Search Our Scientific Publications & Authors

Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.

Rotator cuff tears are frequently treated in daily clinical practice. However, there have been few reports of tears around the shoulder involving the latissimus dorsi and teres major muscles. The author reports the rare case of an isolated tear of the teres major muscle with symptom onset during ordinary sports activities without a clear traumatic mechanism. Read More

Orthopedics 2018 Dec 11:1-7. Epub 2018 Dec 11.

Shoulder arthroplasty is a valuable option for treating glenohumeral osteoarthritis. Revision surgery for a failed shoulder arthroplasty is associated with difficult procedures, complications, and worse outcomes. Compared with a total joint arthroplasty, a resurfacing prosthesis has the supposed advantages of limited perioperative complications and little bone loss during revision. Read More

PLoS One 2018 12;13(12):e0208020. Epub 2018 Dec 12.

Ecology and Evolution, College of Science and Engineering, Flinders University, Adelaide, South Australia, Australia.

The extinct marsupial 'lion' Thylacoleo carnifex was Australia's largest mammalian carnivore. Despite being the topic of more discussion than any other extinct Australian marsupial (excepting perhaps the Thylacine), basic aspects of its palaeobiology, including its locomotory repertoire, remain poorly understood. Recent discoveries allowed the first reconstruction of an entire skeleton including the first complete tail and hitherto-unrecognised clavicles. Read More

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, Showa University Hospital, Tokyo, Japan.

Case: A 49-year-old man presented with apprehension of a repeat dislocation after a left shoulder dislocation, which was accompanied by pain and restricted active range of motion of the shoulder. We performed an arthroscopic Bankart repair as well as an arthroscopic superior capsular reconstruction (ASCR) with fascia lata for the irreparable massive rotator cuff tear. Two years postoperatively, there was no shoulder pain or repeat dislocation; the range of motion had improved. Read More

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Miraidaira Orthopaedic Clinic, Tsukubamirai, Japan.

Case: A 19-year-old college baseball outfielder presented with a 3-month history of right shoulder pain. Radiographs, computed tomography, and magnetic resonance imaging showed a large osteochondral defect at the posterosuperior aspect of the glenoid. Arthroscopic evaluation identified an unstable fragment that was partially attached. Read More

J Neurophysiol 2018 Dec 12. Epub 2018 Dec 12.

Biomedical Sciences, New York Institute of Technology - College of Osteopathic Medicine, United States.

Previous studies have demonstrated a progression of function when healthy subjects counter a sudden mechanical load. Short-latency reflexes are linked to local stretch of the particular muscle and its antagonist. Long-latency reflexes integrate stretch information from both local sources and muscles crossing remote joints appropriate for limb's mechanical interactions. Read More

Neural Regen Res 2019 Mar;14(3):519-524

Department of Hand Surgery, Huashan Hospital, Fudan University; Key Laboratory of Hand Reconstruction, Ministry of Health; Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China.

For severe cubital tunnel syndrome, patients with absent sensory nerve action potential tend to have more severe nerve damage than those without. Thus, it is speculated that such patients generally have a poor prognosis. How absent sensory nerve action potential affects surgical outcomes remains uncertain owing to a scarcity of reports and conflicting results. Read More

Case Rep Pediatr 2018 12;2018:1796831. Epub 2018 Nov 12.

Trauma and Orthopaedics Department, Cambridge University Hospitals Trust, Cambridge, UK.

Pseudoparalysis presenting in infants is a rare manifestation, where infection and trauma are the principle differentials. We present a case of a two-week-old baby boy with pseudoparalysis who was initially diagnosed as Erb's palsy when presented in the emergency department and later re-presented with signs of sepsis. A later diagnosis of osteomyelitis of the humerus and septic arthritis of the shoulder was made. Read More

J Orthop Sci 2018 Dec 8. Epub 2018 Dec 8.

Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ankara, Turkey.

Background: The aim of this study was to investigate the scapular kinematics during dynamic humeral movements in patients with arthroscopic anterior capsulolabral repair of the shoulder along with the potential biomechanical corrective effects of scapular stabilization taping.

