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

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

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

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

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

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

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

Arthroscopy 2019 Apr 12. Epub 2019 Apr 12.

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

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

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

Arthroscopy 2019 Apr 12. Epub 2019 Apr 12.

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

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

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

MedEdPORTAL 2016 Dec 7;12:10514. Epub 2016 Dec 7.

Assistant Professor, Department of Orthopaedic Surgery, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center; the Assistant Director of Orthopaedic Trauma, Wake Forest University School of Medicine of Medicine of Wake Forest Baptist Medical Center.

Introduction: Musculoskeletal (MSK) complaints comprise approximately 20% of primary care and emergency department visits annually in the United States. At the same time, there is a shortage of MSK specialists specifically trained to evaluate and treat these conditions. Improper management of patients with MSK diagnoses increases morbidity and undesirable outcomes for patients and leads to higher health care costs resulting from extraneous tests and imaging. Read More

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

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

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

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

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

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

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

Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.

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

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

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

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

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

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

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

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

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

Am J Sports Med 2019 Apr;47(5):1082-1089

Uniformed Services University of Health Sciences, Bethesda, Maryland, USA.

Background:: Determining the amount of glenoid bone loss in patients after anterior glenohumeral instability events is critical to guiding appropriate treatment. One of the challenges in treating the shoulder instability of young athletes is the absence of clear data showing the effect of each event.

Purpose:: To prospectively determine the amount of bone loss associated with a single instability event in the setting of first-time and recurrent instability. Read More

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

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

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

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

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

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

Musculoskeletal Care 2019 Mar 29. Epub 2019 Mar 29.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Department of Orthopedic Surgery, Zagazig University, Egypt.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Martini ziekenhuis, afd. Orthopedie, Groningen.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019832708

2 Department of Orthopaedics, Military Hospital, Bagdogra, Siliguri, West Bengal, India.

Background:: Literature on outcomes of arthroscopic Bankart repair at the intervening time intervals in traumatic recurrent dislocation of shoulder joint is limited.

Study Design:: Case series.

Subjects And Methods:: A prospective review of 30 shoulders, aged 20-40 years with clinically and magnetic resonance imaging established findings that were treated with primary arthroscopic Bankart repair and followed up for a minimum of 2 years. Read More

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 Apr 11;105(2):271-274. Epub 2019 Feb 11.

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

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

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.

Objectives: Methoxyflurane is an inhalation analgesic used in the emergency department (ED) but also has minimal sedative properties. The major aim of this study was to evaluate the success rate of methoxyflurane for acute anterior shoulder dislocation (ASD) reduction. The secondary aim was to assess the impact of methoxyflurane on ED patient flow compared to propofol. Read More