8,393 results match your criteria Shoulder Dislocation


Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis.

Eur J Trauma Emerg Surg 2020 Jun 30. Epub 2020 Jun 30.

Trauma and Orthopaedic Department, Sandwell & West Birmingham Hospitals NHS Trust, Lyndon, West Bromwich, Birmingham, West Midlands, B71 4HJ, UK.

Background: Anterior shoulder dislocations are the most common type of joint dislocation with the majority treated with closed reduction. Reduction methods can be grouped into their principle mode of action: traction-countertraction, leverage and scapular manipulation. The best method has yet to be identified and our aim was to find the most effective, safe and least painful method of closed reduction for acute anterior shoulder dislocations. Read More

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http://dx.doi.org/10.1007/s00068-020-01427-9DOI Listing

Long term outcomes of total humeral replacement for oncological reconstructions: A single institution experience.

J Surg Oncol 2020 Jun 29. Epub 2020 Jun 29.

Department of Orthopaedic Surgery, University of California Los Angeles, Los Angeles, California.

Background: There is a paucity of data on long-term survivorship and outcomes for total humerus replacements (THR) with only two series reporting 10-year survival.

Patients And Methods: A review of 769 consecutive, prospectively collected endoprosthetic reconstructions for oncological diagnoses at a single-center between 1980 and 2019 was performed. Patients with THRs were isolated and analyzed for outcomes, complications, and modes of failure. Read More

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http://dx.doi.org/10.1002/jso.26080DOI Listing

Early clinical results of minimally invasive coracoclavicular ligament reconstruction can be maintained at a minimum of five years' follow-up.

Bone Joint J 2020 Jul;102-B(7):918-924

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Westfalian-Wilhelms University Muenster, Muenster, Germany.

Aims: There is a lack of long-term data for minimally invasive acromioclavicular (AC) joint repair. Furthermore, it is not clear if good early clinical results can be maintained over time. The purpose of this study was to report long-term results of minimally invasive AC joint reconstruction (MINAR) and compare it to corresponding short-term data. Read More

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http://dx.doi.org/10.1302/0301-620X.102B7.BJJ-2020-0114.R1DOI Listing

Risk factors for failure of reduction for anterior glenohumeral dislocation without sedation.

J Shoulder Elbow Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, Meguro-ku, Tokyo, Japan.

Background: Although anterior glenohumeral dislocations are common, the reduction procedure is often difficult, requiring sedation or anesthesia. To date, the risk factors for reduction failure without sedation has not been fully investigated. The present study aimed to clarify the predictive factors that render the reduction of anterior glenohumeral dislocation without sedation difficult using multivariate analyses. Read More

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http://dx.doi.org/10.1016/j.jse.2020.06.005DOI Listing

Immobilization in External Rotation Reduces the Risk of Recurrence After Primary Anterior Shoulder Dislocation: A Meta-analysis.

Orthop J Sports Med 2020 Jun 15;8(6):2325967120925694. Epub 2020 Jun 15.

Department of Orthopaedic Surgery, Tohoku University School of Medicine, Sendai, Japan.

Background: The best method for nonsurgical treatment after primary dislocation of the shoulder is not clear. The efficacy of immobilization with the arm in external rotation (ER) compared with internal rotation (IR) remains controversial.

Purpose: To determine the efficacy of ER immobilization versus IR immobilization on recurrence rate after primary dislocation of the shoulder from the evidence of randomized controlled trials. Read More

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http://dx.doi.org/10.1177/2325967120925694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297495PMC

Is there a difference in outcome of arthroscopic iliac crest autograft and allograft in recurrent anterior shoulder instability?

Eur J Orthop Surg Traumatol 2020 Jun 27. Epub 2020 Jun 27.

University Hospitals Birmingham NHS Foundation Trust, Mindelsohn Way, Edgbaston, Birmingham, B15 2GW, UK.

Objective: The aim of this study was to compare outcomes of arthroscopic tricortical iliac crest autograft and allograft bone blocks for recurrent traumatic anterior shoulder instability in terms of bone resorption, union and recurrent instability and assess which one is a better graft choice.