Methods: Twenty patients with unilateral traumatic anterior shoulder instability and arthroscopic anterior capsulolabral repair participated in the study. Dynamic shoulder kinematics were assessed during the scapular plane shoulder elevation for both the operated and non operated shoulders and also under two conditions: no-taping and taping. Read More

Radiat Prot Dosimetry 2018 Dec 11. Epub 2018 Dec 11.

Department of Radiation Oncology, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Germany.

Exponential survival curves of early-passage human fibroblasts challenge classic biophysical models of cell inactivation. Thus, X-ray doses of 2-4 Gy inactivate normal, human skin fibroblasts in spite of negligible residual double-strand breaks. By contrast, radioresistant p53-mutant U251 glioblastoma cells proliferate in spite of residual damage. Read More

Oper Neurosurg (Hagerstown) 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

Background And Importance: Nerve root compression by an ectatic vertebral artery is a known but easily overlooked cause of cervical radiculopathy. Management options include nonoperative conservative therapies or surgical approaches designed to relieve the compression via anterior or posterior cervical approaches.

Clinical Presentation: A 72-yr-old female presented with a 6-mo history of sharp, shooting pain in her right arm and shoulder and deltoid weakness. Read More

Med Ultrason 2018 Dec;20(4):461-466

Sakarya University Faculty of Medicine.

Aim: Pulsed radiofrequency (PRF) therapy has become increasingly popular in the treatment of chronic shoulder pain due to its long duration of action and non-destructive method. The aim of the study was to reveal the effects of PRF therapy of the suprascapular nerve (SSN) under ultrasound guidance (UG) in patients with chronic shoulder pain on both shoulder pain and function.

Material And Methods: This study included 74 patients diagnosed with at least one of the following: adhesive capsulitis, rotator cuff syndrome and impingement syndrome of shoulder. Read More

Biomed Res Int 2018 11;2018:3125715. Epub 2018 Nov 11.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, 646000, China.

The acromion is a small section of the scapula which extends anteriorly from the spine of the scapula and the acromial angle (AA) is a prominent bony point at the junction of the lateral border of the acromion and the spine of the shoulder blade. As is well known, the morphology of the acromion and the acromial angle are important as their anatomical variation may contribute to shoulder pathologies. However, few people have studied the morphology and the association between the acromion and the acromial angle. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1083-1094

Background And Purpose: Tendinopathy of the supraspinatus muscle is a frequent cause of shoulder pain. Although it is a common condition, the pathophysiology is not fully understood. The purpose of this clinical commentary is to provide an overview of the pathophysiology of supraspinatus tendinopathy and discuss the conservative treatment solutions. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1073-1082

University of Idaho, Moscow, ID, USA.

Background And Purpose: Shoulder injuries are common amongst overhead athletes. Dysfunctional motor patterns (scapular dyskinesis) may be the cause or result. Improperly treated, they can sideline athletes or reduce quality of life. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1061-1072

Praxis Physical Therapy & Human Performance, Vernon Hills, IL, USA.

Background And Purpose: Brachial plexus neuropraxia (BPN), or "burners" and "stingers", affect 50-65% of football players, with a high rate of recurrence and the potential, in rare cases, for catastrophic injury. Existing literature on rehabilitation of these athletes is limited. The purpose of this case report is to describe the successful and comprehensive rehabilitation of a subject with recurrent brachial plexus neuropraxia using range of motion exercises, cervical and periscapular strengthening, stabilization exercises, and activity modification. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1049-1060

Ithaca College, Ithaca, NY, USA.

Background And Purpose: There have been few published studies regarding the treatment of patients with non-ossifying fibromas (NOFs), either conservatively or operatively. The purpose of this case report is to discuss the clinical presentation and conservative management of a teenage athlete diagnosed with a proximal humerus NOF.

Case Description: The subject was a 13-year-old male middle school student with a diagnosis of left shoulder pain over the prior year preventing him from participating in sports activities. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1024-1031

School of Kinesiology and Recreation, Illinois State University, Normal, IL, USA.

Background: Posterior shoulder tightness (PST), defined as limited glenohumeral (GH) horizontal adduction and internal rotation motion, is a common occurrence in overhead athletes, particularly baseball and softball players, as a result of the extreme forces on the GH joint and the high number of throwing repetitions. Despite clinical evidence suggesting the use of joint mobilizations and muscle energy techniques (MET) for treating PST, there currently are no data examining the overall effectiveness of joint mobilizations and MET to determine optimal treatment for posterior shoulder tightness.

