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https://www.readbyqxmd.com/read/29679207/the-swimmer-s-shoulder-multi-directional-instability
#1
REVIEW
Ivan De Martino, Scott A Rodeo
PURPOSE OF REVIEW: Swimmer's shoulder is the term used to describe the problem of shoulder pain in swimmers. Originally described as supraspinatus tendon impingement under the coracoacromial arch, it is now understood that several different pathologies can cause shoulder pain in competitive swimmers, including subacromial impingement syndrome, overuse and subsequent muscle fatigue, scapular dyskinesis, and laxity and instability. RECENT FINDINGS: Swimmers may develop increased shoulder laxity over time due to repetitive use...
April 20, 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29678396/time-to-peak-torque-and-acceleration-time-are-altered-in-male-patients-following-traumatic-shoulder-instability
#2
Jin Hyuck Lee, Ji Soon Park, Hyun Jung Hwang, Woong Kyo Jeong
BACKGROUND: Numerous authors have evaluated the strength of the rotator cuff muscles in patients with shoulder instability. However, only limited data are available with regard to neuromuscular control in patients with traumatic anterior shoulder instability, in particular at 90° of abduction. This study was designed to assess muscle strength and neuromuscular control ability using time to peak torque and acceleration time in nonathletic patients with traumatic anterior shoulder instability...
April 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29672132/remplissage-versus-modified-latarjet-for-off-track-hill-sachs-lesions-with-subcritical-glenoid-bone-loss
#3
Justin Shu Yang, Nima Mehran, Augustus D Mazzocca, Michael L Pearl, Vincent W Chen, Robert A Arciero
BACKGROUND: Off-track Hill-Sachs lesions have been associated with high rates of recurrent shoulder instability. Both arthroscopic Bankart with remplissage and modified Latarjet have been described to treat off-track Hill-Sachs lesions. However, few comparative studies exist between the 2 techniques in heterogeneous populations. HYPOTHESIS: Remplissage would have similar recurrence rates and clinical outcomes to modified Latarjet for off-track Hill-Sachs lesions with subcritical glenoid bone loss...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29665605/-shoulder-arthroplasty
#4
Anna Krukenberg, Jan-Philipp Imiolczyk, Philipp Moroder, Markus Scheibel
Shoulder arthroplasty has been performed increasingly during the last years. The concept of modern anatomic shoulder arthroplasty is based on C. S. Neer's first shoulder prosthesis in the 1950s which was originally designed for the treatment of fractures of the proximal humerus. Since then, this monoblock prosthesis has undergone many changes and improvements. By now, an anatomic reconstruction of the joint is possible. Hence, the indications for anatomic shoulder arthroplasty have been added amongst others by osteoarthritis, necrosis, rheumatoid arthritis or posttraumatic arthritis...
April 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29659379/bony-reconstruction-of-the-anterior-glenoid-rim
#5
Laurent B Willemot, Bassem T Elhassan, Olivier Verborgt
Recurrent anterior shoulder instability is associated with glenohumeral bone loss. Glenoid deficiency compromises the concavity-compression mechanism. Medial Hill-Sachs lesions can result in an off-track humeral position. Anterior glenoid reconstruction or augmentation prevents recurrence by addressing the pathomechanics. In Bristow and Latarjet procedures, the coracoid process is harvested for conjoint tendon transfer, capsular reinforcement, and glenoid rim restoration. Complications and the nonanatomic nature of the procedure have spurred research on graft sources...
April 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29657846/reverse-total-shoulder-arthroplasty
#6
Filippo Familiari, Jorge Rojas, Mahmut Nedim Doral, Gazi Huri, Edward G McFarland
Since the introduction of reverse total shoulder arthroplasty (RTSA) in 1987 (in Europe) and 2004 (in the United States), the number of RTSAs performed annually has increased.Although the main indication for RTSA has been rotator cuff tears, indications have expanded to include several shoulder conditions, many of which involve dysfunction of the rotator cuff.RTSA complications have been reported to affect 19% to 68% of patients and include acromial fracture, haematoma, infection, instability, mechanical baseplate failure, neurological injury, periprosthetic fracture and scapular notching...
