7,888 results match your criteria Dislocation Shoulder


Non-fracture stem vs fracture stem of reverse total shoulder arthroplasty in complex proximal humeral fracture of asian elderly.

Arch Orthop Trauma Surg 2019 Apr 20. Epub 2019 Apr 20.

Department of Orthopaedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 64, Daeheung-ro, Jung-gu, Daejeon, 34943, South Korea.

Purpose: Fracture stem of the reverse total shoulder arthroplasty (RTSA) was designed for better tuberosity bone healing for the proximal bone defect of complex proximal humeral fractures (PHF). Our purpose was to compare the clinical and radiological outcomes of patients using fracture stem vs non-fracture (conventional) stem of RTSA in complex PHF of elderly patients.

Methods: Between 2008 March and 2017 June, 48 patients who had undergone an RTSA with non-fracture or fracture stem for complex PHF with a minimum 18 months of follow-up were evaluated. Read More

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http://dx.doi.org/10.1007/s00402-019-03190-yDOI Listing

Sex-related differences in patients undergoing surgery for shoulder instability: a Multicenter Orthopaedic Outcomes Network (MOON) Shoulder Instability cohort study.

J Shoulder Elbow Surg 2019 Apr 16. Epub 2019 Apr 16.

University of Kentucky Orthopaedic Surgery and Sports Medicine, Lexington, KY, USA.

Hypothesis And Background: Male sex has been identified as a risk factor for both primary shoulder dislocation and recurrent instability, and male patients more often undergo surgery for instability. Despite published discrepancies between sexes regarding the incidence and surgical rates of shoulder instability, there is little detail on the differences in presentation, mechanism of injury, and intraoperative findings. The purpose of this study was to explore these differences. Read More

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http://dx.doi.org/10.1016/j.jse.2019.02.020DOI Listing

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

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

Clinical outcomes and radiologic assessment of a modified suture button arthroscopic Latarjet procedure.

BMC Musculoskelet Disord 2019 Apr 16;20(1):173. Epub 2019 Apr 16.

Department of Sports Medicine, Shenzhen Second People's Hospital, Shenzhen First Affiliated Hospital, Shenzhen University, No.3002 Sungang West Road, Futian district, Shenzhen, 518000, Guangdong Province, China.

Background: As several neurologic and hardware complications have been reported with screw fixation. Suture buttons are used to serve as an alternative to screw fixation to obtain better outcome and to reduce the complication. The purpose of this study was to observe the clinical outcomes and make the radiologic assessment of a modified suture button (MSB) arthroscopic Latarjet procedure. Read More

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http://dx.doi.org/10.1186/s12891-019-2544-xDOI Listing
April 2019
1 Read

DOES SURGEON SPECIALIZATION CHANGE THE PROXIMAL HUMERAL OSTEO-SYNTHESIS APPROACH?

Acta Ortop Bras 2019 Mar-Apr;27(2):113-115

Universidade Estadual de Campinas (UNICAMP), Department of Orthopedics and Traumatology, Shoulder and Elbow Group, Campinas, São Paulo, Brazil.

Objective: To evaluate the choice of surgical approach among Brazilian orthopedists and whether shoulder surgery specialty training or duration of experience influences the decision-making.

Methods: A questionnaire on the preferred approach and complications was administered to orthopedic surgeons with and without shoulder specialization training. The chi-square test or Fisher's exact test was applied. Read More

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http://dx.doi.org/10.1590/1413-785220192702212055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442719PMC
April 2019
2 Reads

Impact of Remplissage on Global Shoulder Outcome: A Long-Term Comparative Study.

Arthroscopy 2019 Apr 12. Epub 2019 Apr 12.

Groupe Maussins, Clinique de l'épaule, Clinique Maussins Nollet, Groupe Ramsay Générale de Santé, Paris, France. Electronic address:

Purpose: To evaluate the global function of patients treated by arthroscopic shoulder stabilization with or without remplissage at a minimum of 10 years of follow-up.