Patients And Methods: Twenty-two consecutive patients treated for recurrent traumatic anterior shoulder instability that required reconstruction with bone block were included in the study. Surgical reconstruction was carried out arthroscopically with contoured tricortical iliac crest autograft or allograft. Read More

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http://dx.doi.org/10.1007/s00590-020-02722-2DOI Listing

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair.

Jt Dis Relat Surg 2020 18;31(2):223-229. Epub 2020 Jun 18.

Harran Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 63300 Şanlıurfa, Türkiye.

Objectives: This study aims to compare the clinical results of patients with traumatic isolated Bankart lesions and type V superior labrum anterior to posterior (SLAP) lesions after arthroscopic repair.

Patients And Methods: Patients who underwent arthroscopic repair for traumatic anterior glenohumeral instability were evaluated retrospectively between December 2014 and January 2019. Fifty-one patients (49 males, 2 females; mean age 25 years; range, 18 to 36 years) without bone defects affecting >20% of the glenoid fossa, off-track engaging Hills-Sachs lesions, multidirectional instability, or ligamentous laxity were included in the study. Read More

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http://dx.doi.org/10.5606/ehc.2020.74750DOI Listing

Long-term Results of the Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years: A Comparison With the Open Latarjet Procedure.

Am J Sports Med 2020 Jun 24:363546520931090. Epub 2020 Jun 24.

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

Background: Long-term results of the arthroscopic Bankart repair in patients older than 40 years are unknown and may be favorable in terms of postoperative glenohumeral arthritis as opposed to the long-term results of the open Latarjet procedure in patients older than 40 years.

Purpose: To analyze our long-term results of the arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years of age and to compare these results with previously published long-term results of the Latarjet procedure in a cohort of similar age.

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

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http://dx.doi.org/10.1177/0363546520931090DOI Listing

Technique for Treatment of Subchondral Compression Fracture of the Lateral Femoral Condyle Associated With ACL Tear.

Arthrosc Tech 2020 Jun 15;9(6):e823-e828. Epub 2020 Jun 15.

ORTIM Orthopaedic Clinic, Bialystok, Poland.

Excessive knee pivoting that causes a complete anterior cruciate ligament (ACL) tear may result in a subchondral compression fracture on the lateral femoral condyle after impacting the lateral tibial condyle. Because this mechanism is similar to the humeral head that has an impact on the glenoid during an anterior shoulder dislocation, such an osteochondral fracture can be considered equivalent to a "Hill-Sachs lesion of the knee." Restoring the native anatomy of the lateral femoral condyle articular surface is crucial, because its depression alters knee biomechanics, leading to bony knee instability, potentially greatly elevating the risk of ACL reconstruction failure and meniscal tears. Read More

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http://dx.doi.org/10.1016/j.eats.2020.02.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301333PMC

Inferior Dislocation of Shoulder Complicated with Undisplaced Greater Tuberosity Fracture, Rupture of the Supraspinatus Tendon, and Brachial Plexus Injury in the Elderly: Case Report and Literature Review.

Case Rep Orthop 2020 30;2020:9420184. Epub 2020 May 30.

Department of Orthopaedic Surgery, General Hospital of Katerini, Katerini, Greece.

Inferior dislocation of the shoulder, also called luxatio erecta, is a rare form of the otherwise common shoulder dislocation. It appears in less than 0.5% of all shoulder dislocations. Read More

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http://dx.doi.org/10.1155/2020/9420184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285250PMC

Biomechanical evaluation of an independent acromioclavicular ligament repair for acromioclavicular joint reconstruction.

Shoulder Elbow 2020 Jun 29;12(3):184-192. Epub 2019 Jun 29.

Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, Australia.

Background: A number of surgical techniques for the treatment of acromioclavicular joint separations have been described; however, few have been able to create a strong intra-operative construct that provides minimal joint translation. A biomechanical study was conducted to examine joint translation in an independent acromioclavicular ligament repair.

Methods: Three variations of a novel independent acromioclavicular ligament repair technique underwent testing using a Sawbones model. Read More

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http://dx.doi.org/10.1177/1758573219857685DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285976PMC

Shoulder dislocation - analysis of cases and neurological complications.

