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Journal of Shoulder and Elbow Surgery

Russell F Warren
No abstract text is available yet for this article.
January 16, 2019: Journal of Shoulder and Elbow Surgery
Michael T Torchia, Daniel C Austin, Niki Cozzolino, Lauren Jacobowitz, John-Erik Bell
BACKGROUND: Recent literature has shown that acute reverse total shoulder arthroplasty (RTSA) yields good outcomes in the treatment of displaced proximal humeral fractures, and there have also been recent studies showing that delayed RTSA can be successfully used for sequelae of proximal humeral fractures such as nonunion and malunion. The use of meta-analysis affords the opportunity to formally compare the outcomes of acute RTSA for fracture and delayed RTSA for fracture sequelae. METHODS: We searched the MEDLINE, Embase, and Cochrane Library databases...
January 15, 2019: Journal of Shoulder and Elbow Surgery
Joseph A Coory, Adam F Parr, Matthew P Wilkinson, Ashish Gupta
HYPOTHESIS: We aimed to compare the clinical efficacy of a suprascapular nerve block (SSNB) versus subacromial injection (SA) for outpatient treatment of patients with symptomatic rotator cuff tears in a double-blinded, randomized controlled trial using sealed-envelope randomization. METHODS: A total of 42 participants with symptomatic partial- and full-thickness rotator cuff tears quantified by ultrasound or magnetic resonance imaging received either an ultrasound-guided SSNB or SA...
January 14, 2019: Journal of Shoulder and Elbow Surgery
Eva Y Liu, Alexandra Hildebrand, Nolan S Horner, George S Athwal, Moin Khan, Bashar Alolabi
BACKGROUND: Heterotopic ossification (HO) is a known complication that can arise after total elbow arthroplasty (TEA). In most cases, it is asymptomatic; however, in some patients, it can limit range of motion and lead to poor outcomes. The objective of this review was to assess and report the incidence, risk factors, prophylaxis, and management of HO after TEA. METHODS: A systematic search was conducted using MEDLINE, Embase, and PubMed to retrieve all relevant studies evaluating the occurrence of HO after TEA...
January 11, 2019: Journal of Shoulder and Elbow Surgery
Matthew J Gluck, Christina M Beck, Kristen M Sochol, Daniel A London, Michael R Hausman
BACKGROUND: Musculoskeletal injuries of the upper extremity are frequently treated with temporary external immobilization. Traditionally, long arm posterior splints have been used to limit flexion/extension of the elbow. However, long arm posterior splints have been observed to fail clinically, necessitating a stronger alternative. In this study, we assessed the biomechanical strength of the long arm posterior splint compared with a new spiral splint design. METHODS: One male and one female participant were placed 10 times in long arm posterior splints and 10 times in spiral splints...
January 10, 2019: Journal of Shoulder and Elbow Surgery
Naoki Kondo, Katsumitsu Arai, Junichi Fujisawa, Takehiro Murai, Takahiro Netsu, Naoto Endo, Tadamasa Hanyu
BACKGROUND: Total elbow arthroplasty (TEA) is a treatment option for destructive and painful unstable elbows in rheumatoid arthritis (RA). We evaluated the clinical outcomes of unconstrained TEA (Niigata-Senami-Kyocera modular system). METHODS: Seventy-five unconstrained TEAs were performed in patients with RA (mean age, 64 years; age range, 41-79 years; follow-up rate, 97%). Outcome measures included the Japanese Orthopaedic Association (JOA) functional evaluation score for the elbow joint (JOA score), range of motion, and arc...
January 8, 2019: Journal of Shoulder and Elbow Surgery
Ali Al-Hamdani, Jeppe V Rasmussen, Anne Kathrine B Sørensen, Janne Ovesen, Kenneth Holtz, Stig Brorson, Bo S Olsen
BACKGROUND: This study reported the clinical outcomes and complications after elbow hemiarthroplasty (EHA) for acute distal humeral fractures Arbeitsgemeinschaft für Osteosynthesefragen (AO)/Orthopaedic Trauma Association (OTA) type C2 and C3. METHOD: During a 6-year period, 24 active patients with acute intra-articular and multifragmentary distal humeral fractures were treated with an EHA by 1 of 4 experienced elbow surgeons. Mean age was 65 years (range, 47-80 years)...