Materials: The inclusion criteria were existence of a recurrent anterior shoulder dislocation, with or without a Hill-Sachs lesion. The exclusion criteria were prior shoulder stabilization surgery and patients with a glenoid lesion that had been stabilized using the Latarjet procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063193004
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http://dx.doi.org/10.1016/j.arthro.2019.01.013DOI Listing
April 2019
2 Reads

Comparison of Clinical Outcomes and CT Analysis for Tunnel Diameter After Arthroscopic Bankart Repair With the All-Suture Anchor and the Biodegradable Suture Anchor.

Arthroscopy 2019 Apr 12. Epub 2019 Apr 12.

Department of Orthopedic Surgery, Ewha Womans University, School of Medicine, Seoul, Korea. Electronic address:

Purpose: To compare the clinical outcomes and radiological findings at the anchor site after arthroscopic Bankart repair with all-suture anchors and biodegradable suture anchors in patients with recurrent anterior shoulder dislocation.

Methods: The patients who underwent arthroscopic Bankart repair were divided into 2 groups depending on the type of the suture anchor used in different periods. Power analysis was designed based on the postoperative Rowe score. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.12.011DOI Listing
April 2019
1 Read

Isolated open anterior shoulder release in brachial plexus birth palsy.

J Shoulder Elbow Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Orthopedics, Service of Hand Surgery, Clinique du Mont Louis, Paris, France.

Background: In children with brachial plexus birth palsy (BPBP), a shoulder joint internal contracture is commonly observed, which may result in glenohumeral osseous deformities and posterior joint subluxation. The purpose of this retrospective study was to evaluate the impact of an isolated anterior shoulder release on osteoarticular disorders and assess the subsequent clinical improvements.

Methods: Forty consecutive BPBP patients with glenohumeral dysplasia underwent an open anterior shoulder release. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.016DOI Listing
April 2019
2 Reads

Measuring glenoid and humeral bone loss in shoulder dislocation.

Authors:
James F Griffith

Quant Imaging Med Surg 2019 Feb;9(2):134-143

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

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http://dx.doi.org/10.21037/qims.2019.01.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414777PMC
February 2019
1 Read

Unorthodox Use of Point-of-care Ultrasound to Evaluate Seizures.

Cureus 2019 Jan 25;11(1):e3960. Epub 2019 Jan 25.

Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.

It can be difficult to distinguish between syncope and seizure. Some stigmata of seizure include post-ictal period, tongue-biting or incontinence. A less common finding after a seizure is a posterior shoulder dislocation. Read More

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http://dx.doi.org/10.7759/cureus.3960DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436670PMC
January 2019
1 Read

Most coronoid fractures and fracture-dislocations with no radial head involvement can be treated nonsurgically with elbow immobilization.

J Shoulder Elbow Surg 2019 Apr 4. Epub 2019 Apr 4.

Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery and Trauma Department, Fundación Jiménez Díaz University Hospital, Madrid, Spain.

Hypothesis: Conservative treatment of isolated coronoid fractures and fracture-dislocations focused on soft-tissue healing can provide good clinical results in the majority of patients. Our aims were (1) to evaluate the outcome of a conservative treatment protocol designed for isolated coronoid fractures with or without associated elbow dislocations (ICFs) and (2) to characterize the fractures with a dedicated image analysis protocol.

Methods: Of 38 consecutive patients sustaining acute ICFs, 28 were treated nonsurgically after meeting specific inclusion criteria, prospectively followed up, and clinically evaluated at least 1 year after sustaining their injuries. Read More

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http://dx.doi.org/10.1016/j.jse.2019.01.005DOI Listing
April 2019
3 Reads

Instability severity index score values below 7 do not predict recurrence after arthroscopic Bankart repair.

Knee Surg Sports Traumatol Arthrosc 2019 Apr 6. Epub 2019 Apr 6.

Unidad de Hombro y Codo, Hospital Universitario Ramón y Cajal, Cta Colmenar Km 9, 100, 28034, Madrid, Spain.

Purpose: To evaluate the efficacy of the Instability Severity Index Score (ISIS) in predicting an increased recurrence risk after an arthroscopic Bankart repair.

