535 results match your criteria Osteonecrosis Shoulder


Kienböck's disease: Where do we stand?

J Clin Orthop Trauma 2020 Jul-Aug;11(4):606-613. Epub 2020 Jun 9.

Hand to Shoulder Division, Max Hospitals, Saket and Gurgaon, New Delhi, India.

Avascular necrosis of the lunate, commonly known as Kienböck's disease is a disorder that can lead to carpal collapse and the need for surgeries, which can stabilize the wrist. There are different associations with the disease but the exact etiology is unknown. Kienböck's disease is believed to result from mechanical and vascular factors in genetically predisposed individuals. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.05.041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7355093PMC

Recurrent Shoulder Posteroinferior Subluxation Status Post Reverse Remplissage.

Cureus 2020 Apr 3;12(4):e7522. Epub 2020 Apr 3.

Diagnostic Radiology, Florida Hospital-Orlando, Orlando, USA.

Posterior shoulder dislocation is an uncommon injury that typically follows intense contraction of the external rotator muscles, such as from seizure activity, high-velocity trauma, or intense electrical shock. The diagnosis is often missed or delayed, leading to complications such as functional deficits or osteonecrosis of the humeral head. Closed reduction can be utilized following an initial occurrence, however, repeated insult to the glenohumeral joint may lead to posterior instability. Read More

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http://dx.doi.org/10.7759/cureus.7522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198100PMC

Total Shoulder Arthroplasty Using Intraoperative 3D Navigation.

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Dec 17.

New York University Langone Orthopedic Hospital, New York, NY.

Glenohumeral arthritis has become increasingly prevalent. For patients with glenohumeral arthritis and an intact rotator cuff, an anatomic total shoulder arthroplasty (TSA) has been shown to provide substantial pain relief with consistent, reproducible results. The primary indication is intractable pain that has not responded to nonoperative treatment, resulting in a substantial negative impact on the quality of life of the patient. Read More

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http://dx.doi.org/10.2106/JBJS.ST.19.00011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974318PMC
December 2019

Idiopathic humeral head osteonecrosis mimicking rotator cuff disorders: Two challenging diagnostic case reports.

Medicine (Baltimore) 2020 Jan;99(3):e18766

Department of Radiology, Changhua Christian Hospital, Changhua, Taiwan.

Rationale: Shoulder pain is a common complaint among patients, and rotator cuff disorders are the most common diagnoses. Humeral head osteonecrosis is easily masked by other more common diagnoses and concomitant conditions.

Patient Concerns: This challenging diagnostic report consists of 2 cases. Read More

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http://dx.doi.org/10.1097/MD.0000000000018766DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220336PMC
January 2020

[Multiple osteonecrosis. Update and case report].

Rehabilitacion (Madr) 2020 Jan - Mar;54(1):63-67. Epub 2019 Oct 4.

Servicio de Anestesia y Reanimación, Hospital de Sagunto, Valencia, España.

Multifocal osteonecrosis is defined as the presence of osteonecrosis in three or more osseous sites. It is an infrequent entity representing less than 3% of cases among osteonecrosis patients. Multifocal osteonecrosis has been associated with systemic diseases, with patients at highest risk being those with lupus erythematosus, transplant recipients and those with haematological disorders or prolonged high-dose glucocorticoid treatment. Read More

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http://dx.doi.org/10.1016/j.rh.2019.07.006DOI Listing
October 2019

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

J Bone Joint Surg Am 2019 Dec;101(23):2129-2139

The Edinburgh Shoulder Clinic, New Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Background: The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fracture or a fracture-dislocation of the proximal part of the humerus treated with open reduction and plate fixation (ORIF).

Methods: Between 1995 and 2012, 5,897 consecutive patients with a proximal humeral fracture were referred to a specialist shoulder clinic for surgical assessment. Read More

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http://dx.doi.org/10.2106/JBJS.19.00595DOI Listing
December 2019

Midterm results of radiocapitellar arthroplasty of the elbow: a multicentre prospective study on two different implants.

Bone Joint J 2019 11;101-B(11):1362-1369

Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, Sapienza University of Rome, Rome, Italy.

Aims: The aim of this study was to analyze the results of two radiocapitellar prostheses in a large case series followed prospectively, with medium-term follow-up.

