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Shoulder arthroscopy

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https://www.readbyqxmd.com/read/29126611/diaphragmatic-thickness-ratio-inspiratory-expiratory-as-a-diagnostic-method-of-diaphragmatic-palsy-associated-with-interescalene-block
#1
V M López Escárraga, K Dubos España, R H Castillo Bustos, L Peidró, S Sastre, X Sala-Blanch
INTRODUCTION: Diaphragmatic paralysis is a side-effect associated with interscalene block. Thickness index of the diaphragm muscle (inspiratory thickness/expiratory thickness) obtained by ultrasound has recently been introduced in clinical practice for diagnosis of diaphragm muscle atrophy. Our objective was to evaluate this index for the diagnosis of acute phrenic paresis associated with interscalene block. PATIENTS AND METHODS: We designed an observational study in 22 patients scheduled for shoulder arthroscopy...
November 7, 2017: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29120003/a-novel-method-of-patient-positioning-using-shoulder-arthroscopy-equipment-for-elbow-arthroscopy
#2
Julianne M Kowalski, James T Monica
Indications for elbow arthroscopy are expanding; however, it is uncommon compared with shoulder arthroscopy. Elbow arthroscopy can be complicated by positioning, including the need to obtain specific arm holders required by most operating rooms. Surgery can be performed in the supine, prone, or lateral position. Arm traction allows for distraction of the joint space, full insufflation, and therefore visualization of intra-articular anatomy. This article outlines a new technique using previously available shoulder arthroscopy equipment to avoid increased cost incurred by procuring new, elbow-specific equipment...
November 8, 2017: Orthopedics
https://www.readbyqxmd.com/read/29114337/arthroscopic-soft-tissue-procedures-for-anterior-shoulder-instability
#3
Mathew Brown, Andrew Wallace, Andrew Lachlan, Susan Alexander
Background: Arthroscopy has rapidly transformed the treatment of anterior shoulder instability over the past 30 years. Development of arthroscopic equipment has permitted the investigation and diagnosis of the unstable shoulder, and fixation methods have evolved to promote arthroscopy from an experimental procedure to one of first-line mainstream treatment. Methods: Key research papers were reviewed to identify the fundamental principles in patient diagnosis and appropriate selection for arthroscopic treatment...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114336/physical-exam-and-evaluation-of-the-unstable-shoulder
#4
María Valencia Mora, Miguel Ángel Ruiz Ibán, Jorge Diaz Heredia, Juan Carlos Gutiérrez-Gómez, Raquel Ruiz Diaz, Mikel Aramberri, Carlos Cobiella
Background: The clinical evaluation of the patient with shoulder instability can be challenging. The pathological spectrum ranges from the straightforward "recurrent anterior dislocation" patient to the overhead athlete with a painful shoulder but not clear instability episodes. Advances in shoulder arthroscopy and imaging have helped in understanding the anatomy and physiopathology of the symptoms. The aim of this general article is to summarize the main examination manoeuvres that could be included in an overall approach to a patient with a suspicion of instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29102012/editorial-commentary-you-may-not-have-seen-it-but-it-has-seen-you-diagnosis-of-long-head-biceps-tendon-and-subscapularis-pathology-in-association-with-shoulder-rotator-cuff-pathology-can-be-challenging
#5
EDITORIAL
Dan Guttmann
The shoulder can humble you. It is often challenging in determining the extent of pathology even when there is an adequate magnetic resonance imaging performed preoperatively and even during the so-called diagnostic portion of the arthroscopy. Abnormalities of the long head of the biceps tendon and the rotator cuff especially the subscapularis can be difficult to diagnose definitively. Experience can be very helpful in predicting pathology based on patterns seen before and knowing certain pearls that can make diagnosis and ultimately treatment more accurate...
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29102011/editorial-commentary-my-shoulder-feels-great-but-why-is-my-thigh-numb-lateral-femoral-cutaneous-nerve-injury-after-shoulder-arthroscopy-in-the-beach-chair-position
#6
EDITORIAL
Michael D Feldman
Lateral femoral cutaneous nerve injury after shoulder arthroscopy in the beach chair position is an uncommon, but irritating complication for patients. Taking an extra minute to ensure a safe beach chair position will likely minimize the occurrence and prevent a disheartening conversation at the first postoperative visit.