Methods: Retrospective review of a cohort of patients operated in three different centres. The inclusion criteria (recurrent anterior instability [dislocation or subluxation] with or without hyperlaxity, arthroscopic Bankart repair) and the exclusion criteria (concomitant rotator cuff lesion, acute first-time dislocation, surgery after a previous anterior stabilization, surgery for an unstable shoulder without true dislocation or subluxation; multidirectional instability) were those used in the study that defined the ISIS score. Read More

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http://dx.doi.org/10.1007/s00167-019-05471-wDOI Listing
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

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

Thrombolysis for atlantoaxial dislocation mimicking acute ischemic stroke: Case report and review.

Am J Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

Stroke Center and Department of Neurology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan; School of Medicine, Tzu Chi University, Hualien, Taiwan. Electronic address:

The frequency of stroke mimics among stroke patients has been reported to be up to 30%, and that in patients who receive thrombolytic therapy ranges between 1% and 16%. Atlantoaxial dislocation with myelopathy mimicking stroke is extremely rare. An 83-year-old man with a history of old cerebellar infarction presented to the emergency department with acute left hemiplegia after a chiropractic manipulation of the neck and back several hours before symptom onset. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.03.044DOI Listing
March 2019
2 Reads

A case report of ten-month-neglected anterior shoulder dislocation managed by open reduction combined with Latarjet procedure.

Int J Surg Case Rep 2019 Mar 21;57:93-96. Epub 2019 Mar 21.

Department of Orthopaedics and Traumatology, Cipto Mangunkusumo General Hospital/Faculty of Medicine Universitas Indonesia, Salemba Raya No. 6, Jakarta 10430, Indonesia.

Introduction: Neglected shoulder dislocation is a rare case and may be accompanied by pathological changes in bony and soft tissue structure. Therefore, it requires extensive surgical procedure. Until now, there is no standard treatment protocol to overcome this case and it is still a challenging case. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441765PMC
March 2019
2 Reads

Routine X-rays for suspected frozen shoulder offer little over diagnosis based on history and clinical examination alone.

Musculoskeletal Care 2019 Mar 29. Epub 2019 Mar 29.

Integrated Physiotherapy, Orthopaedic and Pain Service, Samuel Johnson Hospital, Lichfield, UK.

Introduction: Frozen shoulder is a common condition, and current guidelines state that it is a diagnosis of exclusion. Along with a history and clinical examination, routine X-ray is mandated, to rule out any "masquerading" pathology such as fracture, dislocation, metastatic lesions or severe osteoarthritis. Despite the certainty of the guidelines there is a lack of evidence to support the use of routine X-rays in this situation. Read More

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http://dx.doi.org/10.1002/msc.1396DOI Listing
March 2019
1 Read

Position of Coracoid Button Predicts Loss of Reduction in Acromioclavicular Joint Dislocation Patients Treated With the Suture-Button.

J Invest Surg 2019 Mar 28:1-6. Epub 2019 Mar 28.

a Department of Orthopaedic Surgery , the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, and Zhejiang Provincial Key Laboratory of Orthopaedics , Wenzhou , Zhejiang , China.

Background: Loss of reduction is the most common complication after acromioclavicular (AC) joint dislocation treated with the suture-button. Some predictors of it are known, but finding new predictors is an ongoing process. In this study, we evaluate the importance of the position of the coracoid button. Read More

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http://dx.doi.org/10.1080/08941939.2019.1593557DOI Listing
March 2019
2 Reads

Augmentation of plate osteosynthesis for proximal humeral fractures: a systematic review of current biomechanical and clinical studies.

Arch Orthop Trauma Surg 2019 Mar 22. Epub 2019 Mar 22.

Hospital of Trauma Surgery, University of Munich (LMU), Nussbaumstr. 20, 80336, Munich, Germany.

Introduction: Secondary dislocation due to loss of fixation is the most common complication after plate fixation of proximal humeral fractures. A wide range of different techniques for augmentation has been described to improve the primary and secondary stability. Nevertheless, comparative analyses on the specific advantages and limitations are missing. Read More

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http://dx.doi.org/10.1007/s00402-019-03162-2DOI Listing
March 2019
1 Read

Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation.

BMJ Open Sport Exerc Med 2019 7;5(1):e000447. Epub 2019 Mar 7.

School of Health Sciences, University of Brighton, Brighton, UK.

Objective: To develop a multivariate tool that would predict recurrent instability after a first-time traumatic anterior shoulder dislocation.

