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https://www.readbyqxmd.com/read/29457419/-treatment-of-scapular-fractures-with-lateral-incision-and-bridge-combined-internal-fixation-system
#1
Yu-Cheng Zhou, Lin-Xin Yu, Hong Duan, Jie Min, Xiao-Feng Yuan, Peng Yu, Bang-Xu Nie, Jun Hu
OBJECTIVE: To investigate the clinical results of scapula fractures with lateral incision combined with bridge internal fixation system. METHODS: From October 2012 to December 2016, 20 cases of scapular fractures were treated through the lateral incision combined with bridge fixation system, including 15 males and 5 females, with an average age of 31.6 years old(ranged, 21 to 52 years old). Fourteen cases were scapular body fracture, 10 were scapular neck fracture, 6 were scapular fracture, 1 was acromion fracture, 1 was coracoid fracture, 4 were the glenoid rim fracture, 3 were the glenoid fossa fracture...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29457418/-outcomes-and-complications-of-tightrope-button-plate-for-repairing-acromioclavicular-dislocation
#2
Yong-Xiang Zuo, Zi-Ping Ma
OBJECTIVE: To study the clinical outcome and complications of Tightrope button plate for repairing acromioclavicular dislocation of Rockwood type III to V. METHODS: From May 2014 to December 2016, 17 patients with acromioclavicular dislocation of type III-V were treated with Tightrope button plate including 10 males and 7 females with an average age 39.8 years old ranging from 20 to 68 years old. Four patients were treated with arthroscopy and 17 patients were treated with mini-invasive by X-ray assisted...
October 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29456056/a-preliminary-exploration-of-plain-film-radiography-in-scapular-dyskinesis-evaluation
#3
Kang Chen, Simin Deng, Yanhong Ma, Yelin Yao, Juan Chen, Yuqian Zhang
BACKGROUND: Evaluation of scapular dyskinesis is of clinical interest because it is believed to be associated with pathologies of the shoulder. This study investigated the feasibility of plain-film radiography in evaluating scapular dyskinesis. METHODS: Subjects with unilateral disorders of the shoulder (n = 186) who underwent plain-film radiography of bilateral scapulae were divided into 4 categories of scapular dyskinesis patterns according to the Kibler classification and analyzed...
February 15, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29438625/biomechanical-evaluation-of-a-single-versus-double-tunnel-coracoclavicular-ligament-reconstruction-with-acromioclavicular-stabilization-for-acromioclavicular-joint-injuries
#4
Michael B Banffy, Carlos Uquillas, Julie A Neumann, Neal S ElAttrache
BACKGROUND: An anatomic double-tunnel (DT) reconstruction technique has been widely adopted to reconstruct the ruptured coracoclavicular (CC) ligaments seen with high-grade acromioclavicular (AC) joint injuries. However, the anatomic DT reconstruction has been associated with the risk of clavicle fractures, which may be problematic, particularly for contact athletes. Purpose/Hypothesis: The purpose was to compare a single-tunnel (ST) CC ligament reconstruction for AC joint injuries with the native state as well as with the more established anatomic DT CC ligament reconstruction...
February 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29405887/arthroscopic-coracoclavicular-ligament-reconstruction-using-a-synthetic-polycaprolactone-based-polyurethane-urea-tendon-graft-a-report-of-5-cases
#5
Juha O Ranne, Terho U Kainonen, Lasse L Lempainen, Jussi A Kosola, Sami A Kajander, Pekka T Niemi
BACKGROUND: Several techniques have been introduced to treat acromioclavicular (AC) separation using the semitendinosus tendon as a graft for coracoclavicular (CC) ligament reconstruction. However, the tendon may have been used previously or the patient may not want it harvested. Hence, synthetic tendon transfers have become increasingly popular. METHODS: Five patients with chronic AC separations were treated. A synthetic polyurethane urea tendon graft (Artelon Tissue Reinforcement [ATR]) was chosen for its ability to partially transform into connective tissue...
