9,242 results match your criteria Shoulder Dislocations


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

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

Int Orthop 2020 May 30. 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 May 24. 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 May 20. 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 May 21:363546520919958. 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

Fractures of the coracoid process - pathoanatomy and classification: based on thirty nine cases with three dimensional computerised tomography reconstructions.

Int Orthop 2020 May 20. Epub 2020 May 20.

Institute of Anatomy, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.

Purpose: Until now, classifications of coracoid fractures have been based on plain radiographs, without use of 3D CT reconstructions. Therefore, the aim of the present study has been to describe the pathoanatomy of these fractures and their associated injuries to the shoulder girdle, on the basis of 3D CT reconstructions.

Methods: The cohort comprised 39 patients, who each sustained a coracoid fracture investigated with 3D CT reconstructions. Read More

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http://dx.doi.org/10.1007/s00264-020-04634-6DOI 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

LATARJET PROCEDURE ON ANTERIOR SHOULDER INSTABILITY IN PROFESSIONAL SOCCER PLAYERS.

Acta Ortop Bras 2020 Mar-Apr;28(2):84-87

Universidade Federal de São Paulo, Paulista Medical School, São Paulo, SP, Brazil.

Anterior glenohumeral instability is a frequent cause of professional soccer players' removal, reduced performance, and prolonged recovery. Players are subjected to intense physical contact and high performance, thus demanding lower rates of recurrence after surgical correction so they can return to sport quickly.

Objective: To assess professional soccer players treated by the Lartajet technique considering the rate and time of return to sports activities, complications or failures. Read More

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http://dx.doi.org/10.1590/1413-785220202802225433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224322PMC

Threshold scores for treatment success after arthroscopic bankart repair using Oxford Shoulder Instability Score, Constant-Murley Score, and UCLA shoulder score.

J Orthop 2020 Nov-Dec;22:242-245. Epub 2020 May 7.

Singapore General Hospital, Department of Orthopedic Surgery, Singapore.

Aim: To determine the threshold score for Oxford Shoulder Instability Score (OSIS), Constant-Murley score (CMS), and University of California Los Angeles (UCLA) shoulder score that predict treatment success after arthroscopic bankart repairs.

Methods: 77 patients were followed up for 12-mmonth. Threshold scores were determined by Receiver Operating Characteristic (ROC) analyses with treatment success defined as improvement in pain, no re-dislocation, expectation and satisfaction met. Read More

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http://dx.doi.org/10.1016/j.jor.2020.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7226643PMC

The long-term efficacy of the GraftRope technique.

J Shoulder Elbow Surg 2020 May 15. Epub 2020 May 15.

Centro Traumatologico Ortopedico, Shoulder Unit, Torino, Italy.

Background: Acromioclavicular joint separations continue to be a challenge for surgeons, and modern arthroscopically assisted techniques are becoming increasingly widespread. The aim of this study is to evaluate if the use of a biological support in association with a nonresorbable subcoracoid fixation can improve long-term stability in acromioclavicular joint dislocation surgically treated. We assessed clinical and radiographic results, patients' return to daily activities and the risk of complications. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.014DOI Listing

Posterior shoulder instability: a systematic review.

Br Med Bull 2020 May 18. Epub 2020 May 18.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy.

Introduction: This review aims to provide information on outcomes of surgical procedures for soft tissue or bony glenoid and/or humeral abnormalities in case of posterior shoulder instability.

Source Of Data: A systematic review of the literature according to the PRISMA guidelines was performed. A comprehensive search of PubMed, Medline, CINAHL, Cochrane, Embase, Ovid and Google Scholar databases using various combinations of the keywords 'shoulder', 'posterior instability', 'dislocation', 'reversed bony bankart', 'reversed Hill Sachs', and 'capsulolabral' was performed. Read More

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http://dx.doi.org/10.1093/bmb/ldaa009DOI Listing

Constrained or unconstrained shoulder replacement for musculoskeletal tumor resections?

J Shoulder Elbow Surg 2020 May 13. Epub 2020 May 13.

Queensland Bone and Soft Tissue Sarcoma Service, Princess Alexandra Hospital, Brisbane, QLD, Australia; The Wesley Hospital, Brisbane, QLD, Australia.