Purpose: To compare the acute effectiveness of MET and joint mobilizations for reducing posterior shoulder tightness, as measured by passive GH horizontal adduction and internal rotation ROM, among high school baseball and softball players. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1015-1023

Drexel University, Philadelphia, PA, USA.

Background: Relationships between core stability and lower extremity injuries have been described in the literature; however, evidence of the relationship between upper extremity injuries and core stability and balance is limited.

Hypothesis/purpose: The purpose of this study was to compare clinical measures of core stability and balance between athletes with and without non-traumatic shoulder injuries.

Study Design: Cross sectional. Read More

Int J Sports Phys Ther 2018 Dec;13(6):1008-1014

School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH.

Background: Upper extremity injuries commonly occur in baseball players, and can often necessitate surgical interventions. Athletes recovering from previous surgeries may be at greater risk of a secondary injury due to potential residual deficits in global movement. Identifying individuals with residual movement dysfunction following surgery during a pre-participation examination may help health care professionals identify baseball players who may be at a greater risk of re-injury in their throwing arms so that appropriate interventions can be developed. Read More

BMC Sports Sci Med Rehabil 2018 28;10:22. Epub 2018 Nov 28.

1Institute for Biomechanics, ETH Zürich, Leopold-Ruzicka-Weg 4, 8093 Zürich, Switzerland.

Background: Internal and external rotation exercises of the shoulder are frequently performed to avoid injury and pain. Knowledge about the motion and loadings of the upper extremities during these exercises is crucial for the development of optimal training recommendations. However, a comparison of the angles and corresponding moments in the upper extremities that are achieved during internal and external rotation exercises for the shoulder by using different resistance types has not yet been performed. Read More

JB JS Open Access 2018 Sep 12;3(3):e0056. Epub 2018 Jul 12.

Mayo Clinic Arizona, Phoenix, Arizona.

Background: Controversy exists as to whether the subscapularis should be repaired after reverse shoulder arthroplasty. The purpose of the present study was to evaluate the utility of repairing the subscapularis after reverse shoulder arthroplasty with regard to complications, objective findings, and patient-reported outcome measures.

Methods: We retrospectively reviewed the records for 99 patients who had undergone a lateralized reverse shoulder arthroplasty with (n = 58) or without (n = 41) subscapularis repair. Read More

JB JS Open Access 2018 Sep 7;3(3):e0055. Epub 2018 Aug 7.

Rothman Institute, New York, NY.

Background: The purpose of this retrospective study was to compare outcomes and complications in patients with and patients without a history of non-arthroplasty surgery on the ipsilateral shoulder who later underwent total shoulder arthroplasty (TSA) or reverse total shoulder arthroplasty (RTSA). We hypothesized that patients who had undergone prior surgery would have more complications and worse clinical outcomes.

Methods: Consecutive patients who had undergone shoulder arthroplasty and had been followed for a minimum of 2 years were evaluated with the American Shoulder and Elbow Society scoring system (ASES), Simple Shoulder Test (SST), and Visual Analog Scale (VAS) assessments and with physical examination, including range-of motion assessments. Read More

JB JS Open Access 2018 Sep 13;3(3):e0018. Epub 2018 Sep 13.

Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, Michigan.

Background: Rotator cuff disease has a high prevalence and is associated with shoulder pain and disability. Dyslipidemia might be an intrinsic factor related to the development of the disease as it might increase tendon stiffness and result in tendon problems. The purposes of the present study were (1) to systematically review the association between lipid disorders and the risk of rotator cuff disease and (2) to provide physicians with guidance to prevent rotator cuff disease. Read More

Biomed Res Int 2018 6;2018:4535031. Epub 2018 Nov 6.

Department of Anatomy, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.

The aim of this study was to accurately identify the distribution of sensory nerve branches running to bursa with mesoscopic dissection and boundaries following the injection of gelatin into the bursa. Eighteen shoulders of 11 Korean soft cadavers (average age, 65 years; age range, 43 - 88 years) were dissected. The most prominent point of greater tubercle of the humerus (GT) was used as a reference point. Read More

Respir Med Case Rep 2019 23;26:56-58. Epub 2018 Nov 23.