Pol Merkur Lekarski 2020 Jun;48(285):184-187

Department of Orthopedics, Mazovian Center of Rehabilitation STOCER, Konstancin-Jeziorna, Poland.

Shoulder dislocation, i.e. loss of connection between the head of humerus and the glenoid cavity, is diagnosed in 15-25 patients per 100,000 people per year. Read More

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Arthroscopic Treatment of Luxatio Erecta Humeri Associated with Greater Tuberosity Fracture, Bankart Lesion, and Partial Rotator Cuff Tear: A Case Report.

Am J Case Rep 2020 Jun 18;21:e923727. Epub 2020 Jun 18.

Department of Orthopaedics, University Hospital, Patras Medical School, Patras, Greece.

BACKGROUND Luxatio erecta humeri (LEH) is a rare injury present in only 0.5% of shoulder dislocations. Much of the relevant literature is focused on the initial management and proper reduction techniques, although the prevalence of associated injuries can reach 80%. Read More

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http://dx.doi.org/10.12659/AJCR.923727DOI Listing

Simple and stable elbow dislocations: results after conservative treatment.

Acta Biomed 2020 05 30;91(4-S):224-231. Epub 2020 May 30.

Orthopaedic Clinic, Department of Medicine and Surgery, University Hospital of Parma, Italy.

Background And Aim Of The Work: In adults, elbow dislocations are second in frequency after shoulder dislocations. They are often the result of a trauma due to accidental falls on the palm of the hand with the elbow flexed. In most cases this mechanism produces a posterior dislocation of the radius and ulna with respect to the humerus. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9637DOI Listing

Posteriorly displaced salter halter fracture-dislocation at the sternoclavicular joint with associated thoracic outlet syndrome: A case report.

Int J Surg Case Rep 2020 Jun 11;72:245-250. Epub 2020 Jun 11.

Department of Trauma and Orthopaedics, Beaumont Hospital, Dublin, Ireland.

Introduction: Posterior sternoclavicular joint fracture-dislocations are a rare and often missed diagnosis. They represent <1% of shoulder girdle injuries and are nine times less common than anterior dislocations. These injuries can be associated with life-threatening complications such as compression of the superior mediastinal structures including the great vessels and brachial plexus. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.025DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300244PMC

A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation.

Case Rep Orthop 2020 28;2020:8625368. Epub 2020 May 28.

Department of Orthopaedic Surgery, CHU de Québec-Centre Hospitalier de l'Université Laval (CHUL), 2705 Laurier Boulevard, Quebec City, QC, Canada G1V 4G2.

Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). Read More

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http://dx.doi.org/10.1155/2020/8625368DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275965PMC

Return to Sport Following Arthroscopic Repair of 270° Labral Tears.

Arthrosc Sports Med Rehabil 2020 Jun 29;2(3):e237-e240. Epub 2020 May 29.

Sports Surgery Clinic, Dublin, Ireland.

Purpose: To evaluate the rate of return to sport following arthroscopic repair of 270° labral tears.

Methods: We performed a retrospective review of patients with 270° labral tears treated arthroscopically between 2013 and 2017 by a single surgeon. Patients were followed-up to assess whether they were able to return to sport, the level to which they returned and the timing of return. Read More

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http://dx.doi.org/10.1016/j.asmr.2020.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283938PMC

Medial Dislocation of the Long Head of the Biceps without Concomitant Subscapularis Tear: A Case Report.

J Orthop Case Rep 2020 ;9(6):6-10

Department of Orthopaedic Surgery, University of Kansas School of Medicine-Wichita, Wichita, Kansas.,United States,KS.

Introduction: Medial dislocation of the long head of the biceps tendon (LHBT) is classically known as a pathognomonic finding for a subscapularis or at least a rotator cuff (RC) injury. However, this case report outlines a young active individual with symptomatic medial dislocation of the long head of the biceps with associated posterior instability, without a corresponding RC injury.

Case Report: An 18-year-old male complained of the left shoulder pain and crepitus after a shoulder injury while playing hockey a year prior. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1564DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276595PMC
January 2020

Polyethylene dislocation after a reverse total shoulder arthroplasty with an intact glenohumeral joint.

JSES Int 2020 Mar 20;4(1):169-173. Epub 2019 Dec 20.

