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

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

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

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

Orthop Traumatol Surg Res 2019 Feb 11. Epub 2019 Feb 11.

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

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

J Orthop Surg Res 2019 Feb 12;14(1):45. Epub 2019 Feb 12.

BG Trauma Center Ludwigshafen, Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Germany.

Background: Considering the epidemiology of acromioclavicular (AC) dislocation related to young and active patients, the impact on working capacity is highly relevant. The purpose of this study was to determine the capacity of work and time to return to work (RTW) after AC joint stabilization. We hypothesized that manual working patients show more restrictions returning to work. Read More

CJEM 2019 Feb 11:1-5. Epub 2019 Feb 11.

*Department of Emergency Medicine,University Hospital Galway,Galway,Ireland.

CLINICIAN'S CAPSULEWhat is known about the topic?Methoxyflurane is an inhalation analgesic with minimal sedative properties.What did this study ask?What is the success rate of methoxyflurane for acute anterior shoulder dislocation reduction and its impact on emergency department (ED) patient flow, as compared with propofol?What did this study find?Successful reduction was achieved in 80% of patients administered methoxyflurane; recovery time and ED length of stay was shorter, as compared with propofol sedation.Why does this study matter to clinicians?Methoxyflurane can be used for acute anterior shoulder dislocation reduction prior to considering deep sedation and may improve ED patient flow. Read More

Arch Orthop Trauma Surg 2019 Feb 9. Epub 2019 Feb 9.

Department of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Inselspital, Freiburgstrasse, Bern, Switzerland.

Introduction: The purpose of this proof-of-concept study was to investigate the biomechanical performance of two surgical techniques, namely (1) the double Tight-Rope fixation with an additional acromioclavicular FiberTape fixation (DTRC) and (2) the fixation of the clavicle to the acromion and coracoid in a bipodal manner (Bipod) using a Poly-Tape and FiberTape. Both techniques intend to address vertical and horizontal instability after acromioclavicular dislocation. They were compared with the commonly used (3) double Tight-Rope (DTR) technique, which only stabilizes the clavicle to the coracoid. Read More

BMC Musculoskelet Disord 2019 Feb 8;20(1):59. Epub 2019 Feb 8.

Department of Sports Science and Clinical Biomechanics, University of Southern, Campusvej 55, DK-5230, Odense, Denmark.

Background: Patients with non-operated traumatic primary anterior shoulder dislocation (PASD) are assumed to have less shoulder impairment than patients with recurrent anterior shoulder dislocations (RASD). This may impact treatment decision strategy. The aim was to study whether patients with non-operated traumatic PASD have less shoulder impairment than those with RASD. Read More

Orthop Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Objective: To evaluate the safety and efficacy of using acromioclavicular joint hook plates for the treatment of anterior sternoclavicular joint dislocation.

Methods: Ten patients who suffered anterior sternoclavicular joint dislocation were retrospectively analyzed, and underwent acromioclavicular joint hook plate surgeries from January 2015 to May 2017. There were 7 male and 3 female patients, with a mean age of 43. Read More

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

University of São Paulo, São Paulo, Brazil.

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

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

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

J Hand Surg Am 2019 Feb 7;44(2):161.e1-161.e7. Epub 2018 Jul 7.

Department of Orthopaedic Surgery, Mount Sinai Hospital, Mount Sinai Health System, New York, NY.

Purpose: Current options for treating elbow instability include bony and/or ligamentous fixation with orthosis or cast immobilization, transarticular cross-pinning, temporary bridge plating, and hinged or rigid external fixation. Our purpose was to evaluate the recently developed internal joint stabilizer (IJS), which acts as an internal external fixator of the elbow. Our primary end point was to assess whether use of the device results in a stable and congruent reduction of the ulnohumeral and radiocapitellar joints in patients with acute or chronic elbow instability as a result of trauma. Read More

Zhonghua Wai Ke Za Zhi 2019 Feb;57(2):124-128

Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

To analyze the clinical effects of reverse shoulder arthroplasty (RSA) for the patients with the cuff tear arthritis(CTA). A retrospective analysis of 12 patients who had underwent primary RSA for treatment of CTA from January 2012 to June 2017 in Department of Orthopedic, Beijing Chaoyang Hospital, Capital Medical University. There were 8 males and 4 females, aged 69. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14264

Department of Orthopaedic Surgery, Soonchunhyang University Hospital Cheonan, Cheonan, Korea.