February 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29401341/long-term-results-of-a-monocentric-series-of-soldiers-after-latarjet-procedure-for-anterior-shoulder-instability-implications-for-the-assessment-of-soldiers-medical-ability
#6
Nicolas de l'Escalopier, Olivier Barbier, Thomas Demoures, Didier Ollat, Gilbert Versier
Introduction: Stabilizing surgery of the shoulder with a coracoid graft according to Latarjet is a recognized surgical treatment for anterior instability of the shoulder. This pathology frequently affects soldiers. Postoperatively, the potential risk of recurrence or of secondary shoulder arthritis can limit the practitioner in their ability assessment. The aim of this study is to analyze the long-term outcomes of this surgery in a military population, in order to assess the possible implications for French soldiers' medical ability...
January 1, 2018: Military Medicine
https://www.readbyqxmd.com/read/29399470/combined-all-arthroscopic-hill-sachs-remplissage-latarjet-and-bankart-repair-in-patients-with-bipolar-glenohumeral-bone-loss
#7
David Saliken, Vincent Lavoué, Christophe Trojani, Jean-François Gonzalez, Pascal Boileau
Patients presenting with recurrent shoulder instability and bipolar glenohumeral bone loss are at risk of failed standard soft-tissue repair techniques. Even isolated bony-stabilization procedures such as the Latarjet or remplissage technique may not provide sufficient stability in the face of combined bone loss. We use a combined all-arthroscopic remplissage, Latarjet, and Bankart repair for patients with significant combined glenohumeral bone loss and/or in the revision setting. This allows reconstruction of both the Hill-Sachs and glenoid bone defects and repair of the capsulolabral complex in a minimally invasive manner...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399456/repair-of-an-isolated-coracoid-fracture-with-suture-anchor-fixation
#8
Nicholas I Kennedy, Márcio B Ferrari, Jonathan A Godin, George Sanchez, Matthew T Provencher
Coracoid fractures are rare injuries, which may occur in isolation or in association with other shoulder pathology. The mechanism of trauma consists of a strong contraction of the conjoint tendon as a result of direct trauma. The diagnosis is usually difficult and many times overlooked, thereby requiring a high level of suspicion. In many cases, standard trauma series shoulder radiographs are unable to provide a definitive and reliable diagnosis. Therefore, other imaging modalities may be necessary to confirm the diagnosis...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29395551/quantitative-assessment-of-the-coracoacromial-and-the-coracoclavicular-ligaments-with-3-dimensional-mapping-of-the-coracoid-process-anatomy-a-cadaveric-study-of-surgically-relevant-structures
#9
Jorge Chahla, Daniel Cole Marchetti, Gilbert Moatshe, Márcio B Ferrari, George Sanchez, Alex W Brady, Jonas Pogorzelski, George F Lebus, Peter J Millett, Robert F LaPrade, Matthew T Provencher
PURPOSE: To perform a quantitative anatomic evaluation of the (1) coracoid process, specifically the attachment sites of the conjoint tendon, the pectoralis minor, the coracoacromial ligament (CAL), and the coracoclavicular (CC) ligaments in relation to pertinent osseous and soft tissue landmarks; (2) CC ligaments' attachments on the clavicle; and (3) CAL attachment on the acromion in relation to surgically relevant anatomic landmarks to assist in planning of the Latarjet procedure, acromioclavicular (AC) joint reconstructions, and CAL resection distances avoiding iatrogenic injury to surrounding structures...
January 24, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29386367/reinterpretation-of-a-previously-described-jehol-bird-clarifies-early-trophic-evolution-in-the-ornithuromorpha
#10
Xiaoting Zheng, Jingmai K O'Connor, Xiaoli Wang, Yan Wang, Zhonghe Zhou
STM35-3 from the Yixian Formation is the only Early Cretaceous ornithuromorph preserving direct evidence of granivory. The crop contains numerous seeds and the preservation of gastroliths presumably within the ventriculus indicates this diet was paired with the presence of a gastric mill as in living granivorous birds. STM35-3 was originally referred to Hongshanornis longicresta, member of a diverse clade of small, basal ornithuromorphs with elongate hindlimbs known as the Hongshanornithidae. Hindlimb proportions suggest that hongshanornithids were wading birds, an ecological inference somewhat in conflict with direct evidence suggesting Hongshanornis fed on seeds...