Methods: Participants (aged 16-40 years) were recruited across New Zealand into a prospective cohort study. Baseline data were collected during a telephone interview and through examination of radiology records. Read More

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http://bmjopensem.bmj.com/lookup/doi/10.1136/bmjsem-2018-000
Publisher Site
http://dx.doi.org/10.1136/bmjsem-2018-000447DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407568PMC
March 2019
6 Reads

Upper limb deep vein thrombosis as complication of acromioclavicular joint dislocation.

Rev Esp Cir Ortop Traumatol 2019 Mar 18. Epub 2019 Mar 18.

Servicio de Cirugía Ortopédica y Traumatología, Hospital General Obispo Polanco, Teruel, España.

Around 5%-10% of deep vein thrombosis occurs in the upper limb. Its most frequent cause is usually cancer, central venous catheter, radio-chemotherapy or hormonal treatment. Less commonly, trauma around the shoulder region can also be a cause of deep vein thrombosis. Read More

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http://dx.doi.org/10.1016/j.recot.2018.11.002DOI Listing
March 2019
2 Reads

The Diagnosis and Treatment of Acute Dislocation of the Acromioclavicular Joint.

Dtsch Arztebl Int 2019 Feb;116(6):89-95

German Center of Shoulder Surgery, ATOS Clinic Munich, Department of Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany; Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany; Upper Extremity Department, Schulthess Clinic Zurich; Center for Musculoskeletal Surgery (CMSC), Charité-University Medicine Berlin, Berlin, Germany; Department of Orthopedic Surgery, Alfried Krupp Hospital Essen, Essen, Germany; Department of Sports Orthopedics, Marienkrankenhaus Kaiserswerth, Düsseldorf, Germany; Department of Orthopedics and Trauma Surgery, University Hospital Freiburg, Freiburg, Germany; The authors are members of the Shoulder Committee of the German Society of Arthroscopy and Joint Surgery (AGA, Deutsche Gesellschaft für Arthroskopie und Gelenkchirurgie).

Background: The acromioclavicular joint (ACJ) is one of the more common sites of shoulder girdle injury, accounting for 4-12% of all such injuries, with an incidence of 3-4 cases per 100 000 persons per year in the general population. Current topics of debate include the proper standard diagnostic evaluation, the indications for surgery, and the best operative method.

Methods: This review is based on publications retrieved by a selective literature search. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435864PMC
February 2019
1 Read

The dual subscapularis procedure: a modified Hawkins' technique for neglected posterior fracture/dislocation of the shoulder.

Eur J Orthop Surg Traumatol 2019 Mar 19. Epub 2019 Mar 19.

Department of Orthopaedic Surgery and Trauma, Suez Canal University Hospitals, Kilo 4.5 Ring Road, Ismailia, 41522, Egypt.

Background: Posterior fracture/dislocation of the shoulder is a rare injury that is frequently missed on initial assessment. It is frequently associated with reverse Hill-Sachs impression fracture. Several orthopaedics procedures have been described on the literature for reconstructable reverse Hill-Sachs lesion. Read More

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http://dx.doi.org/10.1007/s00590-019-02417-3DOI Listing
March 2019
2 Reads

Clinical outcomes of arthroscopic assissted fixation of acute high grade acromioclavicular joint disruption.

J Orthop 2019 Mar-Apr;16(2):133-136. Epub 2019 Feb 27.

Department of Orthopedic Surgery, Zagazig University, Egypt.

Background: Management of high grade acute acromioclavicular (AC) joint dislocation is considered a surgical dilemma. Open methods of fixation are the gold standard but the morbidities are frequent. The goal of this study was to evaluate the results of arthroscopic fixation of acute high grade (AC) joint dislocation. Read More

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http://dx.doi.org/10.1016/j.jor.2019.02.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6403419PMC
February 2019
2 Reads

Open reduction through a posterior incision in the surgical treatment of shoulder posterior dislocation associated with proximal humeral fractures.

ANZ J Surg 2019 Apr 18;89(4):334-338. Epub 2019 Mar 18.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: We explored the surgical technique of reducing the humeral head and repairing the fractures through a combined approach in the treatment of this complex injury.