Department of Orthopedic Surgery, Michigan State University, East Lansing, MI, USA.

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http://dx.doi.org/10.1016/j.jses.2019.10.106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075782PMC

Secondary frozen shoulder after traumatic anterior shoulder instability.

JSES Int 2020 Mar 16;4(1):72-76. Epub 2019 Dec 16.

Department of Orthopaedic Surgery, School of Medicine, Aichi Medical University, Nagakute, Japan.

Background: Secondary frozen shoulder after traumatic anterior shoulder instability is rare. The therapeutic management and clinical outcome of this condition are not well known. This study aimed to investigate the characteristics of such rare cases and verify treatment outcomes. Read More

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http://dx.doi.org/10.1016/j.jses.2019.10.100DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075754PMC

Anatomic factors influencing the anterior stability of reverse total shoulder arthroplasty.

J Shoulder Elbow Surg 2020 Jun 9. Epub 2020 Jun 9.

Laboratory of Biomechanics and Biomaterials, Medical School Hannover, Germany.

Background: Several factors affect the stability of the reverse shoulder arthroplasty. The influence of bony anatomy on anterior stability remains unclear. This study aimed to identify the correlations between bony anatomy and anterior dislocation forces. Read More

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http://dx.doi.org/10.1016/j.jse.2020.03.045DOI Listing

Functional outcome and return to sports after the arthroscopic latarjet procedure in young and physically active patients.

Arch Orthop Trauma Surg 2020 Jun 10. Epub 2020 Jun 10.

Center for Minimally Invasive Surgery, Etzelclinic, Pfäffikon, Switzerland.

Purpose: The ideal treatment strategy for traumatic anterior shoulder instability with glenoid bone loss in young, physically active patients is still controversial. This study examines sporting activity, the ability to practice sports and the ability to return to sports after the arthroscopic Latarjet procedure.

Methods: A total of 47 physically active patients with an average age of 24. Read More

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http://dx.doi.org/10.1007/s00402-020-03513-4DOI Listing

Use of allograft to reconstruct anterior bony glenoid defect in chronic glenohumeral instability: a systematic review.

Arch Orthop Trauma Surg 2020 Jun 10. Epub 2020 Jun 10.

Service d'Orthopédie-Traumatologie, Hôpital Gabriel Montpied, CHU de Clermont-Ferrand, BP 69, 63003, Clermont-Ferrand Cedex 01, France.

Introduction: Bone-block procedures are well-established in anterior chronic shoulder instability treatment. Autograft with the coracoid process (Bristow-Latarjet procedures) and iliac crest (Eden-Hybbinette) are the most frequent source of bone but the use of allograft is also possible. The objective of this review is to assess clinical and radiographic outcomes after bony allograft reconstruction in anterior glenohumeral instability. Read More

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http://dx.doi.org/10.1007/s00402-020-03511-6DOI Listing

Arthroscopic stabilisation for shoulder instability.

J Clin Orthop Trauma 2020 May 17;11(Suppl 3):S402-S411. Epub 2019 Jul 17.

South West London Elective Orthopaedic Centre, Epsom General Hospital, Dorking Road, Epsom, KT18 7EG, UK.

Since its first description over 30 years ago arthroscopic stabilisation has evolved. With improvements in knowledge, surgical techniques and materials technology, arthroscopic bankart repair has become the most widely used method for treating patients with symptomatic anterior shoulder instability. These procedures are typically performed in a younger, high demand patient population after a primary dislocation or to treat recurrent instability. Read More

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http://dx.doi.org/10.1016/j.jcot.2019.07.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275285PMC

Anatomic healing after non-operative treatment of a large, displaced anterior glenoid rim fracture after primary traumatic anterior shoulder dislocation - a case report.

BMC Musculoskelet Disord 2020 Jun 9;21(1):361. Epub 2020 Jun 9.

Department of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: Large, displaced anterior glenoid rim fractures after primary traumatic anterior shoulder dislocation are usually managed by surgical stabilization. Although there is little evidence supporting surgical management, it is often preferred over non-operative treatment. This case report describes non-operative management of such large, displaced anterior glenoid rim fracture with CT- and MRI-based documentation of anatomical healing of the fracture fragment, a finding that has not been described previously. Read More

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http://dx.doi.org/10.1186/s12891-020-03384-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285733PMC

Recurrent anterior sternoclavicular joint subluxation: long-term implant-related recurrence.

