507 results match your criteria Osteonecrosis Shoulder


Results of total shoulder arthroplasty in patients aged 55 years or younger versus those older than 55 years: an analysis of 1135 patients with over 2 years of follow-up.

J Shoulder Elbow Surg 2018 Dec 24. Epub 2018 Dec 24.

NYU Langone Medical Center, New York, NY, USA.

Background: The results of anatomic total shoulder arthroplasty (TSA) in younger patients have not been clearly elucidated. The purpose of this study was to compare early outcomes after TSA in patients aged 55 years or younger versus patients older than 55 years.

Methods: A total of 1135 patients who were treated with TSA for glenohumeral arthritis and had a mean follow-up period of over 4 years were retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.09.029DOI Listing
December 2018
2 Reads

Atypical Osteonecrosis of Humeral Head FollowingAnterior Shoulder Dislocation.

J Orthop Case Rep 2018 May-Jun;8(3):61-64

Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal GeneralHospital, Mumbai, Maharashtra. India.

Introduction: Osteonecrosis of the humeral head is not a very common entity. It is usually associated with comminuted proximal humerus fractures. We report a rare case of osteonecrosis of humeral head after anterior shoulder dislocation without any fracture of the proximal humerus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298705PMC
December 2018
2 Reads

Rate of avascular necrosis after fracture dislocations of the proximal humerus: Timing of surgery.

Obere Extrem 2018 7;13(4):273-278. Epub 2018 Mar 7.

BG Trauma Center Ludwigshafen, Clinic for Trauma and Orthopaedic Surgery at the University of Heidelberg, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen on the Rhine, Germany.

Background: Avascular necrosis (AVN) of the humeral head is a severe complication after proximal humerus fracture dislocations, and leads to a poorer clinical outcome and subsequent revision surgeries. The aim of the current study was to analyze the influence of time to surgery on the AVN rate after locked plating of dislocation fractures of the proximal humerus.

Patients And Methods: This retrospective study included 30 patients with a mean age of 63 ± 14 years with dislocation fractures of the proximal humerus type B3 or C3 according the AO/OTA classification. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11678-018-0452-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267377PMC
March 2018
1 Read

Anatomic locking plates for complex proximal humeral fractures: anatomic neck fractures versus surgical neck fractures.

J Shoulder Elbow Surg 2019 Mar 31;28(3):476-482. Epub 2018 Oct 31.

Department of Radiology, Zhoupu Hospital, Affiliated to Shanghai University of Medicine & Health Sciences, Shanghai, China.

Background: Continued debate exists on the management of displaced 3- or 4-part proximal humeral fractures. Only a few studies have compared the efficacy of proximal humeral locking plates (PHLPs) for treating anatomic neck fractures (ANFs) and surgical neck fractures (SNFs).

Methods: The medical data of 31 consecutive patients with displaced 4-part proximal humeral fractures treated with PHLPs between May 2013 and April 2015 were reviewed retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.08.012DOI Listing
March 2019
11 Reads
2.290 Impact Factor

Rapidly Destructive Arthrosis of Bilateral Humeral Heads Caused by Subchondral Insufficiency Fracture.

Acta Med Okayama 2018 Oct;72(5):525-530

Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan.

The bilateral shoulder pain of an 81-year-old Japanese woman due to falls persisted despite celecoxib treatment, and plain X-rays later showed bilateral collapsed humeral heads. After ruling out osteoarthritis, infectious arthritis, crystal-induced arthritis, neuropathic arthropathy, and osteonecrosis, we diagnosed bilateral shoulder joint rapidly destructive arthrosis (RDA). Lumbar bone mineral density showed very low T-score (-4. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.18926/AMO/56252DOI Listing
October 2018
14 Reads

Osteonecrosis After Surgically Repaired Proximal Humerus Fractures Is a Predictor of Poor Outcomes.

J Orthop Trauma 2018 Oct;32(10):e387-e393

Department of Orthopedic Surgery, NYU Hospital for Joint Diseases, New York, NY.

Objectives: To determine the effect of osteonecrosis (ON) on the clinical and functional outcome after open reduction and internal fixation of proximal humerus fractures.

Design: Prospective cohort study.

Setting: Academic medical center. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00005131-201810000-0001
Publisher Site
http://dx.doi.org/10.1097/BOT.0000000000001260DOI Listing
October 2018
8 Reads

Outcomes of shoulder replacement in humeral head avascular necrosis.

J Shoulder Elbow Surg 2019 Jan 14;28(1):9-14. Epub 2018 Sep 14.