Background: Many options exist for reconstructing the shoulder after large bony resections of the proximal humerus. One of the more widely used is endoprosthetic replacement. Proximal migration of unconstrained hemiarthroplasty articulations may cause difficulties particularly in the setting of loss of the rotator cuff and/or deltoid musculature. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.006DOI Listing

Declining trends in Medicare physician reimbursements for shoulder surgery from 2002 to 2018.

J Shoulder Elbow Surg 2020 May 12. Epub 2020 May 12.

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:

Background: As the current health care system evolves toward cost-containment and value-based approaches, evaluating trends in physician reimbursements will be critical for assessing and ensuring the financial stability of shoulder surgery as a subspecialty.

Methods: The Medicare Physician Fee Schedule Look-up Tool was used to retrieve average reimbursement rates for 39 shoulder surgical procedures (arthroscopy with or without repair, arthroplasty, acromioclavicular or clavicular open reduction-internal fixation, fixation for proximal humeral fracture and/or shoulder dislocation, open rotator cuff repair or tendon release and/or repair, and open shoulder stabilization) from 2002 to 2018. All reimbursement data were adjusted for inflation to 2018 dollars. Read More

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http://dx.doi.org/10.1016/j.jse.2020.02.005DOI Listing

[Biomechanical comparative analysis of screw fixation and cortical endo-button fixation in Latarjet procedure for anterior dislocation of shoulder joint].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):602-607

Department of Sports Medicine, the First Affiliated Hospital of Shenzhen University (Shenzhen Second People's Hospital), Shenzhen Guangdong, 518000, P.R.China.

Objective: To clarify the value of the cortical endo-button as an internal fixator in Latarjet procedure through biomechanical analysis.

Methods: Ten pairs of shoulder joints from 6-7 months old male pigs were selected. Each pair was randomly divided into screw group and endo-button group. Read More

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http://dx.doi.org/10.7507/1002-1892.201909124DOI Listing

[Luxatio erecta in bilateral traumatic shoulder dislocation].

Unfallchirurg 2020 May 14. Epub 2020 May 14.

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.

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http://dx.doi.org/10.1007/s00113-020-00816-4DOI Listing

No Sedation, No Traction, and No Need for Assistance: Analysis of New Prakash's Method of Shoulder Reduction.

Emerg Med Int 2020 4;2020:4379016. Epub 2020 Jan 4.

Institute for Special Orthopedics, Chennai, Tamil Nadu, India.

Materials And Methods: A total of 19 patients who were admitted to the emergency department with the diagnosis of anterior shoulder dislocation participated in this study. The diagnosis of shoulder dislocation was established in the emergency department with physical examination and anteroposterior shoulder radiography. The method was applied only once to the patients in the sitting position by the same physician without using any help, traction, anesthesia, analgesia, and myorelaxant. Read More

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http://dx.doi.org/10.1155/2020/4379016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199610PMC
January 2020

[Surgical Treatment of Clavicle Midshaft Fractures - Prospective Randomized Trial].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):101-107

Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví, Univerzita obrany v Brně, Hradec Králové.

PURPOSE OF THE STUDY Comparison of the outcomes of clavicle midshaft fractures using two different surgical techniques, namely intramedullar osteosynthesis using elastic stable intramedullary nailing (ESIN) with medial cap and extramedullar plate osteosynthesis. MATERIAL AND METHODS The prospective randomized trial was conducted at the Department of Trauma Surgery of the Department of Surgery of the University Hospital Hradec Králové in the Czech Republic at the Level I Trauma Center between 2014 and 2018 and compared two types of osteosynthesis of clavicle midshaft fractures. 60 patients were enrolled in the study and were randomly assigned to one of the two groups. Read More

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A Survey of Emergency Providers Regarding the Current Management of Anterior Shoulder Dislocations.

J Emerg Trauma Shock 2020 Jan-Mar;13(1):68-72. Epub 2020 Mar 19.

Department of Emergency Medicine, UCSF/Fresno, Fresno, CA, USA.

Background: Anterior shoulder dislocations (ASDs) are frequent painful injuries commonly treated in the emergency department. The last decade new potentially less traumatic and painful reduction techniques for ASDs have been introduced. Recent literature comparing best reduction techniques, medication use, and approaches is limited. Read More

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http://dx.doi.org/10.4103/JETS.JETS_87_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204951PMC

Arthroscopic Bankart Repair versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability - A Systematic Review & Meta-Analysis.