JSES Int 2020 Mar 20;4(1):55-58. Epub 2019 Dec 20.

Department of Orthopaedic Surgery and Sports Medicine, Elbow Shoulder Research Center, University of Kentucky, Lexington, KY, USA.

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http://dx.doi.org/10.1016/j.jses.2019.10.105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075775PMC

Recurrent Shoulder Tip Pain After Ventriculoperitoneal Shunt Placement Associated with Infectious Peritonitis with Propionibacterium acnes; A Case Report and Review of the Literature.

J UOEH 2020 ;42(2):209-216

Department of Neurosurgery, School of Medicine, University of Occupational and Environmental Health, Japan.

Ventriculoperitoneal (VP) shunt placement is commonly performed for the treatment of hydrocephalus, and several complications of this procedure are well known. Radiating shoulder tip pain after VP shunt placement has been reported as an unusual complication in a few cases, associated with dislocation of the peritoneal catheter. We described the case of a 9-year-old girl who presented with recurrent radiating shoulder tip pain after VP shunt placement. Read More

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http://dx.doi.org/10.7888/juoeh.42.209DOI Listing
January 2020

Bony increased-offset-reverse shoulder arthroplasty: 5 to 10 years' follow-up.

J Shoulder Elbow Surg 2020 Jun 3. Epub 2020 Jun 3.

PanAm Clinic, University of Manitoba, Winnipeg, Manitoba, Canada.

Background: Glenoid lateralization has been shown to be the most imortant factor in maximizing passive range of motion and shoulder stability while preventing scapular impingement and notching. We aimed to evaluate mid- to long-term functional and radiologic outcomes after bony increased-offset-reverse shoulder arthroplasty (BIO-RSA) using a Grammont-style (medialized) humeral implant.

Methods: The study included 143 consecutive shoulders (140 patients; mean age, 72 years) treated with a BIO-RSA for rotator cuff deficiency. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.008DOI Listing

Angular stable plate versus reverse shoulder arthroplasty for proximal humeral fractures in elderly patient.

Musculoskelet Surg 2020 Jun 5. Epub 2020 Jun 5.

Clinical Orthopaedics, Department of Clinical and Molecular Science, Marche Polytechnic University, Via Tronto 10/A, 60126, Ancona, Italy.

Background: Treatment of complex proximal humeral fractures in the elderly is a challenge and reverse shoulder arthroplasty (RTSA) is now an important alternative to open reduction internal fixation (ORIF) with angular stable plate. The purpose of this study is to compare clinical and radiological outcomes of RTSA and ORIF in the elderly.

Methods: We retrospectively analyzed patients treated for three- or four-part displaced fractures of the proximal humerus. Read More

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http://dx.doi.org/10.1007/s12306-020-00669-5DOI Listing

Complications and Readmissions After Reverse and Anatomic Total Shoulder Arthroplasty With Same-day Discharge.

J Am Acad Orthop Surg 2020 Jun 4. Epub 2020 Jun 4.

From the Rothman Orthopaedic Institute (Antonacci, Dr. Erickson, and Dr. Alberta), Philadelphia, PA, the Department of Orthopaedic Surgery (Cu, Dr. Vazquez, and Dr. Alberta), Hackensack Meridian School of Medicine at Seton Hall University, Nutley, NJ, and the Hackensack University Medical Center (Dr. Vazquez and Dr. Alberta), Hackensack, NJ.

Background: Recent studies have demonstrated the safety of anatomic total shoulder arthroplasty (TSA) in an outpatient setting. No clinical studies, to date, have specifically analyzed complication and readmission rates after reverse total shoulder arthroplasty (RTSA) with same-day discharge. The purpose of this study was to compare the 90-day complication and readmission rates of patients undergoing TSA and RTSA with same-day discharge. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00245DOI Listing

Arthroscopic Latarjet for Shoulder Instability.

Orthop Clin North Am 2020 Jul 5;51(3):373-381. Epub 2020 May 5.