Methods: Six patients with posterior shoulder dislocations associated with proximal humerus fractures were enrolled in this study. The posteriorly dislocated head was first reduced through a shoulder posterior incision and the ruptured posterior capsular tissues were repaired simultaneously using a suture anchor. Read More

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http://dx.doi.org/10.1111/ans.15147DOI Listing
April 2019
2 Reads

On-field Management of Shoulder and Elbow Injuries in Baseball Athletes.

Curr Rev Musculoskelet Med 2019 Mar 18. Epub 2019 Mar 18.

Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, 525 E. 71st Street, New York, NY, 10021, USA.

Purpose Of Review: The goal of this review article is to help medical personnel of all levels and backgrounds identify and appropriately manage on-field acute shoulder and elbow injuries in the baseball athlete. This article discusses the most common acute shoulder and elbow injuries in baseball players along with recommendations for appropriate on-field management.

Recent Findings: Shoulder and elbow injuries are very common in baseball players and can be problematic because of the unique demands placed on the shoulder and elbow during the throwing and swinging motions. Read More

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http://dx.doi.org/10.1007/s12178-019-09535-9DOI Listing
March 2019
2 Reads

Dislocated distal radial fractures in adult patients: 4 weeks versus 6 weeks of cast immobilisation following reduction, a multicentre randomised controlled trial, study protocol.

BMJ Open 2019 Mar 15;9(3):e026540. Epub 2019 Mar 15.

Maasstad Ziekenhuis, Department of Trauma Surgery, Rotterdam, the Netherlands.

Introduction: Up to 30% of patients with a dislocated distal radial fracture (DRF) treated with closed reduction and cast immobilisation suffer from long-term functional restrictions. It remains unclear, whether duration of cast immobilisation influences functional outcome. The aim of this study is to evaluate whether the functional outcome of dislocated DRFs could be improved by shortening the period of immobilisation. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02654
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-026540DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429892PMC
March 2019
5 Reads

Knee Ligament Instability Patterns: What Is Clinically Important.

Clin Sports Med 2019 Apr;38(2):169-182

Orthopaedic Sports Medicine and Shoulder, Tria Orthopaedic Center, 8100 Northland Drive, Bloomington, MN 55431, USA.

The knee dislocation is a severe, complex injury that can be difficult to treat and is fraught with complications. The first step in a successful reconstruction of a multiple ligamentous knee injury is gaining an accurate and thorough understanding of the pattern of instability imparted by the injury. Evaluation begins with a detailed review of radiographic and advanced imaging studies followed by a thorough physical examination, often done under anesthesia, in conjunction with dynamic fluoroscopy. Read More

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http://dx.doi.org/10.1016/j.csm.2018.12.001DOI Listing
April 2019
1 Read

[Posterior shoulder dislocation; an often-missed diagnosis].

Ned Tijdschr Geneeskd 2019 Mar 8;163. Epub 2019 Mar 8.

Martini ziekenhuis, afd. Orthopedie, Groningen.

Posterior shoulder dislocation after a traumatic event is often underdiagnosed. Consequently, treatment is initiated too late and patients experience pain and loss of motion. Conventional X-ray is the standard to diagnose a posterior shoulder dislocation. Read More

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March 2019
3 Reads

Return to Sport as an Outcome Measure for Shoulder Instability: Surprising Findings in Nonoperative Management in a High School Athlete Population.

Am J Sports Med 2019 Apr 13;47(5):1062-1067. Epub 2019 Mar 13.

Orthopedic Surgery, Orthopedic Sports Medicine, Mayo Clinic, Phoenix, Arizona, USA.

Background:: Young age and contact sports have been postulated as risk factors for anterior shoulder instability. Management after shoulder instability is controversial, with studies suggesting that nonoperative management increases the risk of recurrence. Several studies examined return to play after an in-season instability episode, and few followed these patients to determine if they were able to successfully compete in a subsequent season. Read More

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http://dx.doi.org/10.1177/0363546519829765DOI Listing
April 2019
3 Reads

Comparison of interscalene block, general anesthesia, and intravenous analgesia for out-patient shoulder reduction.

J Anesth 2019 Apr 12;33(2):279-286. Epub 2019 Mar 12.

Department of Orthopedic Surgery, Cantonal Hospital of Basel-Land, Liestal, Switzerland.