February 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29657478/cryopreserved-bone-allograft-for-the-treatment-of-shoulder-instability-with-glenoid-defect
#7
Mina M Abdelshahed, Steven D Shamah, Siddharth A Mahure, Brent Mollon, Young W Kwon
The purpose of this study was to examine outcomes after cryopreserved tri-cortical iliac crest allograft reconstruction for glenoid bone loss in patients with shoulder instability. 10 patients completed the required assessments at a mean follow up of 4.5 years. At final follow up, mean ASES was 92 ± 12, mean WOSI was 315 ± 319, with good range of motion. None of the final radiographs demonstrated graft resorption or failure of hardware. The data demonstrated that patients who were treated with glenoid bone grafting with cryopreserved tri-cortical iliac crest allograft can expect good range of motion and functional capacity...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29644280/atypical-cardioversion-in-unstable-arrhythmia-caused-by-clavicle-surgery
#8
Stefan Bushuven, Ronny Langenhan
We report on a 54-year old male with traumatic brain injury, flail chest and floating shoulder undergoing intramedullary stabilization of a midshaft clavicle fracture in beach chair position. Intraoperatively the patient developed instable atrial fibrillation triggered by implantation of intramedullary nail. Secondary this case shows feasibility of cardioversion in latero-lateral electrode-position due to inaccessible standard positions and patient fixation between the operation table and the X-ray apparatus...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29642925/atypical-traumatic-anterior-shoulder-instability-with-excessive-joint-laxity-recurrent-shoulder-subluxation-without-a-history-of-dislocation
#9
Sung-Jae Kim, Chong-Hyuk Choi, Yun-Rak Choi, Wonyong Lee, Woo-Seok Jung, Yong-Min Chun
BACKGROUND: No previously published studies have examined recurrent traumatic incomplete events in patients with excessive joint laxity. The purpose of this study is to investigate outcomes after arthroscopic stabilization for recurrent traumatic shoulder subluxation in patients with excessive joint laxity but no history of dislocation. METHODS: This study included 23 patients with glenoid bone defects less than 20% who underwent arthroscopic stabilization of recurrent shoulder subluxation and were available for at least 2 years follow-up...
April 11, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29629579/anatomical-total-shoulder-arthroplasty-in-young-patients-with-osteoarthritis
#10
M O Gauci, N Bonnevialle, G Moineau, M Baba, G Walch, P Boileau
Aims Controversy about the use of an anatomical total shoulder arthroplasty (aTSA) in young arthritic patients relates to which is the ideal form of fixation for the glenoid component: cemented or cementless. This study aimed to evaluate implant survival of aTSA when used in patients aged < 60 years with primary glenohumeral osteoarthritis (OA), and to compare the survival of cemented all-polyethylene and cementless metal-backed glenoid components. Materials and Methods A total of 69 consecutive aTSAs were performed in 67 patients aged < 60 years with primary glenohumeral OA...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29623353/an-arthroscopic-bone-block-procedure-is-effective-in-restoring-stability-allowing-return-to-sports-in-cases-of-glenohumeral-instability-with-glenoid-bone-deficiency
#11
Ettore Taverna, Guido Garavaglia, Carlo Perfetti, Henri Ufenast, Luca Maria Sconfienza, Vincenzo Guarrella
PURPOSE: A group of patients affected by bone loss in the context of recurrent anterior shoulder instability were treated arthroscopically with a modified Eden-Hybinette technique since 2005. The last modification was made in 2013, consisting of fixation using a pair of specifically designed double round Endobuttons, which secure the bone graft to the glenoid rim placed through a guide. This report describes patients operated on after this last modification. No reports have described the results of this technique, and the purpose of this study was to assess early clinical and radiological results of an arthroscopic bone block procedure with double round Endobutton fixation...
April 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29622262/editorial-commentary-shoulder-instability-outcome-reporting-requires-standardization
#12
EDITORIAL
Mininder S Kocher
A recent review highlights outcomes reported after arthroscopic anterior shoulder instability repair in adolescents and shows great variability in the reporting of outcome in terms of patient-reported outcome measures (PROMs), recurrence, return to sport, satisfaction, pain, and physical examination findings. These findings highlight the importance of more standardized outcome reporting including using consistent measures between studies, using validated PROMs, and using age-appropriate PROMs.
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29619396/anthropometric-and-radiologic-measurements-of-coracoid-dimensions-and-clinical-implications-in-an-indian-population
#13
Deepak Joshi, Lalit Mohan Gupta, Milind Tanwar, Ajay Lal, Deepak Chaudhary
Background: Recurrent shoulder dislocation and anterior instability are most commonly attributed to pathology of the capsulolabral complex with the presence of bony loss at the humeral and glenoid surfaces. Unassessed bone loss has been a cause of failure of primary soft tissue procedures or recurrence of symptoms, despite adequate address of soft tissue pathology. Purpose: To study the anthropometric and radiologic dimensions of the coracoid in relation to glenoid bone loss, its adequacy in filling glenoid defects in an Indian population, and whether the choice of surgical technique (congruent arc vs classical) and graft positioning alters the surgical results...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29618228/shoulder-and-elbow-injuries-in-soccer-goalkeepers-versus-field-players-in-the-national-collegiate-athletic-association-2009-2010-through-2013-2014
#14
Avi D Goodman, Christine Etzel, Jeremy E Raducha, Brett D Owens
OBJECTIVES: Examination of the incidence of shoulder and elbow injuries in the collegiate soccer player population is limited, as is comparison between goalkeepers and field players. We hypothesized that goalkeepers would have a higher incidence of shoulder and elbow injuries than field players. Furthermore, we sought to determine the incidence of shoulder and elbow injuries among National Collegiate Athletic Association (NCAA) soccer players, and to determine injury risk factors. METHODS: The NCAA Injury Surveillance Program database was analyzed for injuries to NCAA men's and women's soccer players during the 2009-2010 through 2013-2014 academic years...
