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Glenoid bone loss

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https://www.readbyqxmd.com/read/28994027/management-of-glenoid-bone-loss-with-anterior-shoulder-instability-indications-and-outcomes
#1
REVIEW
Justin Rabinowitz, Richard Friedman, Josef K Eichinger
PURPOSE OF REVIEW: Glenoid Bone Loss is a commonly encountered problem in anterior shoulder instability. In this article, we review current techniques for diagnosis, indications and management of glenoid bone loss. RECENT FINDINGS: Multiple bone grafting techniques are available depending on the glenoid defect size including the coracoid, distal clavicle, iliac crest, and allograft distal tibia. Advancement in imaging methods allows for more accurate quantification of bone loss...
October 9, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28994025/applying-the-glenoid-track-concept-in-the-management-of-patients-with-anterior-shoulder-instability
#2
REVIEW
Amit M Momaya, John M Tokish
PURPOSE OF REVIEW: The purpose of this paper is to evaluate the recent evolution in the treatment of anterior shoulder instability and the dynamic interaction between the glenoid and Hill-Sachs lesion. RECENT FINDINGS: Through the glenoid track concept, glenoid- and humeral-sided bone loss are evolving away from being approached as separate entities. Recent cadaveric studies have validated the glenoid track concept. Moreover, a recent clinical study has demonstrated a much higher rate of failure after arthroscopic Bankart repair for shoulders that were off track...
October 9, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28988351/management-of-complex-anterior-shoulder-instability-a-case-based-approach
#3
REVIEW
Nathan Olszewski, Michael Gustin, Emily J Curry, Xinning Li
PURPOSE OF THE REVIEW: The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach. RECENT FINDINGS: Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with minimal bone loss. Latarjet is a generally accepted procedure in patients with 20-30% glenoid bone loss. When bone loss exceeds that which cannot be managed through Latarjet, a range of options exist and are highly dependent upon the extent of osseous deficiency on both the glenoid and humeral sides, surgeon experience, and patient-specific factors...
October 7, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28979604/management-of-humeral-defects-in-anterior-shoulder-instability
#4
Maria Valencia Mora, Miguel Ángel Ruiz-Ibán, Jorge Diaz Heredia, Raquel Ruiz Diaz, Ricardo Cuéllar
BACKGROUND: A Hill Sachs lesion is a posterior-superior bony defect of the humeral head caused by a compression of the hard glenoid rim against the soft cancellous bone in the context of an anterior instability episode. The presence of these humeral defects increases with the number of dislocations and larger lesions are associated with a greater chance of development of recurrent instability and recurrence after surgery. Also its location and pattern, in particular the so-called engaging Hill-Sachs, are associated with poor prognosis...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979603/controversies-in-the-surgical-management-of-shoulder-instability-associated-soft-tissue-procedures
#5
Santos Moros Marco, José Luis Ávila Lafuente, Miguel Angel Ruiz Ibán, Jorge Diaz Heredia
BACKGROUND: The glenohumeral joint is a ball-and-socket joint that is inherently unstable and thus, susceptible to dislocation. The traditional and most common anatomic finding is the Bankart lesion (anterior-inferior capsule labral complex avulsion), but there is a wide variety of anatomic alterations that can cause shoulder instability or may be present as a concomitant injury or in combination, including bone loss (glenoid or humeral head), complex capsule-labral tears, rotator cuff tears, Kim´s lesions (injuries to the posterior-inferior labrum) and rotator interval pathology...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979598/evaluation-and-management-of-failed-shoulder-instability-surgery
#6
António Cartucho, Nuno Moura, Marco Sarmento
BACKGROUND: Failed shoulder instability surgery is mostly considered to be the recurrence of shoulder dislocation but subluxation, painful or non-reliable shoulder are also reasons for patient dissatisfaction and should be considered in the notion. METHODS: The authors performed a revision of the literature and online contents on evaluation and management of failed shoulder instability surgery. RESULTS: When we look at the reasons for failure of shoulder instability surgery we point the finger at poor patient selection, technical error and an additional traumatic event...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28975132/acute-versus-delayed-magnetic-resonance-imaging-and-associated-abnormalities-in-traumatic-anterior-shoulder-dislocations
#7
Nathan D Orvets, Robert L Parisien, Emily J Curry, Justin S Chung, Josef K Eichinger, Akira M Murakami, Xinning Li
BACKGROUND: The delayed management of patients with shoulder instability may increase the prevalence and severity of concomitant intra-articular shoulder injuries resulting from persistent subluxations and dislocations. HYPOTHESIS: Patients with a longer delay from the initial dislocation event to undergoing magnetic resonance imaging (MRI) or magnetic resonance arthrography will demonstrate more subluxations or dislocations and a greater amount of intra-articular shoulder damage...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28971317/arthroscopic-bankart-repair-for-the-management-of-anterior-shoulder-instability-indications-and-outcomes
#8
REVIEW
Steven DeFroda, Steven Bokshan, Evan Stern, Kayleigh Sullivan, Brett D Owens
PURPOSE OF REVIEW: Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. RECENT FINDINGS: Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability...
