34,589 results match your criteria Shoulder Joint


[Update on the Operative Treatment of Cartilage Defects].

Z Orthop Unfall 2021 May 11. Epub 2021 May 11.

Focal cartilage defects lead to swelling, significant pain and loss of function of the affected joint. Additionally, they are linked to early onset of osteoarthritis. Often young and active patients are especially susceptible due to the high stress placed on their joints. Read More

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Higher body mass index and body fat percentage correlate to lower joint and functional strength in working age adults.

Appl Ergon 2021 May 8;95:103453. Epub 2021 May 8.

Department of Kinesiology, University of Waterloo, Canada. Electronic address:

As the prevalence of obesity grows worldwide, it becomes an increasing concern in working populations. Ergonomists are faced with the challenge of accommodating workplace layouts to include this worker demographic. This study investigated the relationship between shoulder and low back isometric joint strengths across body mass index (BMI) groups. Read More

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Postoperative Rehabilitation of Anterior Glenohumeral Joint Instability Surgery: A Systematic Review.

Sports Med Arthrosc Rev 2021 Jun;29(2):54-62

Medstar National Rehabilitation Hospital, Washington, DC.

Anterior glenohumeral instability is the most common form of shoulder instability. The systematic review summarizes the latest research on rehabilitation after Bankart repair. Inclusion criteria included postoperative rehabilitation and published in English between 2000 and 2019. Read More

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Comparison of posterior indirect adhesive restorations (PIAR) with different preparation designs according to the adhesthetics classification. Part 1: Effects on the fracture resistance.

Int J Esthet Dent 2021 May;16(2):144-167

Aim: To investigate whether: 1) in the adhesive era, a full-crown restoration in a molar tooth is more resistant compared with an overlay-type restoration; b) a posterior indirect adhesive restoration (PIAR) is similar to a sound tooth from a mechanical point of view.

Materials And Methods: Seventy extracted molars were divided into five groups (1. Butt Joint; 2. Read More

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The application of personalized rehabilitation exercises in the postoperative rehabilitation of breast cancer patients.

Ann Palliat Med 2021 Apr;10(4):4486-4492

Division II of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China.

Background: This study sought to explore the effects of personalized rehabilitation exercises in the postoperative rehabilitation of breast cancer patients.

Methods: A total of 93 breast cancer patients admitted to our hospital from January 2018 to December 2019 were taken as research subjects for this study. Based on order of admission, patients were assigned to a control group (46 cases) or an observation group (47 cases). Read More

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Double bucket handle tear of the superior labrum in a young patient presented with shoulder instability treated with arthroscopic debridement: A case report.

Int J Surg Case Rep 2021 Apr 30;82:105939. Epub 2021 Apr 30.

King Khaled University Hospital, Riyadh, Saudi Arabia.

Introduction And Importance: The two major etiologies of shoulder superior labral tears anterior to posterior (SLAP) are traumatic and degenerative processes. Bucket handle tears of the superior labrum represent one-third of labral lesions. However, in this article, we present a double bucket handle tear which has been reported once in the literature. Read More

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Plate Positioning Affects the Pressure on the Axillary Nerve Following a Deltopectoral Approach.

Acta Chir Orthop Traumatol Cech 2021 ;88(2):153-157

Istanbul Medeniyet University, Department of Orthopaedic Surgery and Traumatology, Istanbul, Turkey.

PURPOSE OF THE STUDY To investigate the pressure levels on the axillary nerve at different plate positions after plate fixation of a proximal humerus fracture. MATERIAL AND METHODS Eight fresh-frozen cadaveric specimens were used. The plates were applied on the lateral side of the humerus. Read More

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Glenohumeral Arthrodesis Using Pelvic Reconstruction Plates: a Series of 15 Patients.

Ortop Traumatol Rehabil 2021 Apr;23(2):59-64

Artemis Hospital, Gurgaon, Haryana, India.

Background: Glenohumeral joint arthrodesis has become a rare entity due to the introduction of shoulder arthroplasty. It is an excellent salvage procedure for patients with severe shoulder dysfunction, with limited treatment options, indicated for brachial plexus injury, tumour resection, chronic infection, failed prosthetic arthroplasty, or pseudoparalysis of the shoulder due to combined rotator cuff and deltoid deficiency. Shoulder arthrodesis relieves the patient of pain and gives a decent amount of function. Read More

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Pedicle screw system reconstruction in shoulder resection type IV-total scapulectomy: A case report and short term follow up.

Int J Surg Case Rep 2021 Apr 27;82:105899. Epub 2021 Apr 27.