Rothman Orthopaedic Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.

Arthroscopic Latarjet is a relatively new, but viable option for the treatment of anterior shoulder instability. Arthroscopic Latarjet has the advantage of faster recovery, reduced stiffness, identification of additional shoulder pathology, and improved cosmesis when compared with open Latarjet. By the majority of clinical and radiographic parameters, arthroscopic Latarjet produces equivalent outcomes compared with open Latarjet. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.002DOI Listing

A single-institution analysis of factors affecting costs in the arthroscopic treatment of glenohumeral instability.

JSES Int 2020 Jun 16;4(2):297-301. Epub 2020 Mar 16.

Department of Orthopaedic Surgery, University of Utah Medical Center, Salt Lake City, UT, USA.

Background: Although surgical shoulder stabilization is a substantial cost nationally within the United States, little information exists to analyze this cost. The purpose of this study was to identify factors associated with variation in direct costs with the arthroscopic treatment of glenohumeral instability.

Methods: This was a retrospective study of all patients who underwent arthroscopic treatment of glenohumeral instability between January 12, 2012 and July 11, 2017. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256881PMC

Bankart versus Latarjet operation as a revision procedure after a failed arthroscopic Bankart repair.

JSES Int 2020 Jun 4;4(2):292-296. Epub 2020 May 4.

Division of Musculoskeletal Diseases, Department of Orthopaedics and Traumatology, Turku University Hospital and University of Turku, Turku, Finland.

Background: An arthroscopic Bankart operation is the most common operative procedure to treat shoulder instability. In case of recurrence, both Bankart and Latarjet procedures are used as revision procedures. The purpose of this study was to compare the re-recurrence rate of instability and clinical results after arthroscopic revision Bankart and open revision Latarjet procedures following failed primary arthroscopic Bankart operations. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256887PMC

Revision anterior glenohumeral instability: is arthroscopic treatment an option?

JSES Int 2020 Jun 7;4(2):287-291. Epub 2020 May 7.

Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.

Background: The purpose of this study was to determine the short-term outcomes for patients who underwent revision surgery for shoulder instability, including both revision arthroscopic repair and Latarjet.

Methods: This study included patients who underwent revision of a prior arthroscopic labral repair to arthroscopic labral repair or Latarjet at our institution from 2012 to 2017. After collection of preoperative demographic data, preoperative 3-dimensional imaging was reviewed to determine percent glenoid bone loss (%GBL) and to determine whether each shoulder was on-track or off-track. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.02.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256882PMC

Acromioclavicular joint dislocations: incidence, injury profile, and patient characteristics from a prospective case series.

JSES Int 2020 Jun 8;4(2):246-250. Epub 2020 Apr 8.

Department of Orthopedics, Lund University, Helsingborg Hospital, Helsingborg, Sweden.

Background: Acromioclavicular joint (ACJ) dislocations are common but evidence regarding the epidemiology of these injuries is incomplete. This study aims to describe the incidence, injury mechanisms, distribution of classifications, risk factors, and patient characteristics for ACJ dislocations in a general population.

Methods: Inclusion was performed prospectively during a 4-year period with the following criteria; age 18-75 years, shoulder trauma within 2 weeks, a clinical suspicion of ACJ dislocation, and radiographs that excluded fracture. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256880PMC

Methods used to assess the severity of acromioclavicular joint separations in Japan: a survey.

JSES Int 2020 Jun 13;4(2):242-245. Epub 2020 Feb 13.

Scientific Research Project Committee of the Japan Shoulder Society, Tokyo, Japan.

Background: In acromioclavicular joint (ACJ) separations, patient characteristics determine the indications for surgery. However, in Japan, classification methods used to assess the severity of ACJ separations differ between institutions, and even within a classification method, different interpretations can lead to different assessments of severity. Therefore, in this study, we conducted an email survey of Japan Shoulder Society (JSS) members regarding their assessment methods for ACJ separation severity. Read More

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http://dx.doi.org/10.1016/j.jseint.2019.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256793PMC

Arthroscopic Fixation of a Large Osteochondral Fragment From the Glenoid After First Episode Dislocation.