Arthroscopy 2020 May 7. Epub 2020 May 7.

New York University Langone Health, Department of Orthopaedic Surgery, New York, NY, United States.

Purpose: The purpose of the current study is to meta-analyze the current evidence in the literature to compare arthroscopic Bankart repair versus conservative management for first-time anterior shoulder dislocation.

Methods: A literature search of MEDLINE, EMBASE and The Cochrane Library, was performed based on the PRISMA guidelines. Prospective studies comparing arthroscopic Bankart repair versus conservative management as treatment for first-time anterior shoulder dislocation were included. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.04.046DOI Listing

The Evolving Role of Ultrasonography in Diagnosing and Managing Shoulder Dislocations.

Ann Emerg Med 2020 May 7. Epub 2020 May 7.

Department of Emergency Medicine, University of California, Los Angeles, Los Angeles, CA.

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http://dx.doi.org/10.1016/j.annemergmed.2020.03.023DOI Listing

Fractures of the Coracoid Process: Evaluation, Management, and Outcomes.

J Am Acad Orthop Surg 2020 May 7. Epub 2020 May 7.

From the Department of Orthopaedic Surgery, Madigan Army Medical Center (Dr. Galvin), Tacoma, WA, the Department of Orthopaedic Surgery, Boston University School of Medicine (Dr. Kang and Dr. Li), Boston, MA, and the Department of Orthopaedic Surgery, University of Missouri School of Medicine (Dr. Ma), Columbia, MO.

Fractures of the coracoid process are relatively rare, and current management guidelines remain unclear. Most coracoid fractures occur in conjunction with other shoulder injuries, including dislocations and fractures. Identifying coracoid fractures can be difficult because most fractures are nondisplaced and can be missed on radiographs or may be masked by other injuries. Read More

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http://dx.doi.org/10.5435/JAAOS-D-19-00148DOI Listing

A new mini-open technique of arthroscopically assisted Latarjet.

BMC Musculoskelet Disord 2020 May 7;21(1):285. Epub 2020 May 7.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128, Trigoria, Rome, Italy.

Background: The aim is to describe a new arthroscopically assisted Latarjet technique.

Methods: We evaluated the clinical and radiological findings of 60 patients with chronic recurrent anterior gleno-humeral instability who underwent, between September 2013 and November 2014, an arthroscopically-assisted Latarjet procedure with double round endobutton fixation. Inclusion criteria were: chronic anterior recurrent instability, Instability Severity Index Score (ISIS) greater than three points, a glenoid bone defect > 15% or a Hill Sachs lesion with concomitant glenoid bone defect > 10%. Read More

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http://dx.doi.org/10.1186/s12891-020-03307-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206729PMC

Traumatic Floating Clavicle: Is This a Rare Injury?

Cureus 2020 Apr 3;12(4):e7525. Epub 2020 Apr 3.

Surgery, National and Kapodistrian University of Athens Medical School, Athens, GRC.

Bipolar clavicle dislocation is thought to be a rare injury pattern. Even experienced orthopaedic surgeons may have not come across this entity during their careers. We report a misdiagnosed case of a 65-year-old male who underwent a motorcycle accident and was surgically treated six months post-injury. Read More

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http://dx.doi.org/10.7759/cureus.7525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198073PMC

Recurrent Shoulder Posteroinferior Subluxation Status Post Reverse Remplissage.

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

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

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

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

Arthroscopic Fixation of an Anterior Labroligamentous Periosteal Sleeve Avulsion (ALPSA) of the Shoulder.

Arthrosc Tech 2020 Apr 3;9(4):e553-e558. Epub 2020 Apr 3.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Anterior labroligamentous periosteal sleeve avulsions represent a diagnostic and treatment challenge. They are associated with a higher number of preoperative dislocations, as well as longer chronicity, and commonly result in a scarred and medialized labrum and periosteal sleeve complex. Anterior labroligamentous periosteal sleeve avulsion lesions therefore may be commonly overlooked. Read More

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http://dx.doi.org/10.1016/j.eats.2020.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189567PMC

Arthroscopic Trillat Procedure: A Guided Technique.