Purpose: Shoulder dislocation is often associated with intense pain, and requires urgent pain therapy and reduction. Interscalene block, general anesthesia, or intravenous analgesia alone are applied procedures that facilitate shoulder reduction by the surgeon and ease patients' pain. This study was conducted to compare procedure times, patient satisfaction, side-effects, and clinical outcome of these clinical procedures. Read More

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http://dx.doi.org/10.1007/s00540-019-02624-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443920PMC
April 2019
4 Reads

The use of static external fixation for chronic instability of the elbow.

J Shoulder Elbow Surg 2019 Mar 8. Epub 2019 Mar 8.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA. Electronic address:

Background: Chronic elbow instability after trauma is a challenging problem. Clinical results of external elbow fixation in this setting are limited, with most studies focusing on hinged external fixation. A static fixator is an alternative for maintaining joint reduction. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.007DOI Listing

Remifentanil versus Propofol/Fentanyl Combination in Procedural Sedation for Dislocated Shoulder Reduction; a Clinical Trial.

Arch Acad Emerg Med 2019 25;7(1):e10. Epub 2019 Jan 25.

Department of Emergency Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Introduction: Procedural sedation and analgesia (PSA) is a fundamental skill for every emergency physician. This study aimed to compare the PSA characteristics of remifentanil with propofol/fentanyl combination.

Methods: In this double-blind randomized clinical trial, the procedural characteristics and number of failures, as well as adverse events were compared between groups treated with either remifentanil or propofol/fentanyl combination consisting of 15-60 year old patients referring to emergency department following acute anterior shoulder dislocation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377222PMC
January 2019
1 Read

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.

Clin Orthop Surg 2019 Mar 18;11(1):103-111. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. Read More

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http://dx.doi.org/10.4055/cios.2019.11.1.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532PMC
March 2019
10 Reads

Efficacy of a Preference-Based Decision Tool on Treatment Decisions for a First-Time Anterior Shoulder Dislocation: A Randomized Controlled Trial of At-Risk Patients.

Med Decis Making 2019 Apr 5;39(3):253-263. Epub 2019 Mar 5.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA.

Background: First-time anterior shoulder dislocations (FTASD) provide an opportunity to examine the value of integrating stated-preference data with decision modeling to differentiate between patients whose preferred management strategy involves operative or nonoperative treatment. The objective of this study was to evaluate the efficacy of a FTASD decision tool intervention with individual preference measurement compared with a text-based control in a randomized controlled trial.

Methods: Two hundred respondents between 18 and 35 years of age at risk for experiencing an FTASD were enrolled from the orthopedic clinics and randomized to receive either an interactive decision tool intervention capable of eliciting patient preferences for treatment of an FTASD or a text-based control on shoulder dislocations and treatments. Read More

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http://dx.doi.org/10.1177/0272989X19832915DOI Listing
April 2019
1 Read

Surgical treatment outcomes after primary vs recurrent anterior shoulder instability.

J Clin Orthop Trauma 2019 Mar-Apr;10(2):222-230. Epub 2018 Oct 22.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, USA.

Introduction: The aim of this study is to compare the outcomes of surgical management after primary anterior shoulder dislocation to the outcomes of patients who have surgical stabilization after recurrent anterior shoulder instability.

Methods: A Medline (PubMed) search was performed in November of 2016 using the following key terms: shoulder, labrum, Bankart, instability, repair, outcome, recurrent. In May 2017 a Cochrane search was performed using similar key terms to ensure we included all studies. Read More

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http://dx.doi.org/10.1016/j.jcot.2018.10.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383179PMC
October 2018

The effect of subscapularis repair on dislocation rates in reverse shoulder arthroplasty: a meta-analysis and systematic review.

J Shoulder Elbow Surg 2019 May 1;28(5):989-997. Epub 2019 Mar 1.

Orthopaedic Surgery, Pan Am Clinic, University of Manitoba, Winnipeg, MB, Canada.

Background: Reverse total shoulder arthroplasty is an effective treatment for patients with rotator cuff arthropathy; however, complication rates are relatively high (19%-50%), with implant instability and infection being particularly devastating to overall outcomes. The objective of this study was to analyze the highest level of data comparing dislocation rates and outcomes in reverse total shoulder arthroplasty with and without the subscapularis tendon repaired.