November 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29099885/in-office-diagnostic-needle-arthroscopy-understanding-the-potential-value-for-the-us-healthcare-system
#7
Sean McMillan, Michael Schwartz, Bryan Jennings, Scott Faucett, Thomas Owens, Elizabeth Ford
In-office diagnostic needle arthroscopy is a cost-effective and reproducible procedure with potential cost and quality-of-life benefits for commercial payers and patients. Significant value was realized in this 200-patient retrospective review. Minimum savings of $418 and $554.62 were realized for noncontrast knee and shoulder magnetic resonance imaging (MRI) scans, respectively, in independent MRI facilities. Those savings more than doubled in hospital-based facilities: $961.08 and $1097.62, respectively, for knee and shoulder noncontrast MRI scans...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29096980/arthroscopic-management-of-septic-arthritis-of-the-native-shoulder-a-systematic-review
#8
REVIEW
Muzammil Memon, Jeffrey Kay, Lydia Ginsberg, Darren de Sa, Nicole Simunovic, Kristian Samuelsson, George S Athwal, Olufemi R Ayeni
PURPOSE: To investigate arthroscopic management of native shoulder joint septic arthritis-specifically, indications, patient outcomes, and complications. METHODS: PubMed, MEDLINE, and Embase were used to search the literature, and data abstraction was performed independently and in duplicate. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist guided reporting and data abstraction. The quality of all included studies was assessed with the Methodological Index for Non-randomized Studies (MINORS) criteria...
October 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29095396/mri-to-arthroscopy-correlations-in-slap-lesions-and-long-head-biceps-pathology
#9
K Linnea Welton, Justin H Bartley, Nancy M Major, Eric C McCarty
Superior labral anterior and posterior lesions and long head biceps injury are 2 common sources of shoulder pain. The presenting complaints and physical examination findings for these etiologies are often nonspecific, making diagnosis challenging. Further complicating their diagnoses, these 2 pathologies often cooccur together or with other shoulder pathologies such as subacromial bursitis, rotator cuff tear, and shoulder instability. However, with advancement in magnetic resonance imaging and shoulder arthroscopy techniques the ability to diagnose and treat these pathologies has vastly improved over the past 30 years...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095395/magnetic-resonance-imaging-and-arthroscopic-correlation-in-shoulder-instability
#10
Derrick M Knapik, James E Voos
The shoulder is the most inherently unstable joint in the body, prone to high rates of anterior dislocations with subsequent injuries to soft tissue and bony stabilizing structures, resulting in recurrent shoulder instability. Advanced imaging utilizing magnetic resonance (MR) imaging and MR arthrography allows for thorough evaluation of lesions present in the unstable shoulder and is critical for preoperative planning. Arthroscopic shoulder stabilization in the appropriately selected patient can help restore stability and function...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29095394/mri-arthroscopy-correlation-of-the-rotator-cuff-a-case-based-review
#11
Rafael A Buerba, Armin Arshi, Kim M Lee, Benjamin D Levine, Frank A Petrigliano
With significant advancements over recent decades, magnetic resonance imaging (MRI) and shoulder arthroscopy are important complementary tools in guiding orthopedic surgeons to diagnosis, decision making, and treatment of rotator cuff pathology. The objective of this article is to review the basic principles and pearls of MRI-arthroscopy correlation of the rotator cuff through an overview of our approach to reading shoulder MRI followed by a case-based review of selected conditions. By understanding and comparing the subtleties of these modalities, radiologists and clinicians can better appreciate both the utility and limitations of MRI in predicting operative findings...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29064550/process-of-neovascularization-compared-with-pain-intensity-in-tendinopathy-of-the-long-head-of-the-biceps-brachii-tendon-associated-with-concomitant-shoulder-disorders-after-arthroscopic-treatment
#12
Jan Zabrzyński, Łukasz Paczesny, Łukasz Łapaj, Dariusz Grzanka, Jacenty Szukalski
BACKGROUND: Tendinopathy of the long head of the biceps brachii tendon is one of the most common, painful conditions of the anterior part of the shoulder and often coexists with rotator cuff tears. Multifactorial etiopathology of tendinopathy is poorly understood, however, several studies indicated that it is seen predominantly in areas with decreased vascularity of the tissue; the pathology is also characterized by expansive and abundant neovascular in-growth. The aim of the study was to investigate the relationship between the neovascularization of proximal part of the long head of the biceps brachii tendon and pain along the bicipital groove...