Rationale: Adequate stability of traumatic anterior shoulder dislocation without any obvious damage to the anterior capsulolabral structure in elderly patients can be achieved by treating the associated rotator cuff injuries. However, in case of recurrent shoulder dislocation despite rotator cuff repair, the repaired rotator cuff may be weakened or reruptured and is often impossible to repair again. Therefore, the role of the rotator cuff as a shoulder stabilizer cannot be expected. Read More

Bone Joint J 2019 Feb;101-B(2):124-131

Division of Hand Surgery, Department of Orthopedic Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.

Nerve transfer has become a common and often effective reconstructive strategy for proximal and complex peripheral nerve injuries of the upper limb. This case-based discussion explores the principles and potential benefits of nerve transfer surgery and offers in-depth discussion of several established and valuable techniques including: motor transfer for elbow flexion after musculocutaneous nerve injury, deltoid reanimation for axillary nerve palsy, intrinsic re-innervation following proximal ulnar nerve repair, and critical sensory recovery despite non-reconstructable median nerve lesions. Read More

Am J Sports Med 2019 Jan 30:363546518819199. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

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

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

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

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

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

Eur J Orthop Surg Traumatol 2019 Jan 28. Epub 2019 Jan 28.

High Resolution Hospital Ecija, Seville, Spain.

Locked posterior dislocations of the shoulder with an impacted fracture of the humeral head and an articular surface defect greater than 35-40% are generally treated with a femoral head bone graft or prosthesis. We present a case in which a subtraction osteotomy with osteoclasia on the impacted zone was performed to try to make the articular surface of the humeral head congruent and continuous. With a 42-month follow-up, the clinical outcome, in terms of mobility and pain, was very good; X-rays show there was no avascular necrosis of the humeral head nor signs of articular arthrosis. Read More

J Biomech 2019 Jan 22. Epub 2019 Jan 22.

Division of Orthopedic Research, Mayo Clinic, Rochester, MN, United States. Electronic address:

Facilitation of healing is important for the anteroinferior glenohumeral ligament-labrum complex (AIGHL-LC) after Bankart repair in shoulder dislocation. The purpose of this study was to investigate the effect of subscapularis muscle loading on contact area and contact pressure between the subscapularis and AIGHL-LC and between the glenoid bone and the AIGHL-LC following Bankart repair. Twenty-two fresh-frozen cadaveric shoulders were used. Read More

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

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

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

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

J Orthop Case Rep 2018 Jul-Aug;8(4):49-52

Department of Orthopaedics, Krishna Institution of Medical Sciences Ltd., Secunderabad, Telangana. India.

Introduction: Bilateral posterior fracture dislocation of both shoulders is a rare condition which can easily be missed due to its imprecise presentation. In this case report, we emphasize its diagnosis and summarize the various treatment options available for bilateral posterior fracture-dislocation of shoulders and also its management in conjunction with cavernous sinus venous thrombosis (CSVT).

Case Report: A 29-year-old gentleman had bilateral posterior fracture-dislocation of shoulders, with comminuted three-part fractures of both humeral heads, after two episodes of seizures, following CSVT. Read More

J Shoulder Elbow Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Background: The Instability Severity Index (ISI) score is a preoperative risk stratification tool used to identify patients at heightened risk of recurrent anterior instability after an arthroscopic Bankart procedure. The primary objective of this study was to validate the utility of the ISI score in predicting failure of primary arthroscopic Bankart surgery in an active-duty military population.

Methods: A retrospective study was performed to compare all military service members undergoing primary arthroscopic Bankart repairs at a single military treatment facility between 2007 and 2014. Read More

JSES Open Access 2018 Jul 22;2(2):137-140. Epub 2018 May 22.

Western Orthopaedic Clinic and St John of God, Subiaco, WA, Australia.

Background: Shoulder dislocations are common injuries among athletes. Patients with instability after their injury often require stabilization procedures for treatment. The primary outcome measure was to see whether there was any correlation between the side of traumatic shoulder dislocation and dominance of hand. Read More

JSES Open Access 2018 Mar 1;2(1):100-103. Epub 2018 Feb 1.

Fox Valley Orthopaedic Institute, Geneva, IL, USA.