January 31, 2018: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/29382209/distal-clavicular-osteochondral-autograft-augmentation-for-glenoid-bone-loss-a-comparison-of-radius-of-restoration-versus-latarjet-graft
#11
Adam Kwapisz, Kelly Fitzpatrick, Jay B Cook, George S Athwal, John M Tokish
BACKGROUND: Bone loss in shoulder instability is a well-recognized cause of failure after stabilization surgery. Many approaches have been described to address glenoid bone loss, including coracoid transfer. This transfer can be technically difficult and has been associated with high complication rates. An ideal alternative to coracoid transfer would be an autologous source of fresh osteochondral graft with enough surface area to replace significant glenoid bone loss. The distal clavicle potentially provides such a graft source that is readily available and low-cost...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29369168/a-case-report-of-metastatic-hepatocellular-carcinoma-in-the-mandible-and-coracoid-process-a-rare-presentation
#12
Ahmad Bakhtiar Md Radzi, Soek-Siam Tan
RATIONALE: We report a rare case of hepatocellular carcinoma (HCC) with metastases to the mandible and coracoid process of scapula without evidence of lung involvement. PATIENTS CONCERNS: The patient was diagnosed with HCC, presented 5 months later with right lower tooth pain, swelling over the right mandible area and right shoulder pain. DIAGNOSES: Histopathological examination of mandible showed findings suggestive of metastatic HCC. Magnetic resonance imaging (MRI) of the right shoulder revealed findings of irregular enhancing lesion at the right coracoid process causing erosion of the coracoid process...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29354473/aquarium-portal-technique-for-pasta-lesion-repair
#13
Dominik C Meyer, Christian Gerber, Filippo Familiari
The simultaneous arthroscopic exposure of the subacromial and intra-articular space of the shoulder is challenging in the presence of only partial-thickness rotator cuff tears. We present our experience and method of entering the joint through the opened rotator cuff interval from an anterosuperior portal between the coracoid process and anterior acromion. With moderate (approximately 30°) abduction and external rotation, the rotator interval opens readily, offering a view with the camera toward the anterior edge of the supraspinatus tendon...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354465/arthroscopic-assisted-pectoralis-minor-transfer-for-irreparable-tears-of-the-upper-two-thirds-of-the-subscapularis-tendon-surgical-technique
#14
Marco Cartaya, Jean-David Werthel, Philippe Valenti
Open transfer of the pectoralis minor through a deltopectoral approach has been described to treat irreparable tears of the upper two-thirds of the subscapularis. We present a less invasive arthroscopic-assisted technique for this transfer. Atraumatic dissection of the pectoralis minor and harvesting of the tendon with a bone chip from the coracoid process allow strong fixation with a double-button device on the lesser tuberosity. This arthroscopic technique allows assessment and treatment of associated intra- or extra-articular lesions and represents a promising option for the management of irreparable tears of the subscapularis...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354439/pectoralis-major-transfer-for-treatment-of-serratus-anterior-dysfunction-in-the-setting-of-long-thoracic-nerve-palsy
#15
George Sanchez, Márcio B Ferrari, Anthony Sanchez, Nicholas I Kennedy, Matthew T Provencher
Symptomatic scapular winging resulting in scapular dyskinesia leads to a wide spectrum of clinical complaints, most notably periscapular pain. The malpositioning of the scapula, termed through use of the acronym SICK (scapular malposition, inferior-medial border prominence, coracoid pain and malposition, and dyskinesia of scapular movement), is due to the irregular activity of one or more of the periscapular muscles. In particular, the serratus anterior, innervated by the long thoracic nerve, is a key muscle that stabilizes the scapula and provides coordinated scapulohumeral rhythm...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354426/acromioclavicular-joint-dislocation-repair-through-open-ligament-transfer-and-nonabsorbable-suture-fixation