Department of Orthopaedic Surgery, Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address:

Background: This retrospective review evaluated 25 patients with 29 shoulders treated with arthroplasty for humeral head avascular necrosis (HHAVN) between 2004 and 2015. We hypothesized that regardless of implant, radiographic stage, or etiology, patients would appreciate significant improvement in pain, range of motion, and shoulder functionality after surgical intervention.

Methods: Data were obtained by record review on all patients meeting inclusion criteria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.06.031DOI Listing
January 2019
4 Reads

Perioperative Factors Affecting the Length of Hospitalization After Shoulder Arthroplasty.

J Am Acad Orthop Surg Glob Res Rev 2017 Sep 9;1(6):e026. Epub 2017 Oct 9.

Department of Orthopaedics and Rehabilitation (Dr. King, Dr. Patrick, Ms. Struk, Dr. Schnetzer, Dr. Farmer, and Dr. Wright), the College of Nursing (Dr. Garvan), and Orthopaedics and Sports Medicine Institute (Dr. Wright), University of Florida, Gainesville, FL.

Objective: To determine factors related to length of hospitalization after shoulder arthroplasty.

Methods: A retrospective review identified patients who underwent shoulder arthroplasty between 2009 and 2012 at our institution. Factors were evaluated for their association with hospitalization length in a univariate model. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132328PMC
September 2017
7 Reads

Etiology of Shoulder Arthritis in Young Patients.

Clin Sports Med 2018 Oct;37(4):505-515

Department of Orthopaedic Surgery, University of Virginia, 400 Ray C. Hunt Drive, Suite 300, Charlottesville, VA 22903, USA. Electronic address:

The manifestation of glenohumeral arthritis in the young adult is a devastating occurrence that can be difficult to manage. This review details the many underlying etiologies including genetic causes, congenital abnormalities, glenohumeral instability, posttraumatic lesions, postcapsulorraphy arthropathy, osteonecrosis, intraarticular pain pump postoperative use, radiofrequency/thermal capsulorraphy treatments, septic arthritis/infection, and inflammatory arthropathies. Although each of these potential causes have been well-studied, their contributions to the development of glenohumeral arthritis in the young person has not been described extensively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.csm.2018.05.002DOI Listing
October 2018
15 Reads

Glenohumeral Osteoarthritis in the Young Patient.

J Am Acad Orthop Surg 2018 Sep;26(17):e361-e370

From the Department of Orthopedic Surgery, OrthoCarolina, Charlotte, NC (Dr. Saltzman), the Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada (Dr. Leroux), and the Rush University Medical Center, Chicago, IL (Dr. Verma and Dr. Romeo).

Glenohumeral osteoarthritis in the young patient (aged <60 years) is a difficult condition, given both age and functional demands. Primary osteoarthritis is the most common etiology in this patient demographic, but secondary causes include osteonecrosis, previous trauma (eg, fracture-dislocation), previous infection (eg, septic arthritis), previous capsulorrhaphy, previous arthroscopic surgery (eg, chondrolysis), and glenoid dysplasia. Nonsurgical modalities, including activity modification, pharmacotherapy, physical therapy, and intra-articular injections, are the mainstay of management; however, in young patients who have exhausted nonsurgical management, surgical options include arthroscopic débridement, humeral head replacement with or without glenoid treatment (ie, biologic glenoid resurfacing, glenoid reaming), and total or reverse total shoulder arthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOS-D-16-00657DOI Listing
September 2018
24 Reads

Treatment of Articular Cartilage Injuries in the Glenohumeral Joint.

Sports Med Arthrosc Rev 2018 Sep;26(3):120-128

CU Sports Medicine and Performance Center Champions Center, University of Colorado, Boulder, CO.

Articular cartilage injuries in the glenohumeral joint present a unique and difficult problem for the patient and surgeon alike. Various etiologies exist for the development of these cartilage lesions; therefore, treatment options are vast and must be chosen thoughtfully, especially in the young, active patient. Across all treatment modalities, the goal is for the patient to regain lasting function and mobility while decreasing pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JSA.0000000000000201DOI Listing
September 2018
4 Reads

Dorsolateral Biplane Closing Radial Osteotomy and Lunate Fixation for Stage IIIC Kienböck Disease: A New Surgical Approach.

Tech Hand Up Extrem Surg 2018 Sep;22(3):74-80

Hand and Microsurgery Unit.

The treatment of advanced-stage Kienböck disease (KD) remains highly controversial. Particularly important is stage IIIC KD, which includes patients with a lunate coronal fracture. The purpose of this paper was to describe a new approach to KD in patients with Lichtman stage IIIC KD, and our results using it. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BTH.0000000000000197DOI Listing
September 2018
15 Reads

The staged management of gleno-humeral joint osteonecrosis in patients with haematological-induced disease-a cohort review.