Acta Orthop 2019 Jan 23:1-13. Epub 2019 Jan 23.

a New Children's Hospital, HUS Helsinki University Hospital , Department of Children's Orthopedics and Traumatology , Helsinki.

Background and purpose - Patient selection for nerve surgery in brachial plexus birth injury (BPBI) is difficult. Decision to operate is mostly based on clinical findings. We assessed whether MRI improves patient selection. Read More

EFORT Open Rev 2018 Oct 24;3(10):550-557. Epub 2018 Oct 24.

Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.

Shoulder apprehension is related to changes in functional cerebral networks induced by dislocations, peripheral neuromuscular lesions and persistent mechanical glenohumeral instability consisting of micro-motion.All the damage to the osseous and soft-tissue stabilizers of the shoulder, as well as neurologic impairment persisting even after stabilization, must be properly identified in order to offer the best possible treatment to the patient.There is growing evidence supporting the use of a global multimodal approach, involving, on the one hand, shoulder 'reafferentation', including proprioception, mirror therapy and even cognitive behavioural approaches, and, on the other hand, surgical stabilization techniques and traditional physical therapy in order to minimize persistent micro-motion, which may help brain healing. Read More

Orthop Rev (Pavia) 2018 Dec 12;10(4):7968. Epub 2018 Dec 12.

Department of Orthopedic Surgery, University of Massachusetts Medical Center, Worcester, MA.

J Bone Joint Surg Am 2019 Jan;101(2):e6

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.

Background: The dissemination of evidence-based information into medical practice is essential to provide patients with optimal care and realize society's substantial investments in medical research. Effective information delivery and treatment utilization may lead to improvements in patient outcome, reductions in cost, and an overall lower burden on the health-care system. This study examines the dissemination of medical evidence following a first-time anterior shoulder dislocation (FTASD) and assesses the impact of potential dissemination strategies. Read More

Cureus 2018 Nov 2;10(11):e3536. Epub 2018 Nov 2.

Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.

Anterior shoulder dislocations are the most common, large joint dislocations that present to the emergency department (ED). Numerous studies support the use of intraarticular local anesthetic injections for the safe, effective, and time-saving reduction of these dislocations. Simulation training is an alternative and effective method for training compared to bedside learning. Read More

Phys Sportsmed 2019 Jan 15:1-9. Epub 2019 Jan 15.

b Department of Family Medicine and Orthopedics, School of Medicine , University of Colorado , ‎Aurora , CO , USA.

Sports-related injuries to the shoulder are common causes of disability. Injuries to the sternoclavicular joint (SCJ) in sports are more rare, though have been reported in a small number of cases. SCJ injury classification is determined by the degree of joint displacement and direction of clavicular displacement. Read More

Am J Sports Med 2019 Jan 14:363546518819102. Epub 2019 Jan 14.

Julius Wolff Institute, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Background:: Bone loss at the anterior glenoid rim is a main reason for failure of soft-tissue based surgical stabilization procedures in patients with anterior shoulder instability.

Purpose:: To evaluate the capability of conventional glenoid bone loss measurement techniques to provide an adequate estimation of the actual biomechanical effect of glenoid defects.

Study Design:: Descriptive laboratory study. Read More

Orthop Traumatol Surg Res 2019 Jan 8. Epub 2019 Jan 8.

Center for Orthopaedics and Trauma Surgery, University Hospital Giessen and Marburg, Location Marburg, Baldingerstraße, 35043 Marburg, Germany. Electronic address:

Introduction: The optimal treatment of isolated fractures of the greater tuberosity is an important topic of current surgical research. While non-displaced fractures are amenable to conservative treatment, displacement of the fragment can result in rotator cuff malfunction and impingement. For the present study, risk factors predicting secondary fragment displacement were analyzed. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Jan 11. Epub 2019 Jan 11.

Clinic of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

Purpose: The literature shows no consensus regarding the best method and timing for the treatment of acute knee dislocations. Studies indicate that a one-stage procedure performed in the early stages of injury can lead to superior results. The aim of this study was to evaluate the results after performing early surgical repair with additional suture augmentation (ligament bracing) of all torn ligaments in acute knee dislocations. Read More

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

Department of Rheumatology, Nagaoka Red Cross Hospital, Nagaoka, Japan.

