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Journal of Shoulder and Elbow Surgery

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https://www.readbyqxmd.com/read/28619382/does-early-motion-lead-to-a-higher-failure-rate-or-better-outcomes-after-arthroscopic-rotator-cuff-repair-a-systematic-review-of-overlapping-meta-analyses
#1
REVIEW
Bryan M Saltzman, William A Zuke, Beatrice Go, Randy Mascarenhas, Nikhil N Verma, Brian J Cole, Anthony A Romeo, Brian Forsythe
BACKGROUND: The aims of the study were as follows: to perform a systematic review of meta-analyses comparing "early motion" and "delayed motion" after arthroscopic rotator cuff repair; to provide a framework to analyze the best available evidence to develop recommendations; and to identify gaps where suggestions could be made for future investigations. METHODS: Literature searches were performed to identify meta-analyses examining arthroscopic rotator cuff repair with early-motion vs...
June 12, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28606641/fatty-infiltration-of-stage-1-or-higher-significantly-compromises-long-term-healing-of-supraspinatus-repairs
#2
Arnaud Godenèche, Fanny Elia, Jean-François Kempf, Christophe Nich, Julien Berhouet, Mo Saffarini, Philippe Collin
BACKGROUND: Fatty infiltration (FI) compromises outcomes of rotator cuff repairs. Most clinicians consider FI of the infraspinatus, whether it is torn or intact, because it is most rapidly affected. The purpose of this study was to report long-term outcomes of isolated supraspinatus repairs and to determine their associations with FI of the infraspinatus and supraspinatus. METHODS: The records of 182 patients who underwent repair of isolated supraspinatus tears and had preoperative magnetic resonance imaging were retrieved...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28606640/medical-comorbidities-and-perioperative-allogeneic-red-blood-cell-transfusion-are-risk-factors-for-surgical-site-infection-after-shoulder-arthroplasty
#3
Joshua S Everhart, Julie Y Bishop, Jonathan D Barlow
BACKGROUND: Multiple perioperative factors have been implicated in infection risk after shoulder arthroplasty. The purpose of this study was to determine surgical site infection (SSI) risk due to medical comorbidities or blood transfusion after primary or revision shoulder arthroplasty. METHODS: Comprehensive data on medical comorbidities, surgical indication, perioperative transfusion, and SSI were obtained for 707 patients who underwent primary or revision hemiarthroplasty or total shoulder arthroplasty in a single hospital system...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28606639/isolated-serratus-palsy-etiology-influences-its-long-term-outcome
#4
Martti Vastamäki, Leena Ristolainen, Heidi Vastamäki, Veera Pikkarainen
HYPOTHESIS AND BACKGROUND: The cause of isolated serratus palsy is multifactorial, but evaluation of the mechanism of the injury indicates that the lesion to the long thoracic nerve is mechanical in origin in most cases. What is unknown, however, is how etiology influences its long-term outcome. We believed that overuse injuries may recover sooner and better than acute traumatic, infectious, or inflammatory injuries. METHODS: We determined the presumed etiology of isolated serratus palsy in 92 patients treated by brace or observation only and compared it with its long-term outcome after a mean follow-up of 18...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28606638/retrospective-cohort-study-on-radial-head-replacements-comparing-results-between-smooth-and-porous-stem-designs
#5
Mélissa Laflamme, Pierre-Philippe Grenier-Gauthier, Alexandre Leclerc, Stéphanie Antoniades, Anne-Marie Bédard
BACKGROUND: When necessary, radial head integrity after a fracture can be re-created by the use of a radial head arthroplasty if the radial head is judged irreparable. The purpose of this study was to compare the clinical and radiographic outcomes of metal modular radial head replacements with a smooth vs. a porous stem. METHODS: A retrospective cohort study of radial head replacements performed in the first 4 weeks after a trauma in an adult patient at our institution between 2000 and 2014 was completed...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28606637/three-dimensional-shoulder-motion-after-teres-major-or-latissimus-dorsi-tendon-transfer-for-posterosuperior-rotator-cuff-tears
#6
Jan Ferdinand Henseler, Arjen Kolk, Bob Zondag, Jochem Nagels, Jurriaan H de Groot, Rob G H H Nelissen
BACKGROUND: Teres major (TM) transfer and latissimus dorsi (LD) transfer are essential treatment options in patients with posterosuperior rotator cuff (RC) tears. The purpose of this study was to quantify shoulder kinematics before and after TM transfer and LD transfer in posterosuperior RC tear patients. METHODS: In this prospective cohort study, we quantitatively measured shoulder movements using an electromagnetic tracking device (Flock of Birds) preoperatively and 1 year after either TM (n = 13) or LD (n = 9) tendon transfer...