January 8, 2019: Journal of Shoulder and Elbow Surgery
Christopher Vannabouathong, Shakib Akhter, George S Athwal, Jaydeep Moro, Mohit Bhandari
BACKGROUND: The purpose of this study was to conduct a systematic review of studies comparing treatments for displaced radial head fractures (RHFs) and perform a network meta-analysis of randomized controlled trials (RCTs). METHODS: We searched electronic databases and reviewed the reference lists of included studies and prior systematic reviews. We included RCTs and cohort studies that (1) compared treatments for displaced RHFs in adults and (2) reported a functional outcome or postoperative complications...
January 7, 2019: Journal of Shoulder and Elbow Surgery
Manuel Ferle, Marc-Frederic Pastor, Jakob Hagenah, Christof Hurschler, Tomas Smith
BACKGROUND: Lateralizing the glenosphere and decreasing the humeral neck-shaft angles are implant design parameters that reduce the risk of scapular impingement. The effects of these parameters on joint stability remain unclear. This study evaluated the effect of glenosphere lateralization and humeral neck-shaft angle on joint stability by quantifying the anterior dislocation force in different arm positions. METHODS: Reverse shoulder arthroplasty was performed on 19 human shoulder specimens...
January 7, 2019: Journal of Shoulder and Elbow Surgery
Sanne Vancleef, Michiel Herteleer, Yannick Carette, Paul Herijgers, Joost R Duflou, Stefaan Nijs, Jos Vander Sloten
BACKGROUND: The clavicle presents a large variability in its characterizing sigmoid shape. Prominent and nonproperly fitting fixation plates (FP) cause soft tissue irritation and lead to hardware removal. It is therefore key in FP design to account for shape variations. Statistical shape models (SSMs) have been built to analyze a cluster of complex shapes. The goal of this study was to describe the anatomic variation of the clavicle using SSMs. METHODS: Two different SSMs of the clavicle were created, and their modes of variation were described...
January 2, 2019: Journal of Shoulder and Elbow Surgery
Christopher C Schmidt, Brandon T Brown, Daniel L Schmidt, Michael P Smolinski, Thomas Kotsonis, Kenneth J Faber, Kraig S Graham, Tyler J Madonna, Patrick J Smolinski, Mark Carl Miller
BACKGROUND: Clinical and functional impairment after nonoperative treatment of distal biceps ruptures is not well understood. The goal of this study was to measure patients' perceived disability, kinematic adjustment, and forearm supination power after nonoperative treatment of distal biceps ruptures. METHODS: Fourteen individuals after nonoperative treatment of distal biceps ruptures were matched to a control group of 18 uninjured volunteers. Both groups prospectively completed the Disabilities of the Arm, Shoulder and Hand (DASH), Single Assessment Numerical Evaluation (SANE), and Biceps Disability Questionnaire...
December 28, 2018: Journal of Shoulder and Elbow Surgery
Pengfei Wang, Utku Kandemir, Kun Zhang, Binfei Zhang, Zhe Song, Hai Huang, Xing Wei, Hu Wang, Yuxuan Cong, Yan Zhuang
HYPOTHESIS: This study aimed to evaluate the safety and efficacy of the fixation of Dubberley type B capitellar and trochlear fractures using dorsolateral anatomic plates with support of the distal humerus (DAPSDHs). METHODS: Fifteen patients with Dubberley type B capitellar and trochlear fractures (two type 1B, five type 2B, and eight type 3B) were treated through the extended lateral approach, and fixation was achieved with DAPSDHs. Radiographic evaluation was performed, and range of motion of the elbow and forearm was recorded...
December 28, 2018: Journal of Shoulder and Elbow Surgery
Nimesh P Jain, Syed S Mannan, Ramasubramanian Dharmarajan, Amar Rangan
BACKGROUND: Reverse shoulder arthroplasty (RSA) is being increasingly used for complex, displaced fractures of the proximal humerus in older patients. Anatomic tuberosity healing in RSA has been recognized to restore better shoulder function. We compared the reported clinical and functional outcomes of RSA in proximal humeral fractures with and without tuberosity healing. METHODS: We performed a systematic review of literature based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched MEDLINE, CINAHL, Embase, and Cochrane Central Register of Controlled Trials...
December 26, 2018: Journal of Shoulder and Elbow Surgery
Ravi B Patel, Stephanie Muh, Kelechi R Okoroha, Thomas W Wright, Pierre-Henri Flurin, Christopher Roche, Joseph D Zuckerman
BACKGROUND: The results of anatomic total shoulder arthroplasty (TSA) in younger patients have not been clearly elucidated. The purpose of this study was to compare early outcomes after TSA in patients aged 55 years or younger versus patients older than 55 years. METHODS: A total of 1135 patients who were treated with TSA for glenohumeral arthritis and had a mean follow-up period of over 4 years were retrospectively reviewed. Etiologies included osteoarthritis (n = 1044), osteonecrosis (n = 35), inflammatory arthritis (n = 34), and post-traumatic arthritis (n = 22)...