Background: Total elbow arthroplasty (TEA) is a treatment option for destructive and painful unstable elbows in rheumatoid arthritis (RA). We evaluated the clinical outcomes of unconstrained TEA (Niigata-Senami-Kyocera modular system).

Methods: Seventy-five unconstrained TEAs were performed in patients with RA (mean age, 64 years; age range, 41-79 years; follow-up rate, 97%). Read More

BMC Musculoskelet Disord 2019 Jan 10;20(1):20. Epub 2019 Jan 10.

Department of Trauma, Orthopaedic, Plastic and Hand Surgery, University Hospital of Augsburg, Stenglinstrasse 2, 86156, Augsburg, Germany.

Background: Proximal humeral fractures (PHFs) are the third most common fracture in older patients. The purpose of the study was to prospectively evaluate the outcomes of PHF fixation with a locking blade nail (LBN) or locking plate (PHILOS) osteosynthesis in a homogeneous elderly patient population.

Methods: Inclusion criteria were an age > 60 years and the capacity to give informed consent. Read More

J Shoulder Elbow Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedic Surgery, Medical School Hannover, Hannover, Germany. Electronic address:

Background: Lateralizing the glenosphere and decreasing the humeral neck-shaft angles are implant design parameters that reduce the risk of scapular impingement. The effects of these parameters on joint stability remain unclear. This study evaluated the effect of glenosphere lateralization and humeral neck-shaft angle on joint stability by quantifying the anterior dislocation force in different arm positions. Read More

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

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

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

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

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

Skeletal Radiol 2019 Jan 5. Epub 2019 Jan 5.

Department of Radiology, University of Illinois at Chicago, 1740 W Taylor Street Rm 2483, (MC 931), Chicago, IL, 60612, USA.

Posterior dislocation of the long head of the biceps tendon uncommonly occurs with traumatic shoulder injury. The diagnosis is almost always associated with anterior shoulder dislocation which often cannot be reduced. We present a case of traumatic posterior dislocation of the long head of the biceps tendon with no reported history of shoulder dislocation, but instead a rare and specific radiographic finding. Read More

Arthroscopy 2019 Feb 3;35(2):314-322. Epub 2019 Jan 3.

Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:

Purpose: The present study investigates the intra-articular findings and clinical outcomes after arthroscopic surgery in patients after age 40 with chronic anterior shoulder instability.

Methods: Fifty patients older than 40 years who underwent arthroscopic stabilization for recurrent anterior shoulder dislocation were analyzed.

Results: The mean age at the time of surgery was 44. Read More

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

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

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

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

Medicine (Baltimore) 2019 Jan;98(1):e13769

Department of Orthopedics, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an.

This study aims to evaluate the effectiveness and safety of the application of a 3-dimensional (3D)-printed composite guide plate for atlantoaxial pedicle screw.This was a retrospective study. A total of 43 atlantoaxial dislocation patients admitted in our hospital between January 2014 and October 2016 were retrospectively analyzed. Read More

Bone Joint J 2019 Jan;101-B(1):15-21

Tallaght University Hospital, Dublin, Republic of Ireland.

Aims: The glenohumeral joint is the most frequently dislocated articulation, but possibly due to the lower prevalence of posterior shoulder dislocations, approximately 50% to 79% of posterior glenohumeral dislocations are missed at initial presentation. The aim of this study was to systematically evaluate the most recent evidence involving the aetiology of posterior glenohumeral dislocations, as well as the diagnosis and treatment.

Materials And Methods: A systematic search was conducted using PubMed (MEDLINE), Web of Science, Embase, and Cochrane (January 1997 to September 2017), with references from articles also evaluated. Read More

Bone Joint J 2019 Jan;101-B(1):68-74

Department of Bioengineering, Imperial College London, London, UK.

Aims: Patients with recurrent anterior dislocation of the shoulder commonly have an anterior osseous defect of the glenoid. Once the defect reaches a critical size, stability may be restored by bone grafting. The critical size of this defect under non-physiological loading conditions has previously been identified as 20% of the length of the glenoid. Read More

Arthrosc Tech 2018 Dec 5;7(12):e1249-e1255. Epub 2018 Nov 5.

