keyword
https://read.qxmd.com/read/38454629/acetabular-fleck-sign-outcomes-of-surgical-repair
#1
JOURNAL ARTICLE
Stephanie Chen, Kirsten Tulchin-Francis, Dan Gaines, Allen Kadado, Craig Smith, Kevin Klingele
BACKGROUND: Traumatic, posterior hip dislocations in the pediatric population are typically managed by closed reduction to achieve a concentric hip joint. The presence of an acetabular "fleck" sign, despite concentric reduction, has been shown to signify significant hip pathology. The purpose of this study was to evaluate the outcomes of open labral repair through a surgical hip dislocation (SHD) in a consecutive series of patients with an acetabular "fleck" sign associated with a traumatic hip dislocation/subluxation...
March 8, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38303595/acromioclavicular-joint-dislocation-and-concomitant-labral-lesions-a-systematic-review
#2
JOURNAL ARTICLE
Jad Mansour, Joseph E Nassar, Michel Estephan, Karl Boulos, Mohammad Daher
Acromioclavicular (AC) joint dislocations frequently co-occur with intra-articular glenohumeral pathologies. Few comprehensive studies have focused on labral tears specifically associated with AC joint trauma. This systematic review will address this gap. A comprehensive electronic search was conducted across PubMed, Cochrane Library, and Google Scholar (pages 1-20) spanning from 1976 to May 19, 2023. Seven studies met the inclusion criteria for this systematic review, consisting of three retrospective studies and four case series...
January 26, 2024: Clinics in shoulder and elbow
https://read.qxmd.com/read/38164689/establishing-the-minimal-clinically-important-difference-substantial-clinical-benefit-and-patient-acceptable-symptomatic-state-after-arthroscopic-posterior-labral-repair-for-posterior-glenohumeral-instability
#3
JOURNAL ARTICLE
John P Scanaliato, Clare K Green, Alexis B Sandler, Eoghan T Hurley, Carolyn M Hettrich, Nata Parnes
BACKGROUND: Posterior glenohumeral instability is an increasingly recognized cause of shoulder pain and dysfunction among young, active populations. Outcomes after posterior stabilization procedures are commonly assessed using patient-reported outcome measures including the Single Assessment Numeric Evaluation (SANE), the Rowe instability score, the American Shoulder and Elbow Surgeons (ASES) score, and the visual analog scale (VAS) for pain. The clinical significance thresholds for these measures after arthroscopic posterior labral repair (aPLR), however, remain undefined...
January 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38032226/frequency-and-characteristics-of-posterior-labral-injuries-in-operative-acetabular-fractures-treated-through-a-posterior-approach-a-prospective-observational-study
#4
JOURNAL ARTICLE
Elizabeth Nolte, Joseph Blommer, Maria Som, Shirin Parsa, Peter Kim, Sania Hasan, Adam Boissonneault, Nathan N O'Hara, Gerard P Slobogean, Robert V O'Toole
OBJECTIVES: The association between labral injuries and acetabular fractures is unknown. This study aimed to identify the frequency and characteristics of labral injuries in operatively treated acetabular fractures that cannot be identified on preoperative imaging. METHODS:  . DESIGN: Prospective observational cohort. SETTING: Level I trauma center. PATIENT SELECTION CRITERIA: Adult patients with an acetabular fracture operatively treated through a posterior approach...
February 1, 2024: Journal of Orthopaedic Trauma
https://read.qxmd.com/read/37859754/risk-factors-for-glenoid-bone-loss-in-the-setting-of-posterior-glenohumeral-instability
#5
JOURNAL ARTICLE
Clare K Green, John P Scanaliato, Alexis B Sandler, Emily I Wynkoop, Adam Goldman, Robert C Turner, Hunter Czajkowski, Robert H Rolf, Nata Parnes
BACKGROUND: Posterior instability has been reported to account for up to 24% of cases of shoulder instability in certain active populations. However, there is a paucity of data available regarding the risk factors associated with posterior glenoid bone loss. PURPOSE: To characterize the epidemiology of, and risk factors associated with, glenoid bone loss within a cohort of patients who underwent primary arthroscopic shoulder stabilization for isolated posterior-type glenohumeral instability...