Int Orthop 2018 07 11;42(7):1651-1659. Epub 2018 May 11.

Department of Trauma & Orthopaedics, Kings College Hospital Foundation Trust, Denmark Hill, London, SE5 9RS, UK.

Purpose: A formalised, universally accepted, radiological staging system of gleno-humeral joint osteonecrosis (ON) is lacking. Consequently, there is absence of a standardised management strategy. The aim is to propose a simple radiological staging system of gleno-humeral joint ON based on principles of the Association Research Circulation Osseous (ARCO) Society and review of clinical practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-018-3957-0DOI Listing
July 2018
5 Reads

Operative versus nonoperative treatment of proximal humeral fractures: a systematic review, meta-analysis, and comparison of observational studies and randomized controlled trials.

J Shoulder Elbow Surg 2018 Aug 4;27(8):1526-1534. Epub 2018 May 4.

Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands; Utrecht Traumacenter, Utrecht, The Netherlands.

Background: There is no consensus on the choice of treatment for displaced proximal humeral fractures in older patients (aged > 65 years). The aims of this systematic review and meta-analysis were (1) to compare operative with nonoperative management of displaced proximal humeral fractures and (2) to compare effect estimates obtained from randomized controlled trials (RCTs) and observational studies.

Methods: The databases of MEDLINE, Embase, CENTRAL (Cochrane Central Register of Controlled Trials), and CINAHL (Cumulative Index to Nursing and Allied Health Literature) were searched on September 5, 2017, for studies comparing operative versus nonoperative treatment of proximal humeral fractures; both RCTs and observational studies were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2018.03.009DOI Listing
August 2018
16 Reads

Osteonecrosis in sickle cell disease patients from Bahia, Brazil: a cross-sectional study.

Int Orthop 2018 07 26;42(7):1527-1534. Epub 2018 Mar 26.

Health Science Institute, Federal University of Bahia, Av. Reitor Miguel Calmon, s/n, Vale do Canela, Salvador, BA, 40110-100, Brazil.

Purpose: The aim of this study was to describe the clinical features of osteonecrosis (ON) in sickle cell disease (SCD) patients in Bahia, a Northeast state with the highest prevalence of the disease in Brazil.

Methods: Between 2006 and 2017, 283 cases of osteonecrosis in SCD patients were enrolled to analyse the age at diagnosis, genotype, gender, pain, distribution of the lesions and disease staging. MRI and radiograph were obtained at the participation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-018-3905-zDOI Listing
July 2018
6 Reads

Is medial calcar continuity necessary in plate osteosynthesis for proximal humerus fractures?

Niger J Clin Pract 2018 Mar;21(3):362-366

Department of Anaesthesiology and Intensive Care, Okmeydani Research and Training Hospital, Istanbul, Turkey.

Objective: To evaluate the functional and radiological results of patients with and without medial calcar continuity in plate osteosynthesis applied for a proximal humerus fracture retrospectively.

Methods: The study included 27 patients to whom plate osteosynthesis was applied because of a proximal humerus fracture between January 2, 2010, and December 30, 2013, at Okmeydanı Research and Training Hospital. Patients were separated into Group A with medial calcar continuity and Group B without medial calcar continuity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/njcp.njcp_400_16DOI Listing
March 2018
4 Reads

Articular reconstruction of the humeral head with autogenous allograft in the treatment of the osteonecrosis.

Rev Bras Ortop 2018 Jan-Feb;53(1):113-117. Epub 2017 Dec 6.

Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.

The authors describe a surgical biological reconstruction of the humeral head with frozen autogenous allograft technique for the treatment of young patients with focal osteonecrosis of the humeral head. This represents a possible alternative, maybe even definitive for some patients, when compared to hemiarthroplasty or total shoulder arthroplasty. The technique consists of the fixation of a frozen autogenous allograft with previously-molded articular cartilage from the humeral head, after cleansing the osteonecrotic focus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rboe.2017.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771782PMC
December 2017
10 Reads

[Anterolateral acromial approach for the treatment of proximal humerus in 2-or 3-part fractures-a case-control study].

Zhongguo Gu Shang 2017 Mar;30(3):227-232

Department of Orthopaedics, Beijing Jing Mei Group General Hospital, Beijing 102300, China;

Objective: To explore the clinical curative effect of anterolateral acromial approach in treating two-and three-part of proximal humeral fractures.

Methods: Forty-two patients of proximal humeral fractures from January 2010 to June 2014 were analyzed retrospectively, including 23 males and 19 females with a mean age of 61.5 years old ranging from 40 to 76 years old. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3969/j.issn.1003-0034.2017.03.008DOI Listing
March 2017
7 Reads

Short, Medium and Long Term Complications After Total Anatomical Shoulder Arthroplasty.