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Treatment of Hill-Sachs lesions is still controversial despite the frequent incidence in patients with recurrent shoulder dislocation. We report the use of arthroscopic microfracture for the treatment of recurrent shoulder dislocation with a linear, isolated, narrow, engaging Hill-Sachs lesion. Arthroscopic microfracture can be an alternative treatment option to obtain healing of defects and avoid external rotation limitation in young, active patients with recurrent dislocation with linear, isolated, narrow, engaging lesions. Read More

Acta Med Acad 2018 Nov;47(2):165-175

Department of Radiology, University of Arizona Health Sciences Center, Tucson, Arizona, USA.

Objective: To describe a new radiographic sign, "veil of obscuration", associated with posterior glenohumeral joint (shoulder) dislocations and determine its incidence and validity compared to other known classic radiographic signs.

Methods: Four-year retrospective study identified 30 acute posterior shoulder dislocation patients. Radiographs reviewed in consensus by 2 musculoskeletal radiologists for the "veil of obscuration", seen on AP shoulder radiographs and representing a comminuted fracture of the lesser tuberosity projecting over the humeral head or glenohumeral joint. Read More

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

J Shoulder Elbow Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Orthopedics, Deventer Hospital, Deventer, The Netherlands. Electronic address:

Background: The most common surgical technique in traumatic anterior shoulder instability is the arthroscopic Bankart repair, which has excellent short-term results. The long-term results of the arthroscopic Bankart repair are less frequently studied, with a high recurrence rate of 23% to 35%. The aim of this study was to evaluate the medium-term to long-term results of arthroscopic Bankart repair using suture anchors and to identify specific risk factors for recurrent instability. Read More

Orthop J Sports Med 2018 Dec 14;6(12):2325967118813981. Epub 2018 Dec 14.

Rady Children's Hospital, San Diego, California, USA.

Background: Recurrent shoulder dislocation after surgical intervention in adolescents with anterior instability is now understood to occur with a relatively high frequency. The remplissage procedure is successfully used in the adult population to mitigate the ability of a Hill-Sachs lesion to engage the anterior glenoid and can be used during an arthroscopic Bankart repair for anterior shoulder instability.

Purpose: To compare the clinical outcomes in adolescent patients who underwent a Bankart repair with or without remplissage for treatment of recurrent anterior shoulder instability and associated Hill-Sachs defects. Read More

J Shoulder Elbow Surg 2019 Mar 18;28(3):461-469. Epub 2018 Dec 18.

Department of Orthopaedic Surgery, Kaiser Permanente Southern California, Baldwin Park, CA, USA. Electronic address:

Background: Long head of the biceps tendon (LHBT) tenodesis is predominantly performed for 2 reasons: anterior shoulder pain (ASP) or structural reasons (partial tear, dislocation).

Methods: Between 2006 and 2014, all cases of primary LHBT tenodesis performed at an integrated health care system were retrospectively reviewed. Complications were analyzed by tenodesis location (below or out of the groove [OOG] vs leaving tendon in the groove [ITG]), fixation method (soft tissue vs implant), and indication (preoperative ASP vs structural). Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1540-1544

Luoyang Orthopedic-Traumatological Hospital, Orthopedic Hospital of Henan Province, Luoyang Henan, 471002, P.R.China.

Objective: To summarize a new type of proximal humerus fracture-proximal humerus degloving fracture, and discuss its injury mechanism, classification criteria, and treatment methods.

Methods: The clinical data of 23 patients with proximal humerus degloving fracture between September 2009 and September 2016 was retrospectively analyzed. There were 14 males and 9 females, with an average age of 39. Read More

J Int Med Res 2018 Dec 19:300060518811270. Epub 2018 Dec 19.

1 Orthopedic Department, Emek Medical Center, Afula, Israel.

Objective: This study was performed to describe a new technique for reduction of anterior glenohumeral dislocation in four non-sedated patients in whom traditional techniques were unsuccessful.

Methods: Four patients with clinically and radiographically proven acute anterior glenohumeral dislocations were admitted to the emergency department. An oral analgesic and local infiltration of lidocaine into the glenohumeral joint were administered prior to the reduction attempts. Read More

Open Access Maced J Med Sci 2018 Nov 17;6(11):2133-2135. Epub 2018 Nov 17.

Faculty of Medical Sciences, University Goce Delchev, Shtip, Republic of Macedonia.

Background: The shoulder has the greatest range of motion of the entire joint in the body. Therefore it accounts for almost 50% of all joint dislocations. Most commonly, the dislocation is anterior and may occur because of trauma. Read More