October 2, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28965317/radiographic-evaluation-of-patients-with-anterior-shoulder-instability
#9
REVIEW
Andrew J Kompel, Xinning Li, Ali Guermazi, Akira M Murakami
PURPOSE OF REVIEW: Injuries to the labrum, joint capsule (in particular the inferior glenohumeral ligament), cartilage, and glenoid periosteum are associated with anterior shoulder instability. The goal of this review is to provide common radiographic images and findings in patients with anterior shoulder instability. Furthermore, we will demonstrate the best methods for measuring anterior glenoid bone loss. RECENT FINDINGS: Magnetic resonance (MR) imaging is highly relied upon for evaluating anterior shoulder instability and can diagnose soft tissue injuries with high sensitivity...
September 30, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28952782/does-the-arthroscopic-latarjet-procedure-effectively-correct-off-track-hill-sachs-lesions
#10
Johannes E Plath, Daniel J H Henderson, Julien Coquay, Klaus Dück, David Haeni, Laurent Lafosse
BACKGROUND: The glenoid track concept describes the dynamic interaction of bipolar bone loss in anterior glenohumeral instability. Initial studies have successfully demonstrated this concept's application in clinical populations. In clinical practice, the Latarjet procedure is commonly the preferred treatment in addressing "off-track" Hill-Sachs lesions. The effectiveness of this procedure in restoring such lesions to an "on-track" state, however, has not yet been evaluated or described in the literature...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28932486/-on-track-and-off-track-shoulder-lesions
#11
REVIEW
E Itoi
Shoulder stability depends on the position of the arm as well as activities of the muscles around the shoulder. The capsulo-ligamentous structures are the main stabilisers with the arm at the end-range of movement, whereas negative intra-articular pressure and concavity-compression effect are the main stabilisers with the arm in the mid-range of movement.There are two types of glenoid bone loss: fragment type and erosion type. A bone loss of the humeral head, known as a Hill-Sachs lesion (HSL), is a compression fracture of the humeral head caused by the anterior rim of the glenoid when the humeral head is dislocated anteriorly in front of the glenoid...
August 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28894758/the-latarjet-procedure-at-the-national-football-league-scouting-combine-an-imaging-and-performance-analysis
#12
George F LeBus, Jorge Chahla, George Sanchez, Ramesses Akamefula, Gilbert Moatshe, Alexandra Phocas, Mark D Price, James M Whalen, Robert F LaPrade, Matthew T Provencher
BACKGROUND: The Latarjet procedure is commonly performed in the setting of glenoid bone loss for treatment of recurrent anterior shoulder instability; however, little is known regarding the outcomes of this procedure in elite American football players. PURPOSE: (1) Determine the prevalence, clinical features, and imaging findings of elite college football athletes who present to the National Football League (NFL) Combine with a previous Latarjet procedure and (2) describe these athletes' performance in the NFL in terms of draft status and initial playing time...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28893848/a-review-of-10-years-of-scapula-injuries-sustained-by-uk-military-personnel-on-operations
#13
Darren C Roberts, D M Power, S A Stapley
BACKGROUND: Scapula fractures are relatively uncommon injuries, mostly occurring due to the effects of high-energy trauma. Rates of scapula fractures are unknown in the military setting. The aim of this study is to analyse the incidence, aetiology, associated injuries, treatment and complications of these fractures occurring in deployed military personnel. METHODS: All UK military personnel returning with upper limb injuries from Afghanistan and Iraq were retrospectively reviewed using the Royal Centre for Defence Medicine database and case notes (2004-2014)...
September 11, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28875360/-recurrent-instability-and-instability-arthropathy
#14
REVIEW
L Lacheta, S Siebenlist, A B Imhoff, L Willinger
Capsulolabral reconstruction (Bankart repair) is recommended as the first line treatment in young and functionally demanding active patients with anteroinferior shoulder instability, due to the high tendency to recurrent dislocation. This has become established both for arthroscopic and open primary shoulder stabilization with good clinical outcome; nevertheless, recurrence of dislocation is reported in up to 25% of patients. Risk factors for failed surgery are patient (e.g. young age, male gender and contact sports) and surgery (e...