Saint Francis Hospital, Evanston, IL, United States.

We report a case of patient who presented to the hospital due to shoulder pain and was later diagnosed with ruptured thymoma. Shortly after being admitted to the hospital for the work up patient developed respiratory distress and underwent emergent endotracheal intubation. CT scan of the chest showed anterior mediastinal mass with associated right sided hemothorax. Read More

Arthrosc Tech 2018 Nov 29;7(11):e1235-e1241. Epub 2018 Oct 29.

Dalhousie University, Halifax, Nova Scotia, Canada.

Anterior capsular reconstruction needs to be done for most cases of anterior shoulder instability. Several surgical techniques using tendinous allografts and autografts have been used for the treatment of anterior glenohumeral capsular reconstruction. However, the outcomes of these procedures are not satisfactory. Read More

Arthrosc Tech 2018 Nov 29;7(11):e1231-e1234. Epub 2018 Oct 29.

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

Finding the way back into the glenohumeral space after a time-consuming rotator cuff reconstruction is not always easy because of swelling of the surrounding soft tissues. We present a safe and quick technical tip on how to reintroduce the arthroscope by means of a transarticular suture. After primary work in the glenohumeral space is performed and before the arthroscope is withdrawn from the joint, a monofilament suture is channeled from the anterior working portal through the glenohumeral joint to exit from the posterior portal. Read More

Arthrosc Tech 2018 Nov 8;7(11):e1115-e1121. Epub 2018 Oct 8.

Dalhousie University, Nova Scotia, Canada.

Recurrent shoulder instability is highly associated with glenoid bone loss. Traditionally, bony procedures to address this bone loss have described nonanatomic, coracoid transfer procedures. More recently, anatomic glenoid reconstruction procedures have been described. Read More

Arthrosc Tech 2018 Nov 1;7(11):e1089-e1095. Epub 2018 Oct 1.

Princeton Orthopaedic & Rehabilitation Associates, Princeton, New Jersey, U.S.A.

Superior capsular reconstruction is a powerful tool for the treatment of massive irreparable rotator cuff tears. Several authors have described this evolving technique. Issues of graft sizing, graft passage, graft tensioning, and suture management make this a challenging procedure even in the hands of experienced shoulder surgeons. Read More

J Bone Jt Infect 2018 11;3(5):245-248. Epub 2018 Nov 11.

Department of Orthopaedics and Traumatology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.

Joint aspiration in suspected infected implants is a validated diagnostic method in establishing the diagnosis of prosthetic joint infection (PJI). Cut-off values for synovial leukocyte counts and differentials are well described for patients with hip and knee PJI. In 19 failed shoulder implants, a leucocyte count of >12. Read More

Front Neurorobot 2018 23;12:77. Epub 2018 Nov 23.

Unit of the Theory of Sport and Motorics, Chair of Individual Sports, University of Physical Education and Sport, Gdańsk, Poland.

The two-segment model of the human arm is considered; the shoulder and elbow joint torques (JTs) are simulated, providing a slow, steady rotation of the force vector at any end-point of the horizontal working space. The sinusoidal waves describe the JTs, their periods coincide with that of the rotation, and phases are defined by the slopes of the correspondent lines from the joint axes to the end-point. Analysis of the JTs includes an application of the same discrete changes in one joint angle under fixation of the other one and vice versa; the JT pairs are compared for the "shoulder" and "elbow" end-point traces that pass under fixation of the elbow and shoulder angles, respectively. Read More

Clin Interv Aging 2018 15;13:2351-2358. Epub 2018 Nov 15.

Institute of Health Sciences, Gyeongsang National University College of Medicine, Jinju, Republic of Korea,

Purpose: The purposes of this study were to investigate the effect of hand-grip strength (HGS) on the Disabilities of the Arm, Shoulder, and Hand (DASH) score in women with upper extremity musculoskeletal disorders (UEMDs) living in rural communities and examine whether upper extremity diseases affected upper extremity functional activity in each group (normal/low HGS) and whether grip strength (GS) was an effect modifier in upper extremity functional activity.