Open Orthop J 2017 30;11:1133-1141. Epub 2017 Sep 30.

Upper Limb and orthopaedic surgery department, Avicenne Teaching Hospital, Assistance Publique-Hôpitaux de Paris, University Paris 13, Paris, France.

Total shoulder arthroplasty (TSA) is an effective approach for the treatment of a variety of clinical conditions affecting the shoulder, including osteoarthritis, inflammatory arthritis and osteonecrosis, and the number of TSA implanted has grown exponentially over the past decade. This review gives an update of the major complications, mainly infections, instability and loosening, encountered after TSA, based on a corpus of recent publications and a dynamic approach: The review focuses on the causes of glenoid loosening, which account for 80% of the complication, and underlines the importance of glenoid positioning in the recovery of early shouder function and in the long term survival rate of TSA. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1874325001711011133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676001PMC
September 2017
25 Reads

Pyrocarbon interposition shoulder arthroplasty in advanced collapse of the humeral head.

Orthopade 2017 Dec;46(12):1034-1044

Klinik für Schulter- und Ellbogenchirurgie, RHÖN Klinikum AG, Salzburger Leite 1, 97616, Bad Neustadt, Germany.

Background: Pyrocarbon (PyC) interposition shoulder arthroplasty can be used to treat advanced collapse of the humeral head after avascular necrosis.

Objectives: We examined outcomes for this bone-preserving implant which has a PyC coating and a novel biomechanical concept.

Materials And Methods: For a minimum of 2 years, we followed 10 patients (4 men, 6 women, 55. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00132-017-3495-2DOI Listing
December 2017
9 Reads

Traumatic inferior shoulder dislocation: a review of management and outcome.

Eur J Trauma Emerg Surg 2018 Feb 3;44(1):45-51. Epub 2017 Oct 3.

Department of Orthopaedics, La Trobe Regional Hospital, Traralgon, VIC, 3844, Australia.

Introduction: Traumatic inferior shoulder dislocation (ISD) is rare, estimated to occur in 0.5% of all shoulder dislocations. We describe the demographics, natural history and outcome of this injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-017-0854-yDOI Listing
February 2018
24 Reads

Rapid Progressive Osteonecrosis of the Humeral Head After Arthroscopic Rotator Cuff Surgery.

Arthroscopy 2018 01 29;34(1):41-47. Epub 2017 Sep 29.

Department of Orthopaedic Surgery Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea. Electronic address:

Purpose: To verify the clinical features and the risk factors of rapid progressive osteonecrosis of the humeral head after arthroscopic rotator cuff surgery (ARCS).

Methods: Data and medical records of 24 patients who had rapid progressive collapse of the humeral head after ARCS performed from October 2012 to March 2016 were retrospectively analyzed. Among them, 8 patients demonstrated no evidence of osteonecrosis of the humeral head preoperatively yet developed rapid progressive collapse of the humeral head within 12 months after ARCS. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07498063173069
Publisher Site
http://dx.doi.org/10.1016/j.arthro.2017.06.051DOI Listing
January 2018
16 Reads

Clinical Outcome of Lateral Wedge Osteotomy of the Radius in Advanced Stages of Kienböck's Disease.

Clin Orthop Surg 2017 Sep 4;9(3):355-362. Epub 2017 Aug 4.

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.

Background: Radius osteotomies showed favorable clinical outcome in Kienböck's disease. However, few articles have been published on the long-term outcome of lateral wedge osteotomy of the radius in patients with advanced stage Kienböck's disease.

Methods: Eleven patients with Lichtman stage IIIB/IV Kienböck's disease (group A; mean follow-up period, 86. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios.2017.9.3.355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5567032PMC
September 2017
18 Reads

Application of a skin traction method to facilitate ultrasound-guided brachial plexus block in obese patient with short neck.

J Clin Anesth 2017 09 27;41:56-57. Epub 2017 Jun 27.

Department of Anesthesiology, Osaka Medical College, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jclinane.2017.06.016DOI Listing
September 2017
5 Reads

Closed reduction and percutaneous annulated screw fixation in the treatment of comminuted proximal humeral fractures.

Adv Clin Exp Med 2017 Mar-Apr;26(2):287-293

Department of Orthopedic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.

Background: Displaced proximal humeral fractures remain a challenge to orthopedic surgeons.

Objectives: The purpose of this study was to evaluate the functional and radiological outcomes of patients with comminuted proximal humeral fractures treated with closed reduction and percutaneous screw fixation (CRPF).