Patients And Methods: A total of 31 patients with a mean age of 54 years (27 to 73) were analyzed; nine had primary osteoarthritis (OA) and 17 had post-traumatic OA, three had capitellar osteonecrosis, and two had a fracture. Overall, 17 Lateral Resurfacing Elbow (LRE) and 14 Uni-Elbow Radio-Capitellum Implant (UNI-E) arthroplasties were performed. Read More

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http://dx.doi.org/10.1302/0301-620X.101B11.BJJ-2019-0155.R2DOI Listing
November 2019
1 Read

The Histology of a Healed Superior Capsular Reconstruction Dermal Allograft: A Case Report.

Arthroscopy 2019 10;35(10):2950-2958

TSAOG Orthopaedics and Baylor College of Medicine, San Antonio, Texas, U.S.A.

Acellular human dermal allograft commonly is used in the surgical treatment of complex rotator cuff tears, but little information is known about the biological fate of these grafts in human subjects. In this case report, the authors describe a patient who presented with a radiographically healed acellular human dermal allograft superior capsular reconstruction but had humeral head avascular necrosis. The healed superior capsular reconstruction, including graft-bone interfaces, was explanted after 7 months and sent for histologic analysis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063193058
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http://dx.doi.org/10.1016/j.arthro.2019.06.024DOI Listing
October 2019
2 Reads

Clinical and Radiographic Outcomes After Surgical Treatment of Proximal Humeral Fractures with Head-Split Component.

J Bone Joint Surg Am 2020 Jan;102(1):68-75

Center for Musculoskeletal Surgery, Campus Virchow, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: Head-split fractures are a subgroup of proximal humeral fractures in which the fracture line affects the articular surface. Limited data are available regarding outcomes and risk factors for failure following surgical treatment of this rare fracture type.

Methods: Of 45 patients with head-split fractures identified, a total of 30 (67%) were included in this retrospective study, with a mean follow-up of 49 ± 18 months (range, 12 to 83 months). Read More

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http://dx.doi.org/10.2106/JBJS.19.00320DOI Listing
January 2020
4 Reads

Locking Plate Use with or without Strut Support for Varus Displaced Proximal Humeral Fractures in Elderly Patients.

JB JS Open Access 2019 Jul-Sep;4(3). Epub 2019 Jul 16.

Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China.

Varus displaced fractures of the proximal part of the humerus, particularly in osteoporotic bone, commonly require open reduction and internal fixation. However, surgical treatment methods remain controversial and have shown inconsistent results. A fibular allograft for indirect medial reduction and strut support has been used in an effort to prevent secondary postoperative varus displacement. Read More

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http://dx.doi.org/10.2106/JBJS.OA.18.00060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766384PMC
July 2019
1 Read

Short therapy in a septic arthritis of the neonatal hip.

Pediatr Rep 2019 Sep 27;11(3):8161. Epub 2019 Sep 27.

Institute of Pediatrics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Septic arthritis (SA) is a serious joint infection associated with significant morbidity that can cause permanent damage with articular cartilage destruction, osteonecrosis and lifelong deformities if not diagnosed and treated promptly. In neonates, because of the paucity of signs and symptoms, SA is difficult to diagnose. The treatment for SA in children is empirical antibiotic for weeks, initially intravenously, and surgical (arthrotomy) in particular for the hip and shoulder because of the high risk of sequelae in these joints. Read More

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http://dx.doi.org/10.4081/pr.2019.8161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775484PMC
September 2019
1 Read

Influenza Vaccine-related Subacromial/Subdeltoid Bursitis: A Case Report.

J Radiol Case Rep 2019 Jun 30;13(6):24-31. Epub 2019 Jun 30.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, USA.

Serious side effects of vaccinations are not common, though rare complications can occur. We present a case of one such uncommon side effect, influenza vaccine-related subacromial/subdeltoid bursitis. A 72-year-old female presented with severe shoulder pain following influenza vaccination. Read More

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http://dx.doi.org/10.3941/jrcr.v13i6.3656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6742453PMC
June 2019
1 Read

Effect of intramedullary nail and locking plate in the treatment of proximal humerus fracture: an update systematic review and meta-analysis.