Methods: A total of 239 women older than 60 years who had completed a medical workup for epicondylitis, rotator cuff tears, and/or hand osteoarthritis were included in the final study. Functional activity was assessed by DASH, and muscle strength was measured by GS. Read More

Indian J Orthop 2018 Nov-Dec;52(6):602-610

Department of Orthopedic Trauma Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Background: Volar locking plate (VP) and external fixation (EF) are the two most commonly used methods for treating distal radius fractures. The aim of this study was to identify which of the two treatments leads to better outcomes (clinically and radiographically) with fewer complications.

Materials And Methods: A metaanalysis was performed. Read More

Indian J Orthop 2018 Nov-Dec;52(6):596-601

Department of Orthopaedic Surgery, Korea University Anam Hospital, Seoul, Korea.

Background: Tears of the triangular fibrocartilage complex (TFCC) can result in instability of the distal radioulnar joint (DRUJ) and ulnar-sided wrist pain. This study evaluates clinical results of arthroscopic transosseous repair for both proximal and distal components of TFCC tear with DRUJ instability.

Materials And Methods: Ten patients who underwent both proximal component and distal component of TFCC repair were retrospectively reviewed. Read More

Indian J Orthop 2018 Nov-Dec;52(6):590-595

Department of Orthopedic Surgery, W Hospital, Daegu, Korea.

Background: The treatment of modified Mason Type III or IV fractures is controversial. Many authors report open reduction and internal fixation (ORIF) with reconstruction of the radial head, but others advocate radial head arthroplasty (RHA). This study compares the clinical and radiological outcomes of ORIF and RHA in modified Mason Type III or IV radial head fracture and evaluates correlations between prognostic factors and postoperative clinical outcomes. Read More

Indian J Orthop 2018 Nov-Dec;52(6):584-589

Department of Trauma Surgery, University Hospital Brno, Brno, Czech Republic.

Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-term immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Read More

J Back Musculoskelet Rehabil 2018 Nov 30. Epub 2018 Nov 30.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.

Background: Shoulder pain in wheelchair (WC) basketball players is common. Yet there was no scale to define shoulder pain.

Objective: This study was performed to develop a shoulder pain scale for WC basketball players. Read More

J Back Musculoskelet Rehabil 2018 Nov 23. Epub 2018 Nov 23.

Background: Fibromyalgia syndrome (FMS) is a disorder characterized by chronic widespread pain and muscle soreness. Because of its high prevalence, many therapeutic approaches have been proposed with the aim of improving overall physical function and reducing pain. Since low adherence is one of the major limitations among these patients, treatments that do not interfere with their daily routines, such as KT, would be a feasible option. Read More

Physiol Meas 2018 Dec 10. Epub 2018 Dec 10.

Thayer School of Engineering at Dartmouth, Hanover, New Hampshire, UNITED STATES.

Objective: Multiple surgical procedures require drilling through bone to access underlying anatomy or for device placement. In dental applications, iatrogenic injury caused by accidental perforation of cortical bone into critical anatomy occurs in a significant number of dental implant procedures. Limited real-time sensing methods are available to guide clinicians while drilling through cancellous bone towards cortical interfaces. Read More

IEEE Trans Pattern Anal Mach Intell 2018 Dec 7. Epub 2018 Dec 7.

Depth cameras allow to set up reliable solutions for people monitoring and behavior understanding, especially when unstable or poor illumination conditions make unusable common RGB sensors. Therefore, we propose a complete framework for the estimation of the head and shoulder pose based on depth images only. A head detection and localization module is also included, in order to develop a complete end-to-end system. Read More

Biomed Pharmacother 2018 Dec 5;110:465-472. Epub 2018 Dec 5.

Department of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China. Electronic address:

Background: Mac-2 binding protein (M2BP) is a proinflammatory protein associated with atherosclerosis and prognosis in patients with coronary artery diseases. We aimed to investigate the expression of M2BP in human carotid plaques and its relation to clinical symptoms and components within plaques.

Methods: Patients (n = 51) undergoing carotid endarterectomy were consecutively recruited in our study. Read More

Phys Ther Sport 2018 Nov 29;35:106-115. Epub 2018 Nov 29.

