Games.

Methods: This was a retrospective analysis of all routine shoulder MRIs obtained from the Olympic Village Polyclinic during the Rio 2016 Summer Olympics. Imaging was performed on 1. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-018-2224-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6097204PMC
August 2018
11 Reads

Age-Related Changes of Elastic Fibers in Shoulder Capsule of Patients with Glenohumeral Instability: A Pilot Study.

Biomed Res Int 2018 18;2018:8961805. Epub 2018 Jul 18.

Shoulder and Elbow Unit, "D. Cervesi" Hospital, Cattolica-AUSL della Romagna, Ambito Rimini, Italy.

Background: Recurrent shoulder dislocations occur much more frequently in adolescents than in the older population but a clear explanation of this incidence does not exist. The aim of the present study was to define the age-related distribution of the elastic fibers (EFs) in the shoulder capsule's extracellular matrix as a factor influencing shoulder instability.

Materials And Methods: Biopsy specimens were obtained from the shoulder capsule of patients divided preoperatively into three groups: Group 1 consisted of 10 male patients undergoing surgery for unidirectional traumatic anterior instability (TUBS); Group 2 consisted of 10 male patients undergoing surgery for multidirectional instability (MDI); Group 3 represents the control, including 10 patients with no history of instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/8961805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076904PMC
January 2019
1 Read