October 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37753119/decompression-of-paralabral-cyst-near-axillary-nerve-a-case-report
#6
Abhishek K Gol, Chandrasekhar S Bodanki, Harikrishna Yadoji, Guruva Reddy, M V Reddy
INTRODUCTION: Paralabral cyst is benign fluid-filled lesion that occurs adjacent to glenoid labrum. Origin of the cyst can be traumatic or atraumatic. This cystic lesion can compress nearby axillary nerve or suprascapular nerve, resulting in shoulder pain and numbness. In this case report, we will discuss about anteroinferior paralabral cyst with axillary neuropathy in atraumatic condition. CASE REPORT: A 35-year-old male was admitted in our institute with complaining of numbness in the mid-part of the lateral arm and pain in the posterior aspect in the left shoulder for 2 weeks...
September 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37435424/prevalence-and-risk-factors-of-glenoid-bone-loss-in-combined-shoulder-instability-in-young-active-duty-military-patients
#7
JOURNAL ARTICLE
Clare K Green, John P Scanaliato, Robert C Turner, Alexis B Sandler, John C Dunn, Nata Parnes
BACKGROUND: US military servicemembers experience higher rates of posterior and combined-type instability as compared with their nonmilitary peers. PURPOSE: (1) To determine the prevalence of glenoid bone loss (GBL) in young, active-duty military patients with combined-type shoulder instability who underwent operative shoulder stabilization; (2) to evaluate whether GBL is associated with differences in postoperative outcomes; and (3) to identify factors associated with larger defects...
July 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37435422/diagnosis-of-posterior-and-combined-type-shoulder-instability-a-10-year-cross-sectional-study-from-a-single-military-base
#8
JOURNAL ARTICLE
Clare K Green, John P Scanaliato, Alexis B Sandler, Ethan W Jones, John C Dunn, Nata Parnes
BACKGROUND: Large variations exist in the reported frequency and etiology of posterior and combined shoulder instability in the active-duty military population. PURPOSE: To compare imaging and clinical examination findings as well as reoperation rates between active-duty military patients who underwent surgery for anterior, posterior, and combined-type shoulder instability. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: A retrospective review was conducted on patients treated surgically for shoulder instability from a single military base from January 2010 to December 2019...
July 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37351607/prevalence-of-the-anterosuperior-capsulolabral-anatomical-variations-and-their-association-with-pathologies-of-the-glenoid-labrum-a-systematic-review-and-meta-analysis
#9
JOURNAL ARTICLE
Michal Benes, David Kachlik, Lubomir Kopp, Vojtech Kunc
PURPOSE: Differentiating the anatomical variations of the anterosuperior portion of the glenoid labrum from pathologies is important to avoid unnecessary iatrogenic complications resulting from inaccurate diagnosis. Additionally, the presence of several variations was reported to be conductive to lesions involving the glenoid labrum. Thus, the aim of this study was to state the prevalence rates of the sublabral recess, sublabral foramen, and the Buford complex, and to verify their association with labral lesions...
June 23, 2023: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/37347017/outcomes-of-revision-arthroscopic-posterior-labral-repair-and-capsulorrhaphy-a-systematic-review
#10
REVIEW
Callie A Jewett, Patrick Reardon, Charles Cox, Eric Bowman, Rick W Wright, Jonathan Dickens, Lance LeClere
BACKGROUND: Failure rates up to 14% have been reported after arthroscopic posterior capsulolabral repair. It is unknown if revision arthroscopic posterior capsulolabral stabilization has inferior restoration of stability and return to sport when compared with primary repair. Optimal management of failed posterior capsulolabral stabilization is unknown. PURPOSE: To report outcomes of revision posterior capsulolabral repair and factors that contribute to failure and to determine optimal management of failed posterior stabilization procedures...