Department of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National Central General Hospital, Jakarta, Indonesia. Electronic address:

Introduction: Shoulder resection remains a challenging procedure after scapulectomy for tumour resection. The results have various functional outcome, wound coverage, and cosmetic aspect. In this case report, we reported the outcome of pedicle screw application after scapulectomy procedure within 1 month follow up after surgical tumour excision. Read More

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Morphological Characteristics of Acromion and Acromioclavicular Joint in Patients with Shoulder Impingement Syndrome and Related Recommendations: A Three-Dimensional Analysis Based on Multiplanar Reconstruction of Computed Tomography Scans.

Orthop Surg 2021 May 6. Epub 2021 May 6.

Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

To find out which structure is crucial for the formation of shoulder impingement syndrome with the purpose of directing surgical procedures of subacromial decompression and discussing whether it is necessary to manage acromioclavicular joint during operation and how to do it properly.

Methods: This was a retrospective study. Clinical data and preoperative computed tomography (CT) images were collected from patients who were diagnosed with rotator cuff tears between January 2017 and August 2019 (sample size: 46) and those who were diagnosed without rotator cuff tears between March 2018 and August 2019 (sample size: 44) in our institution, respectively. Read More

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Sonographic Measurement of Dynamic Horizontal Instability in Acromioclavicular Joint Instability: Description of a Simple Technique and Correlation to Radiographic Parameters.

J Ultrasound Med 2021 May 6. Epub 2021 May 6.

Department of Sports Orthopaedics, St. Vinzenz Hospital, Düsseldorf, Germany.

Objective: Dynamic horizontal instability is considered to be the main reason for poor outcome after treatment for acromioclavicular (ac) joint instability. In this study, we describe a simple technique to quantify this pathology via sonography.

Methods: Thirty-six shoulders from 18 patients with ac joint instabilities were examined using modified Alexander views and a standardized sonographic examination. Read More

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[Emergency treatment of dislocation of large joints].

Unfallchirurg 2021 May;124(5):391-406

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhaus Klinikum Hetzelstift, Stiftstraße 10, 67435, Neustadt an der Weinstraße, Deutschland.

Joint dislocations are always accompanied by rupture of the joint capsule. Depending on the forces exerted on the joint as well as individual bone quality, fractures (dislocation fractures) and injuries to ligaments occur. As blood vessels and nerves can also be damaged, reduction is an urgent measure. Read More

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Acromioclavicular Joint Disk Tearing in Young Non-Arthritic Individuals: A Case Series.

J Orthop Case Rep 2020 May-Jun;10(3):90-94

Department of Orthopaedic Surgery, University of Michigan Medical School, MedSport Domino's Farms, 24 Frank Lloyd Wright Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 USA.

Introduction: Degeneration of the fibrocartilaginous acromioclavicular (AC) joint disk can become significant in later life and lead to primary osteoarthritis and shoulder pain. Younger, non-arthritic individuals may develop residual shoulder symptoms due to tearing of the disk itself.

Case Report: Six patients (seven shoulders) were included in this case series. Read More

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Traumatic Posterior Shoulder Dislocation during Judo in a Child and Literature Review.

J Orthop Case Rep 2020 May-Jun;10(3):43-46

Department of Orthopaedic Surgery, Necker-Enfants Malades University Hospital, 149 Rue de Sèvres, 75015 Paris, France.

Introduction: Traumatic posterior dislocation of the shoulder is exceedingly rare in pediatric patients. Main causes are obstetrical brachial plexus injury; congenital abnormalities of the glenohumeral joint; and voluntary dislocation, which are often multidirectional. Treatment is not consusual and depends on early diagnosis. Read More

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Is the Anterior Injection Approach Without Ultrasound Guidance Superior to the Posterior Approach for Adhesive Capsulitis of the Shoulder? A Sequential, Prospective Trial.

Clin Orthop Relat Res 2021 May 5. Epub 2021 May 5.

Z. Rijs, Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, the Netherlands.

Background: Shoulder injections for conditions such as adhesive capsulitis are commonly performed and can be administered through image-based or landmark-based injection approaches. Ultrasound-guided injections are widely used and accurate because ultrasound allows real-time visualization of the needle and injected contrast. Landmark-based injections would be advantageous, if they were accurate, because they would save the time and expense associated with ultrasound. Read More

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Anatomy and Correlation of the Coracoid Process and Coracoclavicular Ligament Based on Three-Dimensional Computed Tomography Reconstruction and Magnetic Resonance Imaging.

Med Sci Monit 2021 Apr 24;27:e930435. Epub 2021 Apr 24.

Department of Orthopedics, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China (mainland).