Sports and Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, Mile End Hospital, Bancroft Road, London, E1 4DG, UK. Electronic address:

Objectives: Systematically review shoulder injury prevalence, proportion, rate, type, onset, severity, mechanism, risk factors in female artistic gymnasts.

Methods: PubMed, Web of Science, Scopus, Cochrane Library were searched on 7/01/2017. Original studies reporting data for female artistic gymnasts only, of any age or level were included. Read More

Osteoarthritis Cartilage 2018 Dec 7. Epub 2018 Dec 7.

Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.

Objective: Conduct a systematic review of systematic reviews and randomised controlled trials (RCTs) from the past year evaluating rehabilitation for people with osteoarthritis, and provide narrative synthesis of findings focused on core recommended treatments for osteoarthritis (exercise, education, biomechanical interventions, weight loss).

Design: A comprehensive search strategy was used to search PubMed, EMBASE and Cochrane databases (16 May 2017 to 22 March 2018). Search terms included 'osteoarthritis', 'rehabilitation', 'systematic review', and 'randomised controlled trial'. Read More

Semin Thorac Cardiovasc Surg 2018 Dec 7. Epub 2018 Dec 7.

Department of Cardiothoracic Surgery, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK, M23 9LT.

Background: Thoracotomy is a common surgical procedure performed worldwide for lung disease. Despite major advances in analgesia, patients still experience severe shoulder, central back and surgical incision site pain in the postoperative period. This study aimed to assess whether intra-operative phrenic nerve infiltration reduces the incidence of postoperative pain and improves peak flow volume measurements during incentive spirometry. Read More

J Hand Surg Am 2018 Dec 7. Epub 2018 Dec 7.

Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL. Electronic address:

Purpose: We compare outcomes of revision surgery for trapeziometacarpal (TM) arthritis with outcomes for both primary and revision surgery for TM arthritis reported in the literature. We hypothesized that patients undergoing revision surgery for TM arthritis would demonstrate pain and functional outcome scores that were worse than those of patients undergoing primary TM surgery.

Methods: A retrospective analysis of all patients undergoing revision TM surgery at a single institution from 1995 to 2015 was performed. Read More

Reumatol Clin 2018 Dec 5. Epub 2018 Dec 5.

Hospital Universitario Ramón y Cajal, Madrid, España.

For the purpose of assessing the impact of ultrasound in patients with acute shoulder pain, we conducted an analysis of quality health care indicators: need for reevaluation of the pain, rate of referral to specialized medicine and length of time in the emergency department. We reviewed the 1,433 records of patients attended to between 2015 and 2016. Thirty days after the first examination, 90 patients (10. Read More

J Shoulder Elbow Surg 2018 Dec 6. Epub 2018 Dec 6.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: The Walch classification was introduced to classify glenoid morphology in primary glenohumeral osteoarthritis. A modified Walch classification was recently proposed, with 2 additional categories, B3 (monoconcave glenoid with posterior bone loss leading to retroversion > 15° or subluxation > 70%) and D (excessive anterior subluxation), as well as a more precise definition of subtypes A2 and C. The purpose of this study was to evaluate the intraobserver and interobserver agreement of the modified Walch classification system using both plain radiographs and computed tomography (CT). Read More

Vet Anaesth Analg 2018 Sep 19. Epub 2018 Sep 19.

Clinic for Zoo Animals, Exotic Pets and Wildlife, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.

J Plast Reconstr Aesthet Surg 2018 Nov 9. Epub 2018 Nov 9.

Department of Plastic and Reconstructive Surgery, St Vincent's Hospital, 41 Victoria Parade, Fitzroy VIC 3065, Australia.

Introduction: The treatment for soft tissue sarcomas has evolved to include radiotherapy, wide local excision and plastic surgical reconstruction. Goals for the reconstruction of these irradiated defects are the introduction of non-irradiated healthy tissue, tension-free closure and obliteration of potential dead space. Although many defects once required free tissue transfer for reconstruction, greater knowledge of anatomical vascular pattern has led to the increasing use of propeller perforator flaps, islanded and transposed into the defect. Read More