June 9, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601491/a-validation-of-the-nottingham-clavicle-score-a-clavicle-acromioclavicular-joint-and-sternoclavicular-joint-specific-patient-reported-outcome-measure
#7
Edmund R Charles, Vinod Kumar, James Blacknall, Kimberley Edwards, John M Geoghegan, Paul A Manning, W Angus Wallace
BACKGROUND: Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS). MATERIALS AND METHODS: This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601490/is-the-simple-shoulder-test-a-valid-outcome-instrument-for-shoulder-arthroplasty
#8
Jason E Hsu, Stacy M Russ, Jeremy S Somerson, Anna Tang, Winston J Warme, Frederick A Matsen
BACKGROUND: The Simple Shoulder Test (SST) is a brief, inexpensive, and widely used patient-reported outcome tool, but it has not been rigorously evaluated for patients having shoulder arthroplasty. The goal of this study was to rigorously evaluate the validity of the SST for outcome assessment in shoulder arthroplasty using a systematic review of the literature and an analysis of its properties in a series of 408 surgical cases. METHODS: SST scores, 36-Item Short Form Health Survey scores, and satisfaction scores were collected preoperatively and 2 years postoperatively...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601489/is-the-subscapularis-normal-after-the-open-latarjet-procedure-an-isokinetic-and-magnetic-resonance-imaging-evaluation
#9
Alexandre Caubère, Damien Lami, Pascal Boileau, Sébastien Parratte, Matthieu Ollivier, Jean-Noël Argenson
BACKGROUND: The Latarjet procedure is considered to be a violation of the subscapularis muscle. This study evaluated the postoperative status of the subscapularis through isokinetic and magnetic resonance imaging analysis after splitting. We hypothesized that compared with a healthy contralateral shoulder, there would be satisfactory recovery of subscapularis strength at the cost of some fatigability and some mild fatty infiltration. MATERIALS AND METHODS: This was a case-control retrospective study of patients who underwent a Latarjet procedure between January 2013 and January 2015...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601488/ten-year-clinical-and-anatomic-follow-up-after-repair-of-anterosuperior-rotator-cuff-tears-influence-of-the-subscapularis
#10
Laurent Nové-Josserand, Philippe Collin, Arnaud Godenèche, Gilles Walch, Nicolas Meyer, Jean-Francois Kempf
BACKGROUND: Anterosuperior rotator cuff tears are more frequent than expected. We report the results of a 10-year follow-up study after repair. Our hypothesis was that the extent of the subscapularis tear influenced the prognosis. MATERIALS AND METHODS: The study population consisted of all 138 patients who underwent surgery in 14 participating centers in 2003 for full-thickness tears of the rotator cuff with lesions in the subscapularis and supraspinatus tendons...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601487/results-of-cementless-total-elbow-arthroplasty-using-the-discovery-elbow-system-at-a-mean-follow-up-of-61-8-months
#11
Simon P Frostick, Ahmed A Elsheikh, Ali Abdullah Mohammed, Amanda Wood
BACKGROUND: The available literature on the use of a cementless total elbow arthroplasty (TEA) design and its results are limited. This clinical study reports the outcome of the cementless Discovery elbow system. METHODS: Patients were operated on by a single surgeon between 2007 and 2014. Nineteen patients (20 elbows) were available for review, 2 women (1 bilateral TEA) and 17 men. The age of the patients ranged from 27 to 75 years (mean, 48 years). The mean follow-up was 61...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601486/the-development-of-the-patient-expectations-of-shoulder-surgery-survey
#12
Rinco C T Koorevaar, Tsjitske Haanstra, Esther Van't Riet, Okke F O Lambers Heerspink, Sjoerd K Bulstra
BACKGROUND: Patient satisfaction after a surgical procedure is dependent on meeting preoperative expectations. There is currently no patient expectations survey available for patients undergoing shoulder surgery that is validated, reliable, and easy to use in daily practice. The aim of this study was to develop a Patient Expectations of Shoulder Surgery (PESS) survey. METHODS: In 315 patients, answers to an open-ended question about patient expectations were collected before shoulder surgery to develop the PESS survey...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28601485/surgical-treatment-of-shoulder-infections-a-comparison-between-arthroscopy-and-arthrotomy
#13
Christoph Böhler, Alexander Pock, Wenzel Waldstein, Kevin Staats, Stephan E Puchner, Johannes Holinka, Reinhard Windhager
BACKGROUND: Management of bacterial shoulder infections includes antibiotic therapy and surgical joint decompression. Arthroscopy and open arthrotomy are recommended treatment options. Whether 1 of the 2 surgical options is superior remains unclear. The present study aimed (1) to compare the reinfection rates after arthroscopy and open arthrotomy and (2) to identify risk factors of reinfection after surgical intervention. MATERIALS AND METHODS: The data of 59 consecutive patients were available for final analysis...