April 4, 2018: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/29606484/psychometric-properties-of-three-different-scales-for-subjective-evaluation-of-shoulder-pain-and-dysfunction-in-italian-patients-after-shoulder-surgery-for-anterior-instability
#15
Alberto Vascellari, Davide Venturin, Carlo Ramponi, Giulia Ben, Antonio Poser, Alex Rossi, Nicolò Coletti
BACKGROUND: The Italian versions of Shoulder Pain and Disability Index (SPADI), Simple Shoulder Test (SST), and University of California-Los Angeles (UCLA) Shoulder Rating Scale have been validated to assess shoulder dysfunction in patients treated for neck cancer. The present study investigated the psychometric properties of the Italian versions of the SPADI, SST, and UCLA in patients after shoulder surgery for anterior instability. MATERIALS AND METHODS: The study population included 98 patients...
March 29, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29590445/atlantoaxial-instability-in-a-patient-with-neck-pain-and-ankylosing-spondylitis
#16
Christian Lyons, Michael Ross, Ryan Elliott, Michael Tall
The purpose of this report is to describe the evaluation and treatment of a patient with neck pain and ankylosing spondylitis who had underlying atlantoaxial instability. The patient was a 31-yr-old man diagnosed with ankylosing spondylitis 1 yr prior who was referred to a physical therapist for the treatment of chronic, worsening low back and hip pain. He also had secondary complaints of neck, upper back, and shoulder pain. The patient worked as a military pilot. As part of the patient's physical examination, a Sharp-Purser test was performed, which was positive for excessive motion...
March 26, 2018: Military Medicine
https://www.readbyqxmd.com/read/29589955/open-latarjet-procedures-produce-better-outcomes-in-competitive-athletes-compared-with-recreational-athletes-a-clinical-comparative-study-of-106-athletes-aged-under-30-years
#17
Laurent Baverel, Pierre-Emmanuel Colle, Mo Saffarini, Guillaume Anthony Odri, Johannes Barth
BACKGROUND: In cases of shoulder stabilization for anterior instability, the main goals of the surgery are a rapid and efficient return to sports and excellent long-term outcomes without recurrence of dislocation, particularly in young and competitive athletes. PURPOSE: To determine whether outcomes of open Latarjet procedure (OLPs) depend on the level of sports practiced by patients and to report clinical scores and complication rates for OLP at a minimum follow-up of 2 years...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29589501/glenoid-osteotomy-for-atraumatic-posteroinferior-shoulder-instability-associated-with-glenoid-dysplasia
#18
H Inui, K Nobuhara
Aims We report the clinical results of glenoid osteotomy in patients with atraumatic posteroinferior instability associated with glenoid dysplasia. Patients and Methods The study reports results in 211 patients (249 shoulders) with atraumatic posteroinferior instability. The patients comprised 63 men and 148 women with a mean age of 20 years. The posteroinferior glenoid surface was elevated by osteotomy at the scapular neck. A body spica was applied to maintain the arm perpendicular to the glenoid for two weeks postoperatively...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29589497/risk-factors-for-recurrent-instability-or-revision-surgery-following-arthroscopic-bankart-repair
#19
S A Mahure, B Mollon, B M Capogna, J D Zuckerman, Y W Kwon, A S Rokito
Aims The factors that predispose to recurrent instability and revision stabilization procedures after arthroscopic Bankart repair for anterior glenohumeral instability remain unclear. We sought to determine the rate and risk factors associated with ongoing instability in patients undergoing arthroscopic Bankart repair for instability of the shoulder. Materials and Methods We used the Statewide Planning and Research Cooperative System (SPARCS) database to identify patients with a diagnosis of anterior instability of the shoulder undergoing arthroscopic Bankart repair between 2003 and 2011...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29581067/the-use-of-the-lars-system-in-the-treatment-of-ac-joint-instability-long-term-results-after-a-mean-of-7-4-years
#20
T M Tiefenboeck, S Boesmueller, D Popp, S Payr, J Joestl, H Binder, M Schurz, M Komjati, C Fialka, R C Ostermann
BACKGROUND: The acromioclavicular (AC) joint is of great importance for shoulder stability and one of the most frequently injured regions of the shoulder. HYPOTHESIS: AC joint reconstruction with the Ligament Augmentation & Reconstruction System (LARS™) leads to a good-to-excellent outcome at long-term follow-up. PATIENTS AND METHODS: This study was performed as a retrospective single-centre data analysis of a level-I trauma centre. All patients treated operatively for an acute AC dislocation with the LARS™ between 2003 and 2013 were included...
March 23, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
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