Material And Methods: The authors retrospectively reviewed 38 cases of displaced proximal humeral fractures (2-, 3- or 4-part fractures according to the Neer classification) that were treated using the CRPF technique from May 2009 to April 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17219/acem/28898DOI Listing
September 2017
29 Reads

Autologous Concentrated Bone Marrow Grafting for the Treatment of Osteonecrosis of the Humeral Head: A Report of Five Shoulders in Four Cases.

Case Rep Orthop 2017 20;2017:4898057. Epub 2017 Jun 20.

Department of Orthopaedics Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.

Five shoulders in four patients affected by advanced osteonecrosis of the humeral head were treated with autologous concentrated bone marrow grafting. Bone marrow sample was aspirated from the iliac crests, concentrated by a centrifugation technique, and injected into the necrotic site. The shoulders were evaluated radiologically with X-ray scoring and clinically with measurement of range of motion and pain score (visual analogue scale, VAS). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2017/4898057DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496114PMC
June 2017
32 Reads

Rapidly Progressive Osteoarthritis: a Review of the Clinical and Radiologic Presentation.

Curr Rheumatol Rep 2017 Jul;19(7):42

Department of Radiology, Penn State Milton S. Hershey Medical Center, H066, 500 University Dr, Hershey, PA, 17033, USA.

Purpose Of Review: The purpose of this paper is to review the distinct clinical and radiographic features that may lead to prompt diagnosis of rapidly progressive osteoarthritis (RPOA) and thus obviate unnecessary and costly diagnostic workup.

Recent Findings: RPOA is uncommon but is more frequently seen in practice because of the aging population. RPOA is a destructive arthropathy that occurs most commonly in elderly women but can also be seen in patients that have sustained trauma. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s11926-017-0665-5
Publisher Site
http://dx.doi.org/10.1007/s11926-017-0665-5DOI Listing
July 2017
36 Reads

Multifocal osteonecrosis secondary to occupational exposure to aluminum.

Acta Ortop Bras 2017 May-Jun;25(3):103-106

Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Instituto de Ortopedia e Traumatologia, Grupo de Ombro e Cotovelo, São Paulo, SP, Brazil.

Multifocal osteonecrosis is a rare disease; chronic use of corticosteroids is considered the main risk factor. Patients with chronic renal failure can develop aluminum toxicity, which can lead to osteomalacia and encephalopathy. An association between osteonecrosis and aluminum toxicity has been reported among patients with dialytic renal insufficiency. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220172503170760DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5474414PMC
June 2017
31 Reads

Retrospective analysis of proximal humeral fracture-dislocations managed with locked plates.

J Shoulder Elbow Surg 2017 Oct 15;26(10):e293-e299. Epub 2017 May 15.

Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

Background: Fracture-dislocation is the extreme variant of injury to the proximal humerus that occurs more commonly in young adults as a result of high-velocity trauma. We evaluated the functional and radiologic outcome of fixation of proximal humeral fracture-dislocations with locked plates.

Methods: This was a retrospective review of 33 proximal humeral fracture-dislocations in 29 patients with a mean age of 35 years (range, 19-60 years) treated by open reduction and internal fixation with locked plates between January 2009 and December 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2017.03.035DOI Listing
October 2017
14 Reads
2.289 Impact Factor

CME-Rheumatologie 12/Auflösung: Osteonekrose des Humeruskopfes.

Praxis (Bern 1994) 2017;106(10):551-552

1 Ultraschall Zentrum Rheumatolgoie Basel.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1024/1661-8157/a002665DOI Listing
July 2017
10 Reads

Osteonecrosis of the Shoulders in Pediatric Patients Treated for Leukemia or Lymphoma: Single-Institutional Experience.

J Pediatr Orthop 2019 Feb;39(2):104-110

Epidemiology and Cancer Control, St. Jude Children's Research Hospital.

Background: Osteonecrosis of the hips and knees is an often debilitating adverse event in children treated with glucocorticoids for leukemia and lymphoma but the impact of shoulder involvement has been understudied. Thus, we investigated the severity and functional impairment of shoulder osteonecrosis in a well-characterized population of pediatric patients treated for acute lymphoblastic leukemia or lymphoma.

Methods: We retrospectively reviewed orthopaedic clinic and physical therapy evaluations to determine range of motion (ROM), pain, and impact of magnetic resonance-defined osteonecrosis (ON) on activities of daily living. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BPO.0000000000000900DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659977PMC
February 2019
87 Reads

Step-by-Step Technique for Segmental Reconstruction of Reverse Hill-Sachs Lesions Using Homologous Osteochondral Allograft.

Tech Hand Up Extrem Surg 2017 Jun;21(2):60-66

Shoulder and Elbow Unit, Onze lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.