BACKGROUND The anatomy of the coracoid process and coracoclavicular (CC) ligament have been described and the correlation between them has been assessed based on 3-dimensional computed tomography (CT) reconstruction and magnetic resonance imaging (MRI), which provide a guide for coracoclavicular ligament reconstruction. MATERIAL AND METHODS Data were collected from 300 patients who underwent both CT and MRI of the shoulder joint from January 2017 to January 2019 at the Jiang'an Hospital of Traditional Chinese Medicine. The coracoid process was observed and classified and parameters of the CC ligament were measured according to different corneal types. Read More

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Irreducible Traumatic Radial Head Dislocation Due to Annular Ligament Interposition in a Child with Ulnar Plastic Deformation: A Case Report.

Orthop Surg 2021 May 4. Epub 2021 May 4.

VietDuc University Hospital, Hanoi, Vietnam.

Background: The traumatic dislocation of the radial head in children is commonly treated by closed reduction. Sometimes, however, this strategy of treatment may not be effective due to the location of soft tissues in the radio-shoulder joint. The literature presents a few cases of the irreducible radial head dislocation with ulnar plastic deformation. Read More

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Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration.

Eur J Pain 2021 May 4. Epub 2021 May 4.

Université de Montréal, 2375 Cote Ste-Catherine, Montreal, Quebec, Canada, H3T 1A8.

Objectives: To develop an evidence-based guideline for the non-invasive management of soft tissue disorders of the shoulder (shoulder pain), excluding major pathology.

Methods: This guideline is based on high-quality evidence from seven systematic reviews. Multidisciplinary experts considered the evidence of effectiveness, safety, cost-effectiveness, societal and ethical values, and patient experiences when formulating recommendations. Read More

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Cast immobilisation in situ versus open reduction and internal fixation of displaced medial epicondyle fractures in children between 7 and 16 years old. A study protocol for a randomised controlled trial.

BMJ Open 2021 May 3;11(5):e044627. Epub 2021 May 3.

Department of Pediatric Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Uusimaa, Finland.

Introduction: Medial epicondyle fracture of the humerus is a common injury in childhood. There is uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, fractures with joint incarceration or ulnar nerve dysfunction require surgery. Read More

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Total Ankle Arthroplasty With Anatomic Lateral Ankle Stabilization (ATLAS) in Moderate and Severe Pre-operative Varus Alignment.

J Foot Ankle Surg 2021 Mar 29. Epub 2021 Mar 29.

Orthopedic Foot and Ankle Center, Worthington, OH.

The purpose of the present study was to assess the early clinical and radiographic outcomes for patients who underwent TAA and Anatomic Lateral Ankle Stabilization (ATLAS) using synthetic graft for instability in moderate and severe preoperative varus alignment. Seven ankles with moderate or severe varus alignment underwent TAA with a 3 generation prothesis (INBONE-2) and ATLAS using synthetic graft between September 2018 and February 2019 at a single institution, and were at least 1 year postoperative (mean 13.3 months, range 12-15). Read More

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Effect of a novel stretching technique on shoulder range of motion in overhead athletes with glenohumeral internal rotation deficits: a randomized controlled trial.

BMC Musculoskelet Disord 2021 Apr 30;22(1):402. Epub 2021 Apr 30.

Department of Allied Health Studies, School of Allied Health Professions, Loma Linda University, Loma Linda, CA, USA.

Background: The cross-body and the modified sleeper stretch have been used to improve posterior shoulder soft tissue flexibility and to increase glenohumeral joint internal rotation (GHJ IR) in overhead athletes. However, due to the inability to stabilize patient's scapula and control GHJ rotation with the cross-body stretch and the potential for subacromial impingement or symptoms' aggravation with the modified sleeper stretch, a new stretching technique (Passive Glenohumeral Internal Rotation with Clam Shell Bridging) was developed as an alternative to these commonly used stretches that may allow for greater stability of the scapula without reproducing symptoms. Thus, the current study aimed to examine and compare a novel stretching technique to the traditional modified sleeper stretch to determine the effect on glenohumeral IR range of motion (ROM) and self-reported pain in overhead athletes with glenohumeral internal rotation deficits (GIRD). Read More

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Mid-Term Outcomes of Arthroscopically-Assisted Anatomic Coracoclavicular Ligament Reconstruction using Tendon Allograft for High-Grade Acromioclavicular Joint Dislocations.

Arthroscopy 2021 Apr 30. Epub 2021 Apr 30.

Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA; The Steadman Clinic, 181 West Meadow Drive, Suite 1000, Vail, CO 81657, USA. Electronic address:

Purpose: The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically-assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA-ACCR) for the treatment of Rockwood type III-V injuries at minimum 2-year follow-up, and to perform subgroup analyses of clinical and radiographic outcomes for acute vs. chronic and type III vs. type IV-V injuries. Read More

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A Focus on Non-Amputation Combat Extremity Injury: 2001-2018.

Mil Med 2021 May 3. Epub 2021 May 3.

Medical Modeling and Simulation, Naval Health Research Center, San Diego, CA 92106-3521, USA.