September 5, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28872528/quantitative-measurement-of-osseous-pathology-in-advanced-glenohumeral-osteoarthritis
#15
Joseph P Iannotti, Bong-Jae Jun, Thomas E Patterson, Eric T Ricchetti
BACKGROUND: Osteoarthritis of the glenohumeral joint has typical patterns of deformity as described by Walch et al. However, more severe glenoid pathology may be difficult to classify. The purpose of this study was to use 3-dimensional computed tomography (3-D CT) imaging analysis to define common pathologic subtypes that can be differentiated from the current Walch classification. METHODS: We performed quantitative measurements of premorbid and pathologic anatomy using preoperative 3-D CT scans from 155 cases of advanced glenohumeral osteoarthritis that underwent anatomic or reverse total shoulder arthroplasty...
September 6, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28856347/a-new-option-for-glenoid-reconstruction-in-recurrent-anterior-shoulder-instability
#16
Mia Smucny, Anthony Miniaci
Anteroinferior glenoid bone loss plays a significant role in recurrent glenohumeral instability. Surgical strategies for reconstructing the glenoid in these cases include coracoid transfer, iliac crest autograft, and allograft (osteochondral and iliac crest). In this article, we report on a new technique for managing glenoid bone loss, preshaped allograft, and describe surgical technique and outcomes. So far we have implanted this allograft in 15 patients, and at short-term follow-up there are no known cases of recurrent instability or graft resorption...
July 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/28843480/conjoined-tendon-transfer-for-traumatic-anterior-glenohumeral-instability-in-patients-with-large-bony-defects-and-anterior-capsulolabral-deficiency
#17
Wiemi A Douoguih, David Goodwin, Ryan Churchill, Megan Paulus, Abby Maxwell
PURPOSE: To report outcomes of a conjoined tendon transfer procedure in a small case series of young active patients of various activity levels with recurrent traumatic anterior shoulder instability. METHODS: A retrospective chart review identified 10 consecutive patients who underwent conjoined tendon transfer (8 open and 2 arthroscopic) for anterior glenohumeral instability from January 2009 through December 2012. The indications were traumatic anterior shoulder instability with 25% or greater anterior glenoid bone loss, engaging Hill-Sachs lesion, or absent anterior-inferior labral tissue with anterior capsular tissue that did not readily hold sutures or a combination of these deficiencies...
August 23, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28840152/humeral-avulsion-of-the-glenohumeral-ligament-indications-for-surgical-treatment-and-outcomes-a-systematic-review
#18
REVIEW
Anthony Bozzo, Colby Oitment, Patrick Thornley, James Yan, Anthony Habib, Daniel J Hoppe, George S Athwal, Olufemi R Ayeni
BACKGROUND: The inferior glenohumeral ligament, the most important static anterior stabilizer of the shoulder, becomes disrupted in humeral avulsion of the glenohumeral ligament (HAGL) lesions. Unfortunately, HAGL lesions commonly go unrecognized. A missed HAGL during an index operation to treat anterior shoulder instability may lead to persistent instability. Currently, there are no large studies describing the indications for surgical repair or the outcomes of patients with HAGL lesions...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28840148/prevalence-and-impact-of-glenoid-augmentation-in-american-football-athletes-participating-in-the-national-football-league-scouting-combine
#19
Derrick M Knapik, Robert J Gillespie, Michael J Salata, James E Voos
BACKGROUND: Bony augmentation of the anterior glenoid is used in athletes with recurrent shoulder instability and bone loss; however, the prevalence and impact of repair in elite American football athletes are unknown. PURPOSE: To evaluate the prevalence and impact of glenoid augmentation in athletes invited to the National Football League (NFL) Scouting Combine from 2012 to 2015. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 1311 athletes invited to the NFL Combine from 2012 to 2015 were evaluated for history of either Bristow or Latarjet surgery for recurrent anterior shoulder instability...
August 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28822633/arthroscopic-latarjet-procedure-with-anterior-capsular-reconstruction-clinical-outcome-and-radiologic-evaluation-with-a-minimum-2-year-follow-up
#20
Yi-Ming Zhu, Chunyan Jiang, Guanyang Song, Yi Lu, Fenglong Li
PURPOSE: To investigate the clinical and radiographic outcomes of the modified arthroscopic Latarjet procedure at a minimum of 2 years after surgery. METHODS: Patients who had traumatic unidirectional anterior shoulder instability and treated with a modified arthroscopic Latarjet procedure were included. During surgery, the anterior capsule was preserved and repaired back to the glenoid after the coracoid transfer. The clinical results (range of motion, American Shoulder and Elbow Surgeons [ASES] score, Constant-Murley score, and Rowe score) and computed tomographic results were followed...
August 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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