Posterior shoulder dislocations are accompanied by high forces and can result in an anteromedial humeral head impression fracture called a reverse Hill-Sachs lesion. This reverse Hill-Sachs lesion can result in serious complications including posttraumatic osteoarthritis, posterior dislocations, osteonecrosis, persistent joint stiffness, and loss of shoulder function. Treatment is challenging and depends on the amount of bone loss. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BTH.0000000000000151DOI Listing
June 2017
41 Reads

Clinical characteristics of multifocal osteonecrosis in Korean patients with rheumatic disease.

Int J Rheum Dis 2018 Jun 22;21(6):1301-1308. Epub 2017 Mar 22.

Department of Rheumatology, Hanyang University Hospital for Rheumatic Diseases, Seoul, Korea.

Aim: Osteonecrosis (ON), also known as avascular necrosis, is an important cause of physical disability in rheumatic disease. When this condition affects multiple structures, disability is increased. The purpose of this study was to describe the clinical characteristics of Korean patients with multifocal ON associated with rheumatic disease and to compare them with those of previously reported cases. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/1756-185X.13065DOI Listing
June 2018
12 Reads

Treatment of Locked Posterior Shoulder Dislocation With Bone Defect.

Orthopedics 2017 May 15;40(3):e501-e505. Epub 2017 Mar 15.

Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may lead to chronic instability, osteonecrosis, and osteoarthritis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3928/01477447-20170308-07DOI Listing
May 2017
16 Reads

[Centro-medullary nailing in the complex fractures of the upper end of the humerus: preliminary results in 6 cases].

Pan Afr Med J 2016 30;25:54. Epub 2016 Sep 30.

Service de Chirurgie Orthopédique et Traumatologique, Hôpital Militaire Moulay Ismail BP 50000, Meknès, Faculté de Médecine et de Pharmacie de Fès, Maroc.

Antegrade intramedullary nailing has become the gold standard to treat two-, three-, and four-part cephalo-tuberosity fractures. We report a retrospective study of 6 patients who have undergone centro-medullary nailing since January 2012. Mean follow-up was 12 months; the average age was 57 years. Read More

View Article

Download full-text PDF

Source
http://www.panafrican-med-journal.com/content/article/25/54/
Publisher Site
http://dx.doi.org/10.11604/pamj.2016.25.54.9730DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5321147PMC
March 2017
13 Reads

[Operative versus non-operative treatment for three- or four-part proximal humeral fractures in elderly patients: a meta-analysis of randomized controlled trials].

Zhejiang Da Xue Xue Bao Yi Xue Ban 2016 May;45(6):641-647

Orthopaedic Trauma of Orthopaedics Center, Lanzhou General Hospital of PLA, Lanzhou 730050, China.

To evaluate the efficacy of operative and non-operative treatment for three- or four-part proximal humeral fractures in elderly patients by meta-analysis. The literature search was performed in Cochrance Library, Medline, Embase, SinoMed, CNKI, Wanfang data and CQVIP databases for operative and non-operative treatment of three- or four-part proximal humeral fractures in elderly patients, and searches of conference proceedings were also conducted. The data were extracted and a meta-analysis was performed using RevMan 5. Read More

View Article

Download full-text PDF

Source
May 2016
14 Reads

Radial shortening osteotomy for treatment of Lichtman Stage IIIA Kienböck disease.

J Hand Surg Eur Vol 2017 Mar 12;42(3):253-259. Epub 2016 Nov 12.

2 Clinic for Hand Surgery, Rhoen-Klinikum AG, Bad Neustadt/Saale, Germany.

We carried out a retrospective study to analyse the long-term outcome of 36 patients after radial shortening osteotomy for treatment of Lichtman Stage IIIA Kienböck disease at a mean follow-up of 12.1 years (range 5.4-17. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193416676723DOI Listing
March 2017
27 Reads

Treatment of Advanced Kienböck Disease With a Vascularized Radial Bone Flap Wrapped in the Pronator Quadratus.

Ann Plast Surg 2017 Mar;78(3):274-279

From the Department of Orthopedic Surgery, Eulji University College of Medicine, Daejeon, Korea.

Purpose: In the present study, we aimed to assess the radiologic and clinical outcomes after excision of the lunate, insertion of a vascularized radial bone flap wrapped in the pronator quadratus, and distraction with an external fixator of the joint, for the treatment of avascular necrosis of the lunate with carpal height collapse, fragmentation, and perilunar osteoarthritic changes.