Arthrosc Tech 2020 May 25;9(5):e663-e667. Epub 2020 Apr 25.

National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro, Brazil.

Osteochondral lesions of the glenoid are not so uncommon after traumatic cases of shoulder dislocation and can be a challenge to the shoulder surgeon because of the technical difficulty and the potential to progression to shoulder arthritis. An all-arthroscopic technique of fixation of a large osteochondral fragment is used to allow optimal visualization and reduction, minimize the morbidity of the open approach, and provide good functional results. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.022DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253778PMC

Surgical management of Rockwood type 3 acromioclavicular joint injuries: a retrospective comparison of outcomes of suture anchor fixation and double-button fixation techniques.

Medicine (Baltimore) 2020 May;99(21):e20312

Sağlik Bilimleri University Erzurum Regional Research and Training Hospital Department of Orthopaedics and Traumatology, Turkey.

The treatment of type 3 acromioclavicular joint injuries has still controversial issues. In this retrospective study, we aimed to compare the radiological and functional outcomes of the suture anchor and double-button fixation methods for the treatment of type 3 acromioclavicular joint injuries.This study included 20 patients who underwent suture anchor (9 patients) and double-button fixations (11 patients) for isolated type 3 acromioclavicular dislocation. Read More

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http://dx.doi.org/10.1097/MD.0000000000020312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249899PMC

Clavicular osteotomy in complicated revision of total shoulder arthroplasty: indications, surgical technique, and outcomes.

Int Orthop 2020 Jul 30;44(7):1341-1352. Epub 2020 May 30.

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, 10 C. Heymanslaan, Entrance 75, Route 740, 9000, Ghent, East Flanders, Belgium.

Purpose: Adequate exposure in revision of total shoulder arthroplasty (TSA) is important for optimal prosthesis placement and functional results. A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component. There is a paucity of literature analyzing the clavicular osteotomy during challenging cases of revision TSA. Read More

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http://dx.doi.org/10.1007/s00264-020-04573-2DOI Listing

Endovascular treatment of a traumatic axillary artery rupture using the dual bull's-eye technique.

Ann Vasc Surg 2020 May 28. Epub 2020 May 28.

Vascular Surgery Department, Asturias University Central Hospital (HUCA), Oviedo, Spain.

Purpose: to report a case of an axillary artery rupture treated by endovascular means using the dual bull's-eye technique.

Case Report: An 83-year-old woman with multiple comorbidities was diagnosed with axillary artery rupture after the reduction of a shoulder dislocation. An endovascular repair attempt was made but, despite the use of a double approach (antegrade and retrograde), reconnecting both ends of the severed artery was deemed not possible. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.025DOI Listing

Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis.

Hand (N Y) 2020 May 28:1558944720918342. Epub 2020 May 28.

Thomas Jefferson University, Philadelphia, PA, USA.

Scapholunate (SL) ligament injuries can occur concomitantly with distal radius fractures (DRFs), and the management of acute SL injury in the setting of DRFs remains controversial. The purpose of the study is to identify the radiographic incidence of SL widening in DRF treated with volar plate fixation and to determine the functional outcomes of DRF with concomitant radiographic SL-widening. One hundred and seventeen patients with DRFs, with and without radiographic SL-widening, and treated with volar locked plating, were prospectively enrolled. Read More

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http://dx.doi.org/10.1177/1558944720918342DOI Listing

Comparable clinical outcomes using knotless and knot-tying anchors for arthroscopic capsulolabral repair in recurrent anterior glenohumeral instability at mean 5-year follow-up.

Knee Surg Sports Traumatol Arthrosc 2020 May 18. Epub 2020 May 18.

Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

Purpose: To compare rates of recurrent instability, revision surgery and functional outcomes following arthroscopic anterior capsulolabral repair for recurrent anterior instability using knot-tying versus knotless suture anchor techniques.

Methods:  Patients who had undergone arthroscopic anterior labrum and capsular repair for recurrent anterior glenohumeral instability using knotless anchors were identified. Those with minimum 2-year follow-up were matched (1:2) to knot-tying anchor repair patients. Read More

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http://dx.doi.org/10.1007/s00167-020-06057-7DOI Listing

No difference in outcomes of surgical treatment for traumatic and atraumatic posterior shoulder instability.