Introduction: Extremity injuries have comprised the majority of battlefield injuries in modern U.S. conflicts since World War II. Read More

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Comparison of open arthrotomy versus arthroscopic surgery for the treatment of septic arthritis in adults: a systematic review and meta-analysis.

Int Orthop 2021 May 3. Epub 2021 May 3.

Orhtopedics and Truamatology Service, University Hospital "Dr. José E. González", Universidad Autonoma de Nuevo Leon, Fco. I. Madero and José Eleuterio González, 64460, Monterrey, México.

Purpose: To evaluate the efficacy of arthrotomy, when compared with arthroscopy, in the treatment of adults with septic arthritis of any joint.

Methods: MEDLINE, EMBASE, and Scopus were searched to identify studies comparing arthrotomy and arthroscopy as therapeutic approaches in patients with septic arthritis of any joint. The main outcome was the re-infection rate. Read More

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Reverse total shoulder arthroplasty for irreparable rotator cuff tears without arthritis: A systematic review.

J Clin Orthop Trauma 2021 Jun 15;17:267-272. Epub 2021 Apr 15.

Upper Limb Unit, Dept of Orthopaedics, Wrightington Wigan and Leigh NHS Foundation Trust, Hall Lane, Appley Bridge, Lancashire, WN6 9EP, United Kingdom.

Introduction: Indications for reverse total shoulder arthroplasty (RTSA) have expanded over recent years. Whilst cuff tear arthropathy is an accepted indication, the results of its use in those without arthritis is not clear. The aim of this article is to review the literature on RTSA for massive rotator cuff tears without associated arthritis. Read More

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Tendon transfers for irreparable rotator cuff tears.

J Clin Orthop Trauma 2021 Jun 3;17:254-260. Epub 2021 Apr 3.

The James Cook University Hospital, Middlesbrough, UK.

Symptomatic irreparable rotator cuff tears pose a challenge for shoulder surgeons. Whilst reverse polarity shoulder arthroplasty is an effective option for older symptomatic patients who have exhausted conservative management, the optimal treatment for younger patients remains controversial. In this article we outline the main tendon transfer options, including anatomical considerations, indications, contraindications, surgical technique, complications and a review of the evidence. Read More

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Immediate effects of TENS and HVPS on pain and range of motion in subacromial pain syndrome: A randomized, placebo-controlled, crossover trial.

J Back Musculoskelet Rehabil 2021 Mar 30. Epub 2021 Mar 30.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Muğla Sıtkı Koçman University, Muğla, Turkey.

Background: Transcutaneous electrical nerve stimulation (TENS) is one of the most common methods for managing shoulder pain, and high voltage pulsed currents (HVPS) may be used for reducing pain. However, their immediate effects on resting pain and pain-free active range of shoulder motion (pfROM) in patients with subacromial pain syndrome (SAPS) have not been studied comparatively, yet.

Objectives: The aim of this study was to compare the immediate effects of TENS, HVPS and placebo stimulation on shoulder resting pain and pfROM in patients with SAPS. Read More

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The impact of Charlson and Elixhauser comorbidities on patient outcomes following shoulder arthroplasty.

Bone Joint J 2021 May;103-B(5):964-970

Sports Medicine Institute, Hospital for Special Surgery, New York, USA.

Aims: To investigate the impact of the Charlson and Elixhauser comorbidity indices on patient-reported outcomes measures (PROMs) following shoulder arthroplasty.

Methods: Patients undergoing total shoulder arthroplasty (TSA), reverse shoulder arthroplasty (RSA), or hemiarthroplasty (HA) from 2016 to 2018 were identified, along with the Charlson and Elixhauser comorbidities listed as their secondary diagnoses in the electronic medical records. Patients were matched to our institution's registry to obtain their PROMs, including shoulder-specific (American Shoulder and Elbow Society (ASES) and Shoulder Activity Scale (SAS)) and general health scales (12-Item Short Form Survey (SF-12) and Patient-Reported Outcomes Measurement Information System-Pain Interference). Read More

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Radiological humeral adaptative changes five years after anatomical total shoulder arthroplasty using a standard-length cementless hydroxyapatite-coated humeral component.

Bone Joint J 2021 May;103-B(5):958-963

Mayo Clinic, Rochester, Minnesota, USA.

Aims: The purpose of this study was to report bone adaptive changes after anatomical total shoulder arthroplasty (TSA) using a standard-length hydroxyapatite (HA)-coated humeral component, and to report on a computer-based analysis of radiographs to determine changes in peri-implant bone density objectively.

Methods: A total of 44 TSAs, performed between 2011 and 2014 using a cementless standard-length humeral component proximally coated with HA, were included. There were 23 males and 21 females with a mean age of 65 years (17 to 65). Read More

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