Materials And Methods: From May 2006 to July 2014, a total of 25 patients (13 men and 12 women; mean age, 38.7 years; age range, 28-52 years) with advanced Kienböck disease were treated with excision of the lunate and insertion of a vascularized radial bone flap wrapped in the pronator quadratus, followed by distraction with an external fixator of the joint; all these patients met our inclusion criteria, including symptomatic avascular necrosis of the lunate with carpal collapse and osteoarthritis of the wrist. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SAP.0000000000000937DOI Listing
March 2017
14 Reads

Results and limitations of humeral head resurfacing: 105 cases at a mean follow-up of 5 years.

Orthop Traumatol Surg Res 2017 05 3;103(3):415-420. Epub 2017 Feb 3.

Service d'orthopédie A, Hôpital Roger Salengro, CHRU Lille, rue Emile Laine, 59000 Lille, France.

Background: The objective of this study was to assess clinical and computed-tomography (CT) outcomes at least 2 years after humeral head resurfacing to treat concentric gleno-humeral osteoarthritis.

Hypothesis: Humeral head resurfacing provides similar outcomes to those achieved with stemmed humeral head implants.

Materials And Methods: This single-centre retrospective study included 40 Copeland™ and 65 Aequalis™ humeral resurfacing heads implanted between 2004 and 2012. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2016.12.015DOI Listing
May 2017
7 Reads

Functional results of hemi- and total shoulder arthroplasty according to diagnosis and patient age at surgery.

Acta Orthop 2017 Jun 25;88(3):310-314. Epub 2017 Jan 25.

a Clinic of Orthopedic and Trauma Surgery , University of Heidelberg.

Background and purpose - There is a lack of information on any associations between the functional outcome and age and diagnosis in patients who have undergone shoulder arthroplasty. We therefore evaluated the functional outcome in "young" and "old" patients treated with either hemiarthroplasty (HA) or total shoulder arthroplasty (TSA) with diverse diagnoses. Patients and methods - The functional results of 496 primary shoulder arthroplasties were analyzed using the Constant score (age- and sex-adjusted) and subjective satisfaction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17453674.2017.1280656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5434601PMC
June 2017
13 Reads

The results of tension band rotator cuff suture fixation of locked plating of displaced proximal humerus fractures.

Injury 2017 Feb 29;48(2):474-480. Epub 2016 Dec 29.

Leni & Peter May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, 5 East 98th Street, New York, NY 10029, United States.

Introduction: The purpose of this study was to assess 1-year outcomes of patients with displaced proximal humerus fractures who underwent treatment with locked plate fixation with rotator cuff suture augmentation.

Methods: A total of 86 patients who had sustained 2, 3 and 4-part displaced proximal humerus fractures underwent locked plate fixation with multiple sutures placed in the cuff tendons. Clinical outcome variables included active forward elevation (AFE), active external rotation (AER), and Constant and American Shoulder and Elbow Surgeons (ASES) scores. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2016.12.022DOI Listing
February 2017
10 Reads

Is the humeral stem useful in anatomic total shoulder arthroplasty?

Int Orthop 2017 05 3;41(5):1035-1039. Epub 2017 Jan 3.

Hopital Privé J Mermoz (Générale de Santé), Centre orthopédique Santy, 24 avenue P Santy, 69008, Lyon, France.

Purpose: Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA.

Methods: Forty-seven patients, 20 female and 27 male patients with an average age of 63, were selected in four orthopaedic centres during a four year period, and implanted with a humeral head prosthesis with a three-fin design and titanium coating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-016-3371-4DOI Listing
May 2017
12 Reads

Humeral head necrosis after proximal humeral nailing: what are the reasons for bad outcomes?

Injury 2016 Dec;47 Suppl 7:S10-S13

Department of Trauma and Orthopaedic Surgery, Paracelsus Medical University, Nuernberg General Hospital, Breslauer Str. 201, 90471 Nuernberg, Germany.

Introduction: Humeral head necrosis (HHN) remains a major problem in fracture care. Neither its occurrence, its extend, nor its impact on clinical outcomes is predictable on the long term. This study was designed to evaluate clinical and radiological outcomes in patients depending on the influence of HHN. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/S0020-1383(16)30847-6DOI Listing
December 2016
10 Reads

Arthroscopic limited intercarpal fusion without bone graft in patients with Kienböck's disease.

Eklem Hastalik Cerrahisi 2016 Dec;27(3):132-7

Department of Orthopedics and Traumatology, Medical Faculty of İnönü University, 44315 Malatya, Turkey.

Objectives: This study aims to present our clinical results obtained in arthroscopic limited intercarpal fusion performed without using bone graft in patients with Kienböck's disease.