J Orthop Surg Res 2019 Aug 30;14(1):285. Epub 2019 Aug 30.

Department of Orthopedic Trauma, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Provincial Hospital of Traditional Chinese Medicine, 155 Hanzhong Road, PO Box 210029, Nanjing, China.

Background: To evaluate the effect of intramedullary nail and locking plate in the treatment of proximal humerus fracture (PHF).

Methods: China National Knowledge Infrastructure (CNKI), Chinese Scientific Journals Database (VIP), Wan-fang database, Chinese Biomedicine Database (CBM), PubMed, EMBASE, Web of Science, and Cochrane Library were searched until July 2018. The eligible references all show that the control group uses locking plates to treat PHF, while the experimental group uses intramedullary nails to do that. Read More

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http://dx.doi.org/10.1186/s13018-019-1345-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6717341PMC

Intramedullary nailing of displaced four-part fractures of the proximal humerus.

Injury 2019 Nov 29;50(11):1978-1985. Epub 2019 Jul 29.

Department of Traumatology Hospital Liberec, Czech republic.

Background: Intramedullary nailing is already established technique for the treatment of two and three-part fractures of proximal humerus. The aim of the study was to prospectively evaluate the efficacy and functional outcome after treatment of four-part fractures of proximal humerus with Multiloc proximal humeral nail.

Design: prospective monocentric cohort study. Read More

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http://dx.doi.org/10.1016/j.injury.2019.06.029DOI Listing
November 2019
2 Reads

Predictive value of magnetic resonance imaging for multifocal osteonecrosis screening associated with glucocorticoid therapy.

Mod Rheumatol 2020 May 31;30(3):586-591. Epub 2019 Jul 31.

Department of Orthopaedic Surgery, Graduate school of Medicine, Chiba University, Chiba, Japan.

The goals of this study were to elucidate the distribution of multifocal osteonecrosis associated with glucocorticoid therapy using magnetic resonance imaging (MRI) and to establish a MRI screening method. Between 1986 and 2018, 107 patients underwent MRI screening of their hips, knees, shoulders and ankle joints (856 joints in total) after systemic glucocorticoid therapy. Osteonecrosis was observed in hip (68%), knee (44%), ankle (17%) and shoulder (15%) joints. Read More

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http://dx.doi.org/10.1080/14397595.2019.1623363DOI Listing
May 2020
7 Reads

Pyrolytic carbon humeral head in hemi-shoulder arthroplasty: preliminary results at 2-year follow-up.

JSES Open Access 2019 Mar 24;3(1):37-42. Epub 2018 Dec 24.

Centre Orthopédique Santy, Lyon, France.

Background: In patients with osteoarthritis (OA) and an intact rotator cuff, hemi-shoulder arthroplasty (HSA) can be a viable option as it offers the advantage of keeping the native glenoid intact. However, glenoid erosion has frequently been reported. The aim of this study was to report preliminary clinical results of HSA with a new pyrolytic carbon (pyrocarbon) humeral head. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24686026183003
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http://dx.doi.org/10.1016/j.jses.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443935PMC
March 2019
15 Reads

Short-term outcomes after anatomic total shoulder arthroplasty in patients with osteoarthritis versus osteonecrosis.

Ann Transl Med 2019 Feb;7(3):48

Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.

Background: The outcomes of anatomic total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis (OA) have been extensively reported in the literature. However, there is a paucity of short-term outcomes data on perioperative and post-operative outcomes in patients receiving TSA for either glenoid or humeral head osteonecrosis (ON). We compared the short-term outcomes of TSA performed on patients who had glenohumeral OA and those who had ON. Read More

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http://dx.doi.org/10.21037/atm.2018.12.63DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389584PMC
February 2019
6 Reads

Complications after non-surgical management of proximal humeral fractures: a systematic review of terms and definitions.

BMC Musculoskelet Disord 2019 Feb 23;20(1):91. Epub 2019 Feb 23.

Research and Development Department, Upper Extremities, Schulthess Clinic, Zurich, Institute for Clinical Epidemiology and Biostatistics, University Hospital of Basel, Basel, Switzerland.