#16
Ricardo Canquerini da Silva, Bruno Silveira Pavei, Márcio B Ferrari, George Sanchez, Luiza Barbosa Horta Barbosa, João L Ellera Gomes
Acromioclavicular (AC) joint instability is a fairly common and particularly limiting injury that may result in persistent pain and reduced quality of life. In most cases, conservative management is successful. However, in the case of a severe AC joint dislocation, surgical intervention may be warranted. Previous surgical techniques for treatment of AC joint instability include screw fixation between the coracoid and clavicle, coracoacromial ligament transfer from its acromial insertion to the clavicle, and reconstruction of the coracoacromial and/or coracoclavicular ligaments...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29351679/landmarks-for-identifying-the-suprascapular-foramen-anteriorly-application-to-anterior-neurotization-and-decompressive-procedures
#17
Olga V Manouvakhova, Veronica Macchi, Fabian N Fries, Marios Loukas, Raffaele De Caro, Rod J Oskouian, Robert J Spinner, R Shane Tubbs
BACKGROUND: Additional landmarks for identifying the suprascapular nerve at its entrance into the suprascapular foramen from an anterior approach would be useful to the surgeon. OBJECTIVE: To identify landmarks for the identification of this hidden site within an anterior approach. METHODS: In 8 adult cadavers (16 sides), lines were used to connect the superior angle of the scapula, the acromion, and the coracoid process tip thus creating an anatomic triangle...
February 1, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29350555/outcomes-of-latarjet-procedure-compared-with-bankart-repair-for-recurrent-traumatic-anterior-shoulder-instability
#18
Kellie C Huxel Bliven, Gail P Parr
Reference/Citation:  An VV, Sivakumar BS, Phan K, Trantalis J. A systematic review and meta-analysis of clinical and patient-reported outcomes following two procedures for recurrent traumatic anterior instability of the shoulder: Latarjet procedure vs. Bankart repair. J Shoulder Elbow Surg. 2016;25(5):853-863. CLINICAL QUESTION:   Are clinical and patient-reported outcomes different between the Latarjet and Bankart repair stabilization procedures when performed for recurrent traumatic anterior shoulder instability? DATA SOURCES:   Ovid MEDLINE, PubMed, Cochrane databases, American College of Physicians Journal Club, and Database of Abstracts of Review of Effectiveness were searched up to June 2015...
January 19, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29349987/-ct-measurement-and-clinical-application-of-double-row-suture-anchor-reconstruction-for-the-treatment-of-tossy-type-iii-acromioclavicular-joint-dislocation
#19
Chuan-Kai Zhang, Chen Liu, Bing Han, Hui Feng, Qi-Zhong Chen, Sun Yi-Yan Sunx
OBJECTIVE: To study feasibility and reliability of reconstruction of the acromioclavicular ligament with double-row suture anchor for the treatment of acromioclavicular joint dislocation through coracoid coronal CT measurement, and to provide a new operation method for treating acromioclavicular joint dislocation. METHODS: Total 60 healthy people received CT examination of shoulder joint, including 30 males and 30 females, ranging in age from 18 to 50 years old...
April 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29337029/arthroscopic-latarjet-procedure-with-double-button-fixation-short-term-complications-and-learning-curve-analysis
#20
Nicolas Bonnevialle, Charles Edouard Thélu, Yves Bouju, Jérôme Vogels, Charles Agout, Pauline Duriez, Vadim Azoulay
BACKGROUND: The arthroscopic Latarjet with double-button fixation is a guided procedure recently proposed to treat anterior shoulder instability with glenoid bone loss. The goal of this study was to report intraoperative and early postoperative complications and to analyze the learning curve. METHODS: This was a prospective, nonrandomized study that included 88 patients. Intraoperative or postoperative complications as well as adverse events and operative time were recorded...
January 12, 2018: Journal of Shoulder and Elbow Surgery
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