June 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37076632/slap-lesion-type-ix-case-series-and-a-review-of-literature
#11
JOURNAL ARTICLE
Benjamin Marjanovič, Tina Ušaj, Nino Mirnik, Risto Todorov, Marko Nabergoj
PURPOSE: A type IX SLAP (superior labrum anterior to posterior) lesion involves 360° of the glenohumeral labrum. Only rare reports have been published analyzing the risk factors of this lesion and the success of its arthroscopic management. The aim of our study is to evaluate predisposing factors that lead to SLAP IX and to assess the clinical outcome after arthroscopic treatment. Our treatment algorithm is also presented. METHODS: We report on a series of six patients treated in our institution between January 2014 and January 2019 who underwent shoulder arthroscopy and were intraoperatively found to have a SLAP lesion type IX...
April 19, 2023: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/36844024/neglected-simultaneous-bilateral-asymmetric-traumatic-hip-dislocation-in-a-young-male-managed-by-closed-reduction-manoeuvres-in-a-resource-limited-setting-a-case-report
#12
Theophile Chunteng Nana, Tagakou Mboula Jules, Mokake Martins Divine, Zikirou Ndiformuche, Bougoue Takou Horline, Ngomba Maryl Ngowo, Pius Fokam, Elroy Patrick Weledji
BACKGROUND: Asymmetric bilateral hip dislocations are rare, representing approximately 0.01 %-0.02 % of all joint dislocations. The treatment of neglected hip dislocations is difficult or impossible by closed reduction manoeuvres. This is a report of an unusual clinical entity of neglected simultaneous bilateral asymmetric traumatic hip dislocations in a young male, managed by closed reduction manoeuvres. CASE PRESENTATION: This is the case of a 29-years-old male who presented with neglected simultaneous bilateral asymmetric traumatic hip dislocations 5 weeks post injury...
April 2023: Trauma Case Reports
https://read.qxmd.com/read/36220319/clinical-effectiveness-of-tenotomy-versus-tenodesis-for-long-head-of-biceps-pathology-a-systematic-review-and-meta-analysis
#13
JOURNAL ARTICLE
Alexander William Hartland, Raisa Islam, Kar Hao Teoh, Mustafa Saad Rashid
OBJECTIVES: The comparative clinical effectiveness of common surgical techniques to address long head of biceps (LHB) pathology is unclear. We synthesised the evidence to compare the clinical effectiveness of tenotomy versus tenodesis. DESIGN: A systematic review and meta-analysis using the Grading of Recommendations Assessment, Development and Evaluation approach. DATA SOURCES: EMBASE, Medline, PsycINFO and the Cochrane Library of randomised controlled trials were searched through 31 October 2021...
October 11, 2022: BMJ Open
https://read.qxmd.com/read/34620471/surgical-hip-dislocation-in-fixation-of-acetabular-fractures-extended-indications-and-outcome
#14
JOURNAL ARTICLE
Mohammad Kamal Abdelnasser, Omar Refai, Osama Farouk
BACKGROUND: Surgical hip dislocation has been described as an excellent method for reduction and fixation of acetabular fractures. It allows a 360-degree access to the acetabulum and acetabular dome. However, reproducibility of this technique is still a concern. The primary outcome of this study was to investigate the short term functional and radiological outcome with the use of surgical hip dislocation in acetabular fractures. The secondary outcome was to describe different indications and methods of reduction using this technique...
February 2022: Injury
https://read.qxmd.com/read/34509200/glenohumeral-joint-instability-a-review-of-anatomy-clinical-presentation-and-imaging
#15
REVIEW
Lauren M Ladd, Marlee Crews, Nathan A Maertz
The glenohumeral joint is intrinsically predisposed to instability because of the bony anatomy but maintained in alignment by many important structures, including the glenoid labrum, glenohumeral ligaments (GHLs), and muscles and tendons. Trauma and overuse can damage these stabilizers, which may then lead to subluxation or dislocation and eventually recurrent instability. This is most common in the anterior direction, which has several recognizable patterns of injury on advanced imaging, including humeral Hill Sachs deformities, bony Bankart lesion of the anteroinferior glenoid, soft tissue Bankart lesions, Bankart variant lesions (Perthes and ALPSA lesions), and HAGL/GAGL lesions...