Background: A majority of proximal humeral fractures can be managed without surgery. Recent randomized clinical trials and meta-analyses even question the benefit of surgical treatment for displaced 3-, and 4-part fractures. However, evidence-based treatment recommendations, balancing benefits and harms, presuppose a common reporting of complications and adverse events, which at the moment is largely missing. Read More

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http://dx.doi.org/10.1186/s12891-019-2459-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387518PMC
February 2019
11 Reads

Universal 2 total wrist arthroplasty for the salvage of failed Biaxial total wrist arthroplasty.

J Hand Surg Eur Vol 2019 Jul 17;44(6):614-619. Epub 2019 Jan 17.

2 Department of Plastic, Reconstructive and Hand Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.

Universal 2 implants may be an alternative to total wrist arthrodesis for the salvage of failed Biaxial total wrist prostheses. We assessed 40 Universal 2 revision implants retrospectively. Fourteen of these wrists were converted to total wrist arthrodeses, and two wrists received a third total wrist arthroplasty after a mean period of 5. Read More

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http://journals.sagepub.com/doi/10.1177/1753193418822425
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http://dx.doi.org/10.1177/1753193418822425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585160PMC
July 2019
26 Reads

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 2019 May 24;28(5):861-868. 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

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http://dx.doi.org/10.1016/j.jse.2018.09.029DOI Listing
May 2019
13 Reads
2.289 Impact Factor

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

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http://dx.doi.org/10.13107/jocr.2250-0685.1110DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298705PMC
December 2018
12 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

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

Results of partial resurfacing of humeral head in patients with avascular necrosis.

Rev Esp Cir Ortop Traumatol 2019 Jan - Feb;63(1):29-34. Epub 2018 Nov 30.

Unidad de Patología de Hombro, Servicio de Ortopedia y Traumatología, Instituto de Ortopedia y Traumatología Prof. Dr. Carlos E. Ottolenghi, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Objective: The aim of this study was to report the short-term results and complications of partial humeral head resurfacing (HemiCup) in patients treated by avascular necrosis.

Material And Methods: Between 2010 and 2014, 9 patients who underwent partial resurfacing of humeral head were evaluated. All the patients were treated by avascular necrosis. Read More

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http://dx.doi.org/10.1016/j.recot.2018.08.001DOI Listing
June 2019
6 Reads

The Efficacy Of 1,2- Intercompartmental Supraretinacular Artery Pedicled Vascularised Bone Graft For Scaphoid Proximal End Non-Union And Avascular Necrosis.

Acta Orthop Belg 2017 Dec;83(4):589-598

The aim is to show the efficacy of 1,2-intercompartmental supraretinacular artery pedicled vascularised bone graft in treatment of scaphoid non-union with concomitant proximal end avascular necrosis retrospectively. Twentytwo cases of scaphoid nonunion with concomitant proximal end avascular necrosis were evaluated. Radiographic evaluation was made with radiographs, computed tomography, and magnetic resonance imaging. Read More

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December 2017
20 Reads

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

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http://dx.doi.org/10.1016/j.jse.2018.08.012DOI Listing
March 2019
18 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

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

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

J Orthop Trauma 2018 10;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

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

Kienböck's disease with non-negative ulnar variance : Treatment with combined radial wedge and shortening osteotomy.

Orthopade 2019 Jan;48(1):96-101

Department of Orthopedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Korea.

Purpose: There are only few studies that focused on Kienböck's disease with non-negative ulnar variance, even though many surgical procedures have been introduced. A combined radial wedge and shortening osteotomy was carried out for Kienböck's disease with non-negative ulnar variance. The purpose of this article is to report the results of this procedure by analyzing the clinical and radiological data. Read More

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http://dx.doi.org/10.1007/s00132-018-3641-5DOI Listing
January 2019
4 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

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http://dx.doi.org/10.1016/j.jse.2018.06.031DOI Listing
January 2019
12 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

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http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132328PMC
September 2017
15 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

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

A case of Avascular Necrosis in a patient with Adrenocortical Carcinoma and Disseminated Metastasis.

J Pak Med Assoc 2018 Aug;68(8):1267-1269

Jinnah Postgraduate Medical Center, Karachi.