December 24, 2018: Journal of Shoulder and Elbow Surgery
Anne E Vermeulen, Ellie B M Landman, Egbert J D Veen, Syert Nienhuis, Cornelis T Koorevaar
BACKGROUND: The most common surgical technique in traumatic anterior shoulder instability is the arthroscopic Bankart repair, which has excellent short-term results. The long-term results of the arthroscopic Bankart repair are less frequently studied, with a high recurrence rate of 23% to 35%. The aim of this study was to evaluate the medium-term to long-term results of arthroscopic Bankart repair using suture anchors and to identify specific risk factors for recurrent instability. METHODS: Included were 147 patients after traumatic anterior shoulder dislocation who underwent an arthroscopic Bankart repair...
December 18, 2018: Journal of Shoulder and Elbow Surgery
Christopher L McCrum, R Kiran Alluri, Michael Batech, Raffy Mirzayan
BACKGROUND: Long head of the biceps tendon (LHBT) tenodesis is predominantly performed for 2 reasons: anterior shoulder pain (ASP) or structural reasons (partial tear, dislocation). METHODS: Between 2006 and 2014, all cases of primary LHBT tenodesis performed at an integrated health care system were retrospectively reviewed. Complications were analyzed by tenodesis location (below or out of the groove [OOG] vs leaving tendon in the groove [ITG]), fixation method (soft tissue vs implant), and indication (preoperative ASP vs structural)...
December 18, 2018: Journal of Shoulder and Elbow Surgery
Pascal Boileau, Tjarco D Alta, Lauryl Decroocq, François Sirveaux, Philippe Clavert, Luc Favard, Mikaël Chelli
HYPOTHESIS: Reverse Shoulder Arthroplasty (RSA) may be indicated in displaced proximal humerus fractures in elderly patients. We hypothesized that tuberosity fixation and healing around the prosthesis would result in better outcomes and patient satisfaction. METHODS: Thirty-eight acute displaced or dislocated 3- and 4-part fractures in elderly patients were treated with reattachment of the tuberosities around a RSA. The mean age at surgery was 80 ± 4 years (range, 70-88 years)...
December 18, 2018: Journal of Shoulder and Elbow Surgery
Jeremy Gueniche, Guillaume Bierry
HYPOTHESIS: We aimed to demonstrate that rotator cuff fatty infiltration (FI) increases physiologically with age and that a FI degree of 2 might be encountered in patients with an intact cuff. METHODS: We retrospectively evaluated the FI of 210 patients (classified in 7 age groups: <20, 20-30, 30-40, 40-50, 50-60, 60-70, and >70 years) who had an intact cuff on computed tomography (CT) arthrography. The Goutallier grading system was used to assess FI of rotator cuff muscles and of the deltoid muscle...
December 18, 2018: Journal of Shoulder and Elbow Surgery
Wataru Sahara, Takaharu Yamazaki, Shoji Konda, Kazuomi Sugamoto, Hideki Yoshikawa
BACKGROUND: Although the elevation angle of the arm affects the range of rotation, it has not been evaluated up to the maximal abduction angle. In this study we conducted an evaluation up to maximal abduction and determined the contact patterns at the glenohumeral (GH) joint. METHODS: Fourteen healthy volunteers (12 men and 2 women; mean age, 26.9 years) with normal shoulders (14 right and 8 left) were instructed to rotate their shoulders at 0°, 90°, 135°, and maximal abduction for each shoulder at a time...
December 17, 2018: Journal of Shoulder and Elbow Surgery
Fabian Plachel, Andreas Traweger, Imre Vasvary, Jakob E Schanda, Herbert Resch, Philipp Moroder
BACKGROUND: The purpose of this study was to evaluate the long-term clinical and radiologic results after arthroscopic transosseous rotator cuff repair (TORCR). METHODS: A total of 69 patients with full-thickness supraspinatus tendon tears with or without infraspinatus tendon tears treated with arthroscopic TORCR by a single surgeon between 1998 and 2003 were included. Among them, 56 patients (81%) with a mean age of 58 ± 5 years (range, 42-70 years) were available for final follow-up examination after an average of 15 ± 2 years (range, 12-18 years)...
December 17, 2018: Journal of Shoulder and Elbow Surgery
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