Methods: The databases MEDLINE, Embase, and CINAHL were searched using a sensitive search strategy for this meta-analysis/systematic review. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.069DOI Listing
May 2019
2 Reads

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

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http://dx.doi.org/10.1177/2309499019832708DOI Listing
March 2019
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A study protocol for a feasibility study: Propofol Target-Controlled Infusion in Emergency Department Sedation (ProTEDS)-a multi-centre feasibility study protocol.

Pilot Feasibility Stud 2019 18;5:27. Epub 2019 Feb 18.

2Glasgow University Section of Anaesthesia, Pain and Critical Care, Glasgow, Scotland.

Background: Procedural sedation is a core skill of the emergency physician. Bolus administration of propofol is widely utilised in UK emergency departments to provide procedural sedation. Bolus administration of propofol, titrated to an endpoint of sedation, has a rapid effect but can easily result in apnoea and loss of airway patency. Read More

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http://dx.doi.org/10.1186/s40814-019-0412-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378735PMC
February 2019
5 Reads

[Modified Mclaughlin procedure combined with locking plate for posterior shoulder dislocation with fracture].

Zhongguo Gu Shang 2019 Jan;32(1):33-37

Department of Orthopaedics, the First People's Hospital of Huzhou, Huzhou 313000, Zhejiang, China;

Objective: To study clinical effects of modified Mclaughlin procedure combined with locking plate for posterior shoulder dislocation with proximal humeral fracture which area of femoral head injury less than 40%.

Methods: From July 2012 to June 2017, 7 patients with posterior shoulder dislocation were treated, including 5 males and 2 females; aged from 37 to 53 years old. Three patients combined with split of humerus head and 4 patients combined with humerus surgical neck fracture. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.007DOI Listing
January 2019
5 Reads

[Reverse total shoulder arthroplasty for the treatment of comminuted fracture of proximal humerus in elderly patients with rotator cuff injury].

Zhongguo Gu Shang 2019 Jan;32(1):17-21

Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Beijing 100035, China;

Objective: To investigate clinical results of reverse total shoulder arthroplasty in treating comminuted fracture of proximal humerus in elderly patients with rotator cuff injury.

Methods: From January 2017 to December 12, 12 comminuted fracture or dislocation of proximal humerus elderly patients were diagnosed as rotator cuff injury by preoperative MRI and operative exploration, and treated by reverse total shoulder arthroplasty. Among them, including 7 males and 5 females aged from 65 to 86 years old; 5 patients injured on the left side and 7 patients injured on the right side. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.004DOI Listing
January 2019
9 Reads

Arthroscopic repair of HAGL lesions yields good clinical results, but may not allow return to former level of sport.

Knee Surg Sports Traumatol Arthrosc 2019 Feb 27. Epub 2019 Feb 27.

Orthopaedic Department, St. John of God Hospital and University Hospital Geelong, Geelong, Australia.

Purpose: There is a paucity of evidence regarding mid- to long-term clinical outcomes of arthroscopic repair of humeral avulsion of the glenohumeral ligament (HAGL). This study investigated clinical outcomes, return to sport and the frequency of associated shoulder lesions.

Methods: Eighteen patients underwent arthroscopic repair of a HAGL lesion between 2008 and 2015. Read More

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http://dx.doi.org/10.1007/s00167-019-05414-5DOI Listing
February 2019
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Quantitative 3-dimensional Computerized Tomography Modeling of Isolated Greater Tuberosity Fractures with and without Shoulder Dislocation.

Arch Bone Jt Surg 2019 Jan;7(1):24-32

Department of General Surgery, OLVG, Amsterdam, The Netherlands.

Background: The aim of this study was to assess differences in fracture morphology and displacement between isolated greater tuberosity (GT) fractures (i.e. fractures of the greater tuberosity without other fractures of the proximal humerus) with and without shoulder dislocation utilizing quantitative 3-dimensional CT imaging. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372273PMC
January 2019
1 Read

Grade 3 AC joint injury: A survey of current practice in the United Kingdom.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018825222

Department of Orthopaedics, George Eliot Hospital, College Street, Nuneaton, UK.

