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Shoulder & Elbow

Ahaoiza D Isa, George S Athwal, Graham J W King, Joy C MacDermid, Kenneth J Faber
Background: Arthroscopic elbow debridement for primary osteoarthritis may be performed with or without a joint capsulectomy. The purpose of this comparative cohort study was to compare range of motion (ROM) and early complications between patients with and without anterior capsulectomy. Methods: In total, 110 patients with primary osteoarthritis of the elbow who underwent an arthroscopic debridement for primary osteoarthritis were reviewed with a minimum of 3 months postoperative follow-up...
July 2018: Shoulder & Elbow
Peter Domos, Emmet Griffiths, Andrew White
Background: Terrible triad injuries of the elbow are complex injuries to treat and we report our outcomes following surgical management. Methods: Twenty-two consecutive patients who underwent fixation of terrible triad injuries between 2007 and 2012 were identified. Clinical outcomes were assessed by examination, visual analogue scores (VAS), Oxford Elbow Score (OES), Mayo Elbow Performance Index (MEPI) and QuickDash score (QD). Results: The mean age of patients was 47 years, with a mean follow-up of 32 months...
July 2018: Shoulder & Elbow
Shamala H P Kotte, Jetske Viveen, Koen L M Koenraadt, Bertram The, Denise Eygendaal
Background: Post-traumatic deformities such as biceps tendon rupture or (peri-)articular fractures of the elbow are often related to a decrease in muscle strength. Postoperative evaluation of these deformities requires normative values of elbow strength. The purpose of this systematic review was to determine these normative values of isometric elbow strength in healthy adults resulting from studies evaluating this strength (i.e. flexion, extension, pronation and supination strength). Methods: The databases of PubMed, EMBASE and Web of Sciences were searched and screened for studies involving the isometric elbow strength as measured in asymptomatic volunteers...
July 2018: Shoulder & Elbow
Nasir Shah, Muhammed Nasir Nadiri, Emma Torrance, Lennard Funk
Background: The present study aimed to report the outcomes of acute and subacute arthroscopic bony Bankart repairs in collision athletes. Methods: We reviewed 22 consecutive rugby players with traumatic anterior glenohumeral instability who underwent arthroscopic bony Bankart repair within 4 months of injury over a 2-year period. All lesions were less than 25% of the glenoid bony area. Results: A significant improvement was noted at three months and was maintained at 28 months postoperatively...
July 2018: Shoulder & Elbow
Emily A West, Nikolas K Knowles, George S Athwal, Louis M Ferreira
Background: Accurate humeral head reconstruction during shoulder arthroplasty is partially dependent on correctly estimating and replicating native version. The present study evaluated the effects of sex and measurement technique on three-dimensional (3D) humeral version measurements made using the transepicondylar, forearm and flexion-extension axes. Methods: Fifty-two full-arm computed tomography scans were converted to 3D models and geometry extracted to define landmarks and coordinate systems...
July 2018: Shoulder & Elbow
Addie Majed, Tanujan Thangarajah, Peter Krekel, Rob Nelissen, Peter Reilly, Anthony Bull, Roger Emery
Background: Predicting the outcome following fractures of the proximal humerus is an important consideration when effectively counselling patients and planning treatment. The purpose of the present study was to analyze different proximal humeral fracture configurations, using a computerized simulation model, aiming to predict the range of motion (ROM). Methods: The computer tomography scans of 79 proximal humeral fractures were analyzed using a customized software system that simulated the range of movement at the glenohumeral joint...
July 2018: Shoulder & Elbow
Alistair I W Mayne, Amit S Bidwai, Rachael Clifford, Matthew G Smith, Inigo Guisasola, Peter Brownson
Background: Deep infection remains a serious complication of orthopaedic surgery. Knowledge of infection rates and causative organisms is important to guide infection control measures. The aim of the present study was to determine infection rates and causative organisms in elective shoulder surgery. Methods: Cases complicated by infection were identified and prospectively recorded over a 2-year period. All patients undergoing elective shoulder surgery in the concurrent period at a single Specialist Upper Limb Unit in the UK were identified from the hospital electronic database...
July 2018: Shoulder & Elbow
Brandi Cole, Patrick Lam, Lisa Hackett, George A C Murrell
Background: Subacromial corticosteroid injections are frequently performed for pain associated with supraspinatus tendinopathy. Glucose prolotherapy has been used clinically for multiple tendinopathies and is hypothesized to be an alternate injection therapy for supraspinatus tendinopathy. Methods: A prospective, randomized, double blinded clinical trial was conducted. Thirty-six patients with supraspinatus tendinopathy were randomized into two groups: 17 received an ultrasound-guided injection of glucose into the tendinopathic parts of the supraspinatus tendon and 19 received an ultrasound-guided injection of corticosteroid into the subacromial bursa...
July 2018: Shoulder & Elbow
Aziz Haque, Harvinder Pal Singh
Background: To assess whether the integrity of rotator cuff repairs has an impact on functional outcomes, as well as pain scores, after surgery. Methods: Systematic review and meta-analyses performed for Level Ι, ΙΙ and ΙΙΙ studies that presented functional outcome scores and radiological assessment of integrity following rotator cuff repair. Extracted data included patient demographics, functional outcome scores [Constant Score, University of California at Los Angeles (UCLA) shoulder score, American Shoulder and Elbow Surgeons (ASES) shoulder score, visual analogue scale (VAS) Pain score], as well as assessment of repair integrity on radiological investigations...