28 years old, male patient was diagnosed with Metastatic Adrenocortical Carcinoma after extensive investigation. Patient's primary concern was only his right hip and right shoulder pain. On imaging investigations, the patient was diagnosed with Avascular Necrosis of the right hip joint. Read More

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August 2018
4 Reads

Plate Fixation With Cancellous Graft for Scaphoid Nonunion With Avascular Necrosis.

J Hand Surg Am 2019 Apr 10;44(4):339.e1-339.e7. Epub 2018 Aug 10.

Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ.

Purpose: Currently, there is no consensus on the optimal treatment for scaphoid nonunion with avascular necrosis (AVN). Various techniques, often involving vascularized corticocancellous bone grafting, have been proposed. The authors hypothesized that similar outcomes might be possible with volar plate fixation augmented with autogenous pure cancellous graft. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023173163
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http://dx.doi.org/10.1016/j.jhsa.2018.06.024DOI Listing
April 2019
57 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

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http://dx.doi.org/10.5435/JAAOS-D-16-00657DOI Listing
September 2018
48 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

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

Fixation of the Fractured Lunate in Kienböck Disease.

J Hand Surg Am 2019 Jan 20;44(1):67.e1-67.e8. Epub 2018 Jun 20.

Victorian Hand Surgery Associates, St. Vincent's Hand Surgery Unit, Victoria, Australia; Hand and Wrist Biomechanics Laboratory, O'Brien Institute, Fitzroy, Victoria, Australia. Electronic address:

Purpose: To describe an uncommon subset of fractured lunates in Kienböck disease that is salvageable by internal fixation.

Methods: We performed a retrospective review for patients with Kienböck disease treated by internal fixation. Demographic data, objective and radiographic measurements, patient-reported outcome measures (Disabilities of the Arm, Shoulder, and Hand and Patient-Rated Wrist Evaluation) and pain (visual analog scale) scores were collected. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.05.008DOI Listing
January 2019
5 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

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http://dx.doi.org/10.1097/BTH.0000000000000197DOI Listing
September 2018
23 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

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http://dx.doi.org/10.1007/s00264-018-3957-0DOI Listing
July 2018
12 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

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

Long-Term Clinical Outcome After Titanium Lunate Arthroplasty for Kienböck Disease.

J Hand Surg Am 2018 10 9;43(10):945.e1-945.e10. Epub 2018 Apr 9.

ORTON Research Institute, Invalid Foundation, Helsinki, Finland. Electronic address:

Purpose: Titanium lunate arthroplasty (TLA) for Kienböck disease was introduced in 1984 to address the silicone-wear particle problem common to silicone lunate implants. We sought to study the outcome of TLA.

Methods: We identified 11 patients from our hospital database who had undergone TLA between 2001 and 2010. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.02.009DOI Listing
October 2018
14 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

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http://dx.doi.org/10.1007/s00264-018-3905-zDOI Listing
July 2018
14 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

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

Glenohumeral Arthritis in Young Patients: Scope, Arthroplasty, Interposition, Arthrodesis, and Resurfacing.

Instr Course Lect 2018 Feb;67:99-113

Chief of Shoulder and Elbow Surgery, Department of Orthopaedics, MedStar Union Memorial Hospital, Baltimore, Maryland.

The management of glenohumeral arthritis in young patients is a challenge given the higher demand for use of the arms, need for longer implant survivorship, and higher postoperative expectations in this patient population. Shoulder arthroplasty is an excellent treatment option for elderly patients with glenohumeral arthritis because this patient population does not have demands as high as those of younger patients with glenohumeral arthritis. Common causes of glenohumeral arthritis in young patients include chondrolysis, inflammatory arthropathies, chronic instability, osteonecrosis, glenoid dysplasia, and early-onset osteoarthritis. Read More

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February 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

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http://dx.doi.org/10.1016/j.rboe.2017.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771782PMC
December 2017
18 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

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http://dx.doi.org/10.3969/j.issn.1003-0034.2017.03.008DOI Listing
March 2017
11 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

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http://dx.doi.org/10.2174/1874325001711011133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676001PMC
September 2017
51 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

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http://dx.doi.org/10.1007/s00132-017-3495-2DOI Listing
December 2017
14 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

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http://dx.doi.org/10.1007/s00068-017-0854-yDOI Listing
February 2018
54 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

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