Orthop Traumatol Surg Res 2020 Jun 24;106(4):667-670. Epub 2020 May 24.

Ramsay Générale de Santé, Groupe Maussins, Clinique Maussins, 67, rue de Romainville, 75019 Paris, France.

Background: Posterior shoulder instability is a rare pathology and accounts for 2-10% of all shoulder instabilities. The purpose of this study was to compare pain and functional scores following surgical treatment of traumatic and atraumatic PSI.

Hypothesis: The authors hypothesize that patients with traumatic PSI are at greater risks of residual pain and recurrent subluxation. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.03.010DOI Listing

Imaging of shoulder instability.

Skeletal Radiol 2020 May 23. Epub 2020 May 23.

Shoulder Unit, Humanitas Researche Hospital, Via Manzoni 56 Rozzano, Milan, Italy.

The shoulder enjoys the widest range of motion of all the joints in the human body, therefore requires a delicate balance between stability and motility. The glenohumeral joint is inclined to fall into two main instability categories: macro and micro. Macroinstability can be traumatic or atraumatic, with anterior or posterior dislocation of the humeral head. Read More

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http://dx.doi.org/10.1007/s00256-020-03459-zDOI Listing

Immobilization in external rotation versus internal rotation after shoulder dislocation: A meta-analysis of randomized controlled trials.

Orthop Traumatol Surg Res 2020 Jun 20;106(4):671-680. Epub 2020 May 20.

Wangjing Hospital of China Academy of Chinese Medical Sciences, 100102 Beijing, China.

Introduction: Recurrence rates after primary traumatic shoulder dislocation are distinctly high. Whether the early external immobilization (ER) is better than the internal immobilization (IR) is still controversial.

Hypothesis: To perform a systematic review of randomized clinical trials (RCTs) that assessed the ability of external immobilization to reduce the recurrence in patients with primary anterior shoulder instability. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.03.011DOI Listing

The Biomechanical Effect of Bone Grafting and Bone Graft Remodeling in Patients With Anterior Shoulder Instability.

Am J Sports Med 2020 Jul 21;48(8):1857-1864. Epub 2020 May 21.

Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: Individual constitutional differences in glenoid shape and bone remodeling require a patient-specific and longitudinal approach to evaluate the biomechanical effects of glenoid bone grafting in patients with anterior shoulder instability.

Purpose: To quantify the longitudinal, in vivo, biomechanical effects of bone grafting, bone graft remodeling, and glenoid shape in patients with anterior shoulder instability by means of patient-specific finite element models.

Study Design: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/0363546520919958DOI Listing

Which factors influence the ED length-of-stay after anterior shoulder dislocations: a retrospective chart review in 716 cases.

BMC Emerg Med 2020 May 20;20(1):41. Epub 2020 May 20.

Dijklander Ziekenhuis, Maelsonstraat 3, 1624, NP, Hoorn, the Netherlands.

Background: Anterior shoulder dislocations (ASD) are commonly seen in Emergency Departments (ED). ED overcrowding is increasingly burdening many healthcare systems. Little is known about factors influencing ED length-of-stay (LOS) for ASD. Read More

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http://dx.doi.org/10.1186/s12873-020-00336-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238621PMC

Patient Outcomes After Transolecranon Fracture-Dislocation.

J Am Acad Orthop Surg 2020 May 18. Epub 2020 May 18.

From the Department of Orthopaedics, University of Utah School of Medicine, Salt Lake City, UT (Dr. Haller, Mr. Cardon, and Dr. Tashjian), and the Department of Orthopedic Surgery, Harborview Medical Center, University of Washington, Seattle WA (Dr. Hulet, Dr. Hannay, and Dr. Beingessner).

Introduction: There are few small case series that discuss patient outcomes after a transolecranon fracture-dislocation, and they suggest that patients have reasonable function after injury. The purpose of this study was to describe the injury pattern and clinical outcomes of transolecranon fracture-dislocations.

Methods: After Institutional Review Board approval, transolecranon fracture-dislocations treated at two academic level 1 trauma centers between 2005 and 2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.5435/JAAOS-D-20-00254DOI Listing