July 2018: Shoulder & Elbow
Amar Rangan, Mark Falworth, Adam C Watts, Matthew Scarborough, Michael Thomas, Rohit Kulkarni, Jonathan Rees
No abstract text is available yet for this article.
July 2018: Shoulder & Elbow
Amar Rangan
No abstract text is available yet for this article.
July 2018: Shoulder & Elbow
Kevin K McCully, Payton Prins, Kajal Mistry, T Bradley Willingham
Background: Symptoms of fatigue and pain are often reported for the trapezius muscle in the shoulder. The present study evaluated endurance in the trapezius muscles of healthy participants using electric twitch mechanomyography (ETM). Methods: Surface electrodes and a tri-axial accelerometer were placed over the left trapezius muscle. Muscles were stimulated for 3 min each at 2 Hz, 4 Hz and 6 Hz. Maintenance of acceleration during muscle twitches was used to calculate an endurance index (EI)...
April 2018: Shoulder & Elbow
Daoud Makki, Kiran Naikoti, S R Murali
We report a case of exuberant artefacts on the magnetic resonance imaging scan of the elbow produced by invisible metal debris secondary to previous surgery.
April 2018: Shoulder & Elbow
Kiminori Yukata, Masaaki Murase, Takahiro Hashimoto, Yasunori Shimaoka, Toshihiko Taguchi, Junichi Hamawaki
We describe an unusual case of ulnar nerve compression (cubital tunnel syndrome) caused by synovial protrusion in primary synovial chondromatosis of the elbow in a 59-year-old man. Magnetic resonance imaging is a useful tool for diagnosing this rare condition. Surgical excision of the intra-articular multiple loose bodies and ulnar nerve decompression were performed. The clinician should be aware of primary synovial chondromatosis as one of the causative factors of cubital tunnel syndrome.
April 2018: Shoulder & Elbow
Rens Bexkens, Femke M A P Claessen, Izaäk F Kodde, Luke S Oh, Denise Eygendaal, Michel P J van den Bekerom
Background: Radiographs are part of routine clinical care after radial head arthroplasty (RHA). Therefore, the aim of this diagnostic study was to assess the interobserver reliability of radiographic assessment following RHA. Methods: Anteroposterior (AP) and lateral radiographs of 24 consecutive patients who underwent press-fit bipolar RHA were evaluated with respect to 14 parameters by 14 orthopaedic surgeons specializing in the elbow: shaft loosening (AP, lateral), subcollar bone resorption, nonbridging heterotopic ossification, capitellar erosion, capitellar osteopenia, implant size, ulnohumeral joint gapping, ulnohumeral joint degeneration, proximal radio-ulnar joint congruency, stem size, stem positioning (AP, lateral) and component dissociation or polyethylene wear of the head with increased angulation...
April 2018: Shoulder & Elbow
Daniel A Shaerf, Ivor S Vanhegan, Rupen Dattani
We review the diagnosis, evaluation and management of paediatric lateral condylar fractures. The complications of these fractures are also discussed, including the management of fracture non-union.
April 2018: Shoulder & Elbow
Femke F Schröder, Rianne Huis In't Veld, Lydia A den Otter, Sjoerd M van Raak, Bennie Ten Haken, Anne J H Vochteloo
Background: The rate of retear after rotator cuff surgery is 17%. Magnetic resonance imaging (MRI) scans are used for confirmative diagnosis of retear. However, because of the presence of titanium suture anchors, metal artefacts on the MRI are common. The present study evaluated the diagnostic value of MRI after rotator cuff tendon surgery with respect to assessing the integrity as well as the degeneration and atrophy of the rotator cuff tendons when titanium anchors are in place. Methods: Twenty patients who underwent revision surgery of the rotator cuff as a result of a clinically suspected retear between 2013 and 2015 were included...
April 2018: Shoulder & Elbow
Ettore Taverna, Vincenzo Guarrella, Roberto Cartolari, Henri Ufenast, Laura Broffoni, Christophe Barea, Guido Garavaglia
Background: The effectiveness of the Latarjet largely depends on accurate graft placement, as well as on proper position and direction of the screws. We present our technique for an arthroscopically-assisted Latarjet comparing radiological results with the open technique. Methods: We retrospectively reviewed the postoperative computed tomography scans of 38 patients who underwent a Latarjet procedure. For 16 patients, the procedure was performed with the open technique and, for 22 patients, it was performed using an arthroscopically-assisted technique...
April 2018: Shoulder & Elbow
David N Haughton, Simon Barton, Erin Meenan, Rakesh Mehan, Philip Wykes, James Warner, Emma Mulgrew
Background: Hydrodilatation (HD) has been shown to improve pain and function in patients with adhesive capsulitis (AC). There is no consensus concerning how HD should be performed or what volume should be injected. It has distinct advantages compared to surgery; however, it is a painful procedure and is often poorly tolerated. Methods: We retrospectively reviewed all patients referred for HD over a 2.5-year period aiming to assess whether volume injected influences outcome...
April 2018: Shoulder & Elbow
Helen Ingoe, Philip Holland, Emma Tindall, Raymond Liow, James L Mcvie, Amar Rangan
Background: Shoulder resurfacings represent approximately one-third of shoulder arthroplasties and have the highest revision rates of any shoulder arthroplasty. We present a survival analysis of the Global CAP hemi-resurfacing implanted by multiple surgeons with up to 10 years of follow-up. Methods: A life-table survival analysis of the Global CAP hemi-resurfacing was undertaken in a single site with multiple surgeons. Two survival analyses were performed; first, where failure was defined as component exchange and, second, where failure was defined as re-operation for any reason...
April 2018: Shoulder & Elbow
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