Acromio-clavicular (AC) joint injuries are a common injury seen in athletes and represent 9% to 12% of all shoulder injuries. There is no clear consensus on treatment of grade 3 injuries. We conducted a survey among upper limb surgeons in the United Kingdom to review commonly accepted practise. Read More

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http://dx.doi.org/10.1177/2309499018825222DOI Listing
February 2019
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Clinical outcomes of the reverse McLaughlin procedure for Hill-Sachs lesions in anterior shoulder instability.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018816444

2 Department of Orthopaedic Surgery, University Orthopaedics, Hand & Reconstructive Microsurgery Cluster, National University Hospital, National University Health System, Singapore.

Introduction:: Engaging Hill-Sachs lesions in recurrent anterior shoulder dislocation have been managed with the remplissage procedure. Clinical and cadaveric studies have reported limitation of rotation after this procedure. We introduce the reverse McLaughlin procedure where the infraspinatus and the underlying capsule are detached and approximated into the Hill-Sachs defect with transosseous sutures. Read More

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http://dx.doi.org/10.1177/2309499018816444DOI Listing
February 2019

Point-of-care ultrasound for the diagnosis of shoulder dislocation: A systematic review and meta-analysis.

Am J Emerg Med 2019 Apr 19;37(4):757-761. Epub 2019 Feb 19.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL, United States of America.

Introduction: Shoulder dislocations are a common injury causing patients to present to the emergency department. Point-of-care ultrasound (POCUS) has the potential to reduce time, radiation exposure, and healthcare costs among patients presenting with shoulder dislocations. We performed this systematic review and meta-analysis to determine the diagnostic accuracy of ultrasound compared with plain radiography in the assessment of shoulder dislocations. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.02.024DOI Listing

Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study.

Scand J Pain 2019 Apr;19(2):375-382

School of Health and Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow, Scotland, UK.

Background and aims Patellofemoral pain (PFP) is a common knee condition causing pain around or behind the kneecap which is exacerbated by certain activities. Traditionally it has been viewed as a self-limiting condition. Recent research proves this is not the case and the evidence for poor long-term outcomes is growing. Read More

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http://dx.doi.org/10.1515/sjpain-2018-0347DOI Listing
April 2019
2 Reads

The coracoid process is supplied by a direct branch of the 2nd part of the axillary artery permitting use of the coracoid as a vascularised bone flap, and improving it's viability in Latarjet or Bristow procedures.

Authors:
R Khundkar H Giele

J Plast Reconstr Aesthet Surg 2019 Apr 15;72(4):609-615. Epub 2019 Jan 15.

Department of Plastic Surgery, West Wing, John Radcliffe Hospital, Oxford University Hospitals, Oxford, OX3 9DU, United Kingdom.

Background: A comprehensive understanding of the anatomy of the vascular supply of the coracoid is needed to ensure that the coracoid remains vascularised in order to optimize bone union during any coracoid transfer procedures. It is the purpose of this study to present an anatomical overview of the blood supply of the coracoid process, describing a previously unidentified vessel that arises directly from the axillary artery and nourishes the coracoid process, permitting the coracoid to be used as a free bone flap.

Methods: An anatomical study examining the blood supply to the coracoid process of the scapula was performed in 14 shoulders from 7 fresh frozen (unembalmed) adult cadavers. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.01.014DOI Listing
April 2019
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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

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http://dx.doi.org/10.1007/s11845-019-01986-wDOI Listing
February 2019
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Biomechanical properties of transosseous bony Bankart repair in a cadaver model.

Orthop Traumatol Surg Res 2019 Apr 11;105(2):271-274. Epub 2019 Feb 11.

French Society for Orthopedic and Trauma Surgery, 56, rue Boissonnade, 75014 Paris, France.

Introduction: We compared two arthroscopic repair techniques to an intact shoulder using a biomechanical model of anterior shoulder dislocation with an anterior glenoid rim fracture (Ideberg IA fracture). We hypothesized that transosseous repair is sufficient to effectively stabilize the glenoid fracture. The primary objective was to define the mechanical properties of transosseous repair of an Ideberg IA fracture relative to an intact shoulder (control group). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183038
Publisher Site
http://dx.doi.org/10.1016/j.otsr.2018.10.022DOI Listing
April 2019
6 Reads