June 7, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28595948/healing-and-functional-outcome-of-a-subscapularis-peel-repair-with-a-stem-based-repair-after-total-shoulder-arthroplasty
#14
Reuben Gobezie, Patrick J Denard, Yousef Shishani, Anthony A Romeo, Evan Lederman
BACKGROUND: The purpose of this study was to evaluate functional outcome and healing of a subscapularis peel with a stem-based repair after total shoulder arthroplasty (TSA). The hypothesis was that the repair would lead to subscapularis healing in the majority of cases. METHODS: A prospective analysis was performed on a consecutive series of TSAs. Range of motion and functional outcome were assessed according to American Shoulder and Elbow Surgeons, Single Assessment Numeric Evaluation, Simple Shoulder Test, and visual analog scale scores at a minimum follow-up of 1 year...
June 5, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28554593/erratum-to-secondary-latissimus-dorsi-transfer-after-failed-reverse-total-shoulder-arthroplasty-j-shoulder-elbow-surg-2015-24-e337-e344
#15
Gabor J Puskas, Marco Germann, Sabrina Catanzaro, Christian Gerber
No abstract text is available yet for this article.
May 26, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28545718/the-effect-of-glenoid-component-version-and-humeral-polyethylene-liner-rotation-on-subluxation-and-impingement-in-reverse-shoulder-arthroplasty
#16
Vijay N Permeswaran, Andrea Caceres, Jessica E Goetz, Donald D Anderson, Carolyn M Hettrich
BACKGROUND: A previously validated finite element modeling approach was used to determine how changes in glenoid component version and polyethylene liner rotation within the humeral component affect the arm abduction angle at which impingement between the inferior glenoid and the polyethylene liner occurs as well as the amount of subluxation generated by that impingement. MATERIALS AND METHODS: Five glenoid component versions (5° anteversion; neutral; 5°, 10°, and 20° retroversion) and 7 polyethylene liner rotations (20° and 10° anterior; neutral; 10°, 20°, 30°, and 40° posterior) were considered, resulting in 35 different clinically representative models...
May 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28545717/preseason-screening-of-shoulder-range-of-motion-and-humeral-retrotorsion-does-not-predict-injury-in-high-school-baseball-players
#17
Sakiko Oyama, Elizabeth E Hibberd, Joseph B Myers
BACKGROUND: Shoulder and elbow injuries are commonplace in high school baseball. Although altered shoulder range of motion (ROM) and humeral retrotorsion angles have been associated with injuries, the efficacy of preseason screening of these characteristics remains controversial. METHODS: We conducted preseason screenings for shoulder internal and external rotation ROM and humeral retrotorsion on 832 high school baseball players and tracked their exposure and incidence on throwing-related shoulder and elbow injuries during a subsequent season...
May 22, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28528016/the-influence-of-humeral-neck-shaft-angle-and-glenoid-lateralization-on-range-of-motion-in-reverse-shoulder-arthroplasty
#18
Birgit S Werner, Jean Chaoui, Gilles Walch
BACKGROUND: Recent developments in reverse shoulder arthroplasty (RSA) have focused on changes in several design-related parameters, including humeral component design, to allow for easier convertibility. Alterations in humeral inclination and offset on shoulder kinematics may have a relevant influence on postoperative outcome. This study used a virtual computer simulation to evaluate the influence of humeral neck shaft angle and glenoid lateralization on range of motion in onlay design RSA...
May 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28522075/retrospective-analysis-of-proximal-humeral-fracture-dislocations-managed-with-locked-plates
#19
Vivek Trikha, Vivek Singh, Buddhadeb Choudhury, Saubhik Das
BACKGROUND: Fracture-dislocation is the extreme variant of injury to the proximal humerus that occurs more commonly in young adults as a result of high-velocity trauma. We evaluated the functional and radiologic outcome of fixation of proximal humeral fracture-dislocations with locked plates. METHODS: This was a retrospective review of 33 proximal humeral fracture-dislocations in 29 patients with a mean age of 35 years (range, 19-60 years) treated by open reduction and internal fixation with locked plates between January 2009 and December 2013...
May 15, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28506491/mapping-of-glenoid-bone-loss-in-recurrent-anterior-shoulder-instability-is-there-a-particular-deficit-pattern
#20
Benjamin Bockmann, Arne Johannes Venjakob, Frank Reichwein, Marthe Hagenacker, Wolfgang Nebelung
BACKGROUND: Glenoid bone loss in recurrent anterior shoulder instability is a challenging problem for shoulder surgeons, and knowledge about the anatomy of glenoid deficits is scarce. In this study, we tried to evaluate the pattern of this pathology. METHODS: Our analysis included 44 shoulders from 44 patients with recurrent anterior shoulder instability accompanied by a clinically relevant glenoid bone loss. The defect size, the localization of the inferior defect edge, and the defect angle were measured, and osseous landmarks were identified...
May 11, 2017: Journal of Shoulder and Elbow Surgery
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