Patients And Methods: The study included 11 patients with Kienböck's disease (6 males, 5 females; mean age 28.9 years; range 14 to 51 years) who were performed arthroscopic lunate excision and scaphocapitate fusion between November 2012 and December 2013. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5606/ehc.2016.28DOI Listing
December 2016
13 Reads

Fixation of 4-part fractures of the proximal humerus: Can we identify radiological criteria that support locking plates or IM nailing? Comparative, retrospective study of 107 cases.

Orthop Traumatol Surg Res 2016 12 3;102(8):963-970. Epub 2016 Nov 3.

Société française de chirurgie orthopédique et de traumatologie, 56, rue Boissonade, 75014 Paris, France.

Introduction: No objective criteria exist to help surgeons choose between IM nailing and plate fixation for 4-part fractures of the proximal humerus. The goal of this study was to identify radiological criteria that would make one technique a better choice than the other.

Material And Methods: This was a comparative, multicentre, retrospective study of 54 cases of antegrade nailing and 53 cases of plating performed between 1st January 2009 and 31 December 2011 for 4-part fractures of the proximal humerus. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2016.09.015DOI Listing
December 2016
13 Reads

Second generation locked plating for complex proximal humerus fractures in very elderly patients.

Injury 2016 Nov 24;47(11):2534-2538. Epub 2016 Aug 24.

MOSC Medical College, Cochin, India.

Objectives: Humeral head sacrificing procedures are more favored in elderly patients with complex proximal humerus fractures because of high incidence of failures and complications with osteosynthesis. The purpose of this study is to assess the outcome of second generation locked plating techniques in 3 and 4 part fractures in active elderly patients >70years with an emphasis on function and complications.

Materials And Methods: 29 patients with displaced 3 and 4 part proximal humerus fractures were treated using the principles of second-generation proximal humerus locked plating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2016.08.010DOI Listing
November 2016
14 Reads

Quality of Reduction Influences Outcome After Locked-Plate Fixation of Proximal Humeral Type-C Fractures.

J Bone Joint Surg Am 2016 Nov;98(21):1777-1785

Department of Trauma and Orthopaedic Surgery, BG Trauma Center Ludwigshafen at the University of Heidelberg, Ludwigshafen on the Rhine, Germany

Background: The aim of this study was to determine if fracture reduction, fracture pattern, and patient-related factors influence clinical outcome after locked-plate fixation of displaced proximal humeral fractures.

Methods: Ninety-eight patients (mean age, 61.1 ± 11. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.16.00112DOI Listing
November 2016
11 Reads

Rate of avascular necrosis and time to surgery in proximal humerus fractures.

Authors:
L A Archer A Furey

Musculoskelet Surg 2016 Dec 20;100(3):213-216. Epub 2016 Sep 20.

Department of Orthopaedic Surgery, Memorial University of Newfoundland Health Sciences Center, 300 Prince Philip Drive, St. John's, NL, A1B 3V6, Canada.

Purpose: Avascular necrosis (AVN) of the humeral head is a devastating complication of proximal humeral fracture (PHF) that often results in long-term morbidity for the patient. Rates of AVN depend on the number of fracture fragments and are highly variable. The literature suggests that timely stable and anatomic reduction may decrease the rate at which AVN develops after PHF. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12306-016-0425-0DOI Listing
December 2016
18 Reads

Similar Function and Improved Range of Shoulder Motion is Achieved Following Repair of Three- and Four-Part Proximal Humerus Fractures Compared with Hemiarthroplasty.

Bull Hosp Jt Dis (2013) 2016 Sep;74(3):212-8

Background: In order to compare open reduction and internal fixation (ORIF) with locked plating to hemiarthroplasty for the treatment of three- and four-part proximal humerus fractures, we compared two groups of patients treated during the same time period.

Materials And Methods: Sixty-five patients who underwent repair of a three- or four-part proximal humerus fracture with locked plates (Group A) were identified in a prospective database and were compared to 29 patients who underwent hemiarthroplasty for similar injuries (Group B). Data was collected for both groups. Read More

View Article

Download full-text PDF

Source
September 2016
13 Reads

Multifocal osteonecrosis in a patient with anamnestic ulcerative colitis. Is there a relationship with the disease and the use of glucocorticoids twenty years before? A brief review of the literature.

Clin Ter 2016 Jul-Aug;167(4):121-3

Department of Medicine- University of Verona, Italy.

In 2013 a 40 year old man came to visit in our Rheumatology Unit because of a recent bilateral shoulder and hip pain. He had been treated from 1990 to 2000 with Cyclosporin A and Sulfasalazyn because of an ulcerative colitis which was completely in remission from 2000 . Glucocorticoids at the mean daily dose of 50 mg were administered only in the first period (1990-92). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7417/CT.2016.1941DOI Listing
January 2017
10 Reads