Arthrosc Tech 2020 Apr 23;9(4):e513-e519. Epub 2020 Apr 23.

Department of Orthopedic Surgery, Centre Osteo-Articulaire des Cedres, Echirolles, France.

The Trillat procedure is a surgical treatment for recurrent anterior shoulder instability in the setting of significant or irreparable rotator cuff tears in elderly patients. The procedure comprises an inferior closing wedge partial osteotomy of the coracoid process with fixation to the glenoid neck. This results in a lowered and medialized coracoid process that acts as a bone block and the conjoint tendon is brought closer to the glenohumeral joint, thus closing the subcoracoid space, which blocks humeral dislocation. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189268PMC

Results of fracture-dislocation of interphalangeal treatment with volar buttressing hook plating techniques.

Orthop Traumatol Surg Res 2020 Apr 29. Epub 2020 Apr 29.

Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

Introduction: Proximal interphalangeal joint (PIP) is one of the joints exposed to upper limb injury. The dorsal fracture-dislocations of the PIP is a common injury. Treatment of cases with small avulsed bone fragments is challenging. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.02.012DOI Listing

[Treatment of rotator cuff tear in global stiff shoulder by arthroscopic 360° capsular release with concomitant rotator cuff repair].

Zhongguo Gu Shang 2020 Apr;33(4):348-52

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

Objective: To evaluate the clinical effect of arthroscopic 360° capsular release with concomitant rotator cuff repair for patients with rotator cuff tears in global stiff shoulder.

Methods: From December 2016 to December 2018, 247 patients full-thickness rotator cuff tear were treated with arthroscopic rotator cuff repair. Among them, 42 patients (17%) with global limitation of shoulder movement were treated with arthroscopic 360° capsular release operation at the same time of rotator cuff repair. Read More

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http://dx.doi.org/10.12200/j.issn.1003-0034.2020.04.011DOI Listing

[Arthroscopically-assisted treatment of acute and chronic dislocations of the acromioclavicular joint : A prospective clinical trial].

Orthopade 2020 Apr 28. Epub 2020 Apr 28.

Orthopädische Praxisklinik Münster, Münster, Deutschland.

Background: Injuries of the acromioclavicular joint (ACJ) are frequent and often occur during sports. While arthroscopically-assisted stabilization of acute injuries of the ACJ is a well-established procedure, there is not much data available for arthroscopically-assisted stabilization of chronic injuries of the ACJ.

Objectives: This study assesses clinical and radiological results of arthroscopically-assisted stabilization of acute and chronic injuries of the ACJ. Read More

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http://dx.doi.org/10.1007/s00132-020-03914-8DOI Listing

Comparative Evaluation of Coracoid Graft Dimensions in the Latarjet Surgery for Anterior Glenohumeral Instability.

Rev Bras Ortop (Sao Paulo) 2020 Apr 28;55(2):215-220. Epub 2020 Jan 28.

Grupo de Cirurgia do Ombro, Departamento de Ortopedia e Traumatologia, Irmandade da Santa Casa de Misericórdia de Porto Alegre (ISCMPA), Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.

 The aim of the present study was to describe the dimensions of the coracoid grafts in our Latarjet surgeries and compare them with the results described in the literature. In addition, the feasibility of the 7-millimeter rule was verified.  Individuals with anterior glenohumeral instability with or without bone loss participated in the present study. Read More

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http://dx.doi.org/10.1055/s-0039-1698801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186068PMC

Arthroscopic Latarjet: Technique Description and Preliminary Results. Study of the First 30 Cases.

Rev Bras Ortop (Sao Paulo) 2020 Apr 19;55(2):208-214. Epub 2019 Dec 19.

Departamento de Ortopedia, Instituto Vita, São Paulo, SP, Brasil.

 Arthroscopic Latarjet has been performed with the aim to be an accurate technique with a low incidence of complications. The aim of the present study was to briefly describe the technique and to evaluate the shot-term complications following arthroscopic Latarjet procedure to correct anterior shoulder dislocation with glenoid bone loss.  Retrospective study with 30 subjects with anterior shoulder instability, submitted to arthroscopic Latarjet. Read More

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http://dx.doi.org/10.1055/s-0039-3400523DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186071PMC

Sex differences in upper limb musculoskeletal biomechanics during a lifting task.