October 2021: Clinics in Sports Medicine
https://read.qxmd.com/read/34398279/comparisons-between-treatment-of-isolated-posterosuperior-paralabral-cysts-and-simultaneous-treatment-of-cysts-combined-with-associated-shoulder-pathologies-arthroscopic-treatment-of-posterosuperior-paralabral-cysts
#16
JOURNAL ARTICLE
Jong-Hun Ji, Sang-Eun Park, Dong-Whan Suh, Young Hoon Han, Seungbae Oh
INTRODUCTION: The purpose of this study is to report the radiologic and clinical outcomes of arthroscopic intervention for isolated posterosuperior paralabral cysts and simultaneous treatment of cysts combined with associated shoulder pathologies. MATERIALS AND METHODS: From March 2008 through December 2016, 70 cases (48 males and 22 females) operated on for symptomatic posterosuperior paralabral cysts were included. Mean age was 45 (range 18-69). These patients were classified into two groups depending on if they had accompanying lesions: Group I (isolated group, 27 patients) and Group II (concomitant group, 43 patients)...
August 16, 2021: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/33981536/arthroscopic-double-row-bony-bankart-bridge-repair-using-a-tensionable-knotless-system
#17
JOURNAL ARTICLE
Jordan Liles, Amanda Fletcher, Tyler Johnston, Jonathan Riboh
Posterior labral pathology is common in contact athletes; however, posterior glenoid avulsion fractures, also known as posterior bony Bankart lesions, are less common. Posterior instability affects approximately 10% of all patients with shoulder instability. Diagnosis in these high-risk individuals often follows a traumatic posterior dislocation. The patient feels grossly unstable but may or may not have recurrent dislocations beyond the initial trauma. Surgical correction and favorable surgical outcomes require a full understanding of both the soft-tissue and bony components of the injury...
April 2021: Arthroscopy Techniques
https://read.qxmd.com/read/33709005/glenoid-orientation-and-profile-in-atraumatic-or-microtraumatic-posterior-shoulder-instability-morphological-analysis-using-computed-tomography-arthrogram
#18
JOURNAL ARTICLE
Yon-Sik Yoo, Jeehyoung Kim, Wooyoung Im, Jeung Yeol Jeong
BACKGROUND: Posterior shoulder instability (PSI) is a relatively uncommon condition that occurs in about 10% of patients with shoulder instability. PSI is usually associated with dislocations due to acute trauma and multidirectional instability, but it can also occur with or without recognizable recurrent microtrauma. The infrequency of atraumatic or microtraumatic PSI and the lack of a full understanding of the pathoanatomy and the knowledge of management can lead to misdiagnosis or delayed diagnosis...
February 2021: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/32732654/posterior-labral-injury-and-glenohumeral-instability-in-overhead-athletes-current-concepts-for-diagnosis-and-management
#19
REVIEW
Andrew J Sheean, W Benjamin Kibler, John Conway, James P Bradley
Posterior glenohumeral instability in overhead athletes presents a unique set of challenges for both diagnosis and treatment. Although a great deal of attention has been focused on the management of injuries to the biceps-labrum complex and rotator cuff in throwers, comparatively less has been written about posterior glenohumeral instability within this unique cohort. Historically, posterior instability has been observed secondary to either acute trauma or repetitive microtrauma, usually among collision athletes, weight lifters, and rowers...
August 1, 2020: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/32427695/posterior-labral-injury-and-glenohumeral-instability-in-overhead-athletes-current-concepts-for-diagnosis-and-management
#20
JOURNAL ARTICLE
Andrew J Sheean, W Benjamin Kibler, John Conway, James P Bradley
Posterior glenohumeral instability in overhead athletes presents a unique set of challenges for both diagnosis and treatment. Although a great deal of attention has been focused on the management of injuries to the biceps-labrum complex and rotator cuff in throwers, comparatively less has been written about posterior glenohumeral instability within this unique cohort. Historically, posterior instability has been observed secondary to either acute trauma or repetitive microtrauma, usually among collision athletes, weight lifters, and rowers...
May 13, 2020: Journal of the American Academy of Orthopaedic Surgeons
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