Appl Ergon 2020 Jul 6;86:103106. Epub 2020 Apr 6.

School of Kinesiology and Exercise Science, Faculty of Medicine, University of Montreal, Canada.

Women experience higher prevalence of work-related upper limb musculoskeletal disorders compared to men. Previous studies have investigated the biological, kinematic and electromyographic sex-related differences during a lifting task but the actual differences in musculoskeletal loads remain unknown. We investigated the sex differences in three musculoskeletal indicators: the sum of muscle activations, the sum of muscle forces and the relative time spent beyond a shear-compression dislocation ratio. Read More

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http://dx.doi.org/10.1016/j.apergo.2020.103106DOI Listing

Neglected Bilateral Anterior Shoulder Dislocation Following Epileptic Seizure: A Case Report and Literature Review.

Kurume Med J 2020 Apr 24. Epub 2020 Apr 24.

Department of Orthopaedics and Traumatology, "251" Hellenic Air Force General Hospital of Athens.

Anterior shoulder dislocations following an epileptic event are considered rare. An extremely rare case of a 41 year old female suffering from bilateral anterior shoulder dislocation with concomitant greater tuberosities fractures after an epileptic seizure is presented. The patient presented to the out-patient orthopaedic clinic due to persistent pain and restriction of shoulders movement, 4 weeks after an epileptic seizure. Read More

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http://dx.doi.org/10.2739/kurumemedj.MS661008DOI Listing

Comparison between hook plate fixation with and without coracoclavicular ligament suture for acute acromioclavicular joint dislocations.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(1):2309499020905058

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

Background: Hook plates are widely used for repair of acromioclavicular joint (ACJ) dislocations. However, it is unclear whether repair of torn coracoclavicular (CC) ligament is necessary. The purpose of this study was to evaluate the outcomes of the hook plate fixation with direct CC ligament repair for acute ACJ dislocation in comparison with the hook plate fixation without direct CC ligament repair. Read More

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http://dx.doi.org/10.1177/2309499020905058DOI Listing

The Kite technique: a new all-arthroscopic technique for the treatment of acute acromioclavicular joint dislocation.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 25. Epub 2020 Apr 25.

Department of Anatomy, Histology, Legal Medicine and Orthopedics, Sapienza University of Rome-Polo Pontino (ICOT), Latina, Italy.

Purpose: Although many open techniques have been developed, no all-arthroscopic technique has been introduced to reduce acute acromioclavicular joint dislocation (ACJD) and augment both coracoclavicular (CC) ligaments. The Kite technique is the first all arthroscopic technique with this aim.

Methods: Forty-one consecutive patients [35M-6F; median: 29. Read More

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http://dx.doi.org/10.1007/s00167-020-06013-5DOI Listing

[Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].

Radiologe 2020 Apr 24. Epub 2020 Apr 24.

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland.

Background: The shoulder girdle is a chain of bones and joints which connect the upper extremity to the axial skeleton. The shoulder as a biomechanical unit has a remarkable range of motion and is therefore frequently prone to injuries of the three major joints (sternoclavicular joint, acromioclavicular joint, glenohumeral joint) and the bony elements (clavicle, scapula, humerus). Projection radiography is still the first imaging modality for injuries of the shoulder and usually sufficient for initial diagnosis and injury classification. Read More

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http://dx.doi.org/10.1007/s00117-020-00682-6DOI Listing

Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction.

Ann R Coll Surg Engl 2020 Apr 24:e1-e5. Epub 2020 Apr 24.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0051DOI Listing

Epidemiology of Paediatric Shoulder Dislocation: A Nationwide Study in Italy from 2001 to 2014.

Int J Environ Res Public Health 2020 Apr 20;17(8). Epub 2020 Apr 20.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Rome, Italy.

Limited knowledge is accessible concerning the tendencies of hospitalization for skeletally immature patients with episodes of shoulder dislocation. Our research aim was to evaluate annual hospitalizations for shoulder dislocation in paediatric patients in Italy from 2001 to 2014, on the basis of the official data source as hospitalization reports. The second purpose was to investigate geographical diversification in hospitalization for shoulder dislocation in regions of Italy. Read More

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http://dx.doi.org/10.3390/ijerph17082834DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7215533PMC