October 24, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/29054543/outcomes-of-surgically-treated-distal-radial-fractures-with-associated-triangular-fibrocartilage-complex-injury
#13
Katerina Kasapinova, Viktor Kamiloski
STUDY DESIGN: Prospective cohort. INTRODUCTION: Clinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radial fractures expressed with the patient-rated disability are missing. PURPOSE OF THE STUDY: To evaluate the outcomes of distal radius fractures associated with or without an injury of the TFCC. METHODS: Patients undergoing operative treatment for distal radial fracture were prospectively enrolled (n = 70)...
October 17, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29054383/arthroscopic-surgical-treatment-of-medial-epicondylitis
#14
Alexandre Tadeu do Nascimento, Gustavo Kogake Claudio
BACKGROUND: The study purpose was to evaluate the outcomes of patients who received arthroscopic surgical treatment for medial epicondylitis refractory to conservative treatment. METHODS: This was a retrospective study of 7 patients who underwent arthroscopic surgical débridement of the common flexor tendon for treatment of medial epicondylitis refractory to conservative treatment. The patients were assessed using the Disabilities of the Arm, Shoulder and Hand score; visual analog scale for pain; and Short Form 36 Health Survey...
October 17, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29039871/superior-capsular-reconstruction
#15
Robert U Hartzler, Stephen S Burkhart
Superior capsular reconstruction (SCR) of the shoulder has recently gained popularity as an option for joint-preserving shoulder surgery for patients with an irreparable rotator cuff tear. In the absence of glenohumeral arthritis, rotator cuff tear irreparability should only be diagnosed for most patients after a careful diagnostic arthroscopy. Superior capsular reconstruction adds biological, passive, superior constraint to the glenohumeral joint, thereby optimizing the rotator cuff force couples and improving joint kinematics...
October 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/28983764/effect-of-patient-age-on-accuracy-of-primary-mri-signs-of-long-head-of-biceps-tearing-and-instability-in-the-shoulder-an-mri-arthroscopy-correlation-study
#16
Camilo G Borrero, Joanna Costello, Marnie Bertolet, Dharmesh Vyas
OBJECTIVE: To determine the effect of patient age on the accuracy of primary MRI signs of long head of biceps (LHB) tendon tearing and instability in the shoulder using arthroscopy as a reference standard. MATERIALS AND METHODS: Subjects with MRI studies and subsequent arthroscopy documenting LHB tendon pathology were identified and organized into three age groups (18-40, 41-60, 61-87). Normal and tendinopathic tendons were labeled grade 0, partial tears grade 1 and full tears grade 2...
October 6, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28979597/controversies-in-the-surgical-management-of-shoulder-instability-open-vs-arthroscopic-procedures
#17
Alejandro Huerta, Gustavo Rincón, Lluis Peidro, Andreu Combalia, Sergi Sastre
BACKGROUND: Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Operative treatment reduces the risk of recurrence. Several studies have compared arthroscopic and open shoulder instability repair. The purpose of this paper is to perform a review of the literature where both techniques are compared in the repair of the anterior shoulder instability without bone loss. METHODS: Prior to arthroscopy, recurrent dislocations were managed by open repair...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979596/treatment-of-the-posterior-unstable-shoulder
#18
Eduardo Sánchez Alepuz, Jaime Alonso Pérez-Barquero, Nadia Jover Jorge, Francisco Lucas García, Vicente Carratalá Baixauli
BACKGROUND: It is estimated that approximately 5% of glenohumeral instabilities are posterior. There are a number of controversies regarding therapeutic approaches for these patients. METHODS: We analyse the main surgery alternatives for the treatment of the posterior shoulder instability. We did a research of the publications related with posterior glenohumeral instability. RESULTS: There are conservative and surgical treatment options. Conservative treatment has positive results in most patients, with around 65 to 80% of cases showing recurrent posterior dislocation...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979591/outcome-of-scapulothoracic-arthroscopy-for-painful-snapping-scapula
#19
Saif Ul Islam, Muhammad Naghman Choudhry, Sobia Akbar, Mohammad Waseem
INTRODUCTION: Patients with scapulothoracic syndrome present with pain in the scapulothoracic area aggravated by overhead and repetitive shoulder movements. The aim of our study was to assess the outcome of scapulothoracic arthroscopic treatment in patients with painful snapping scapula in our institution. METHODS: Fourteen patients underwent scapulothoracic arthroscopic treatment for painful snapping scapula. Pre-operatively, all these patients had a trial of conservative treatment modalities for at least 6 months...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28974126/identifiable-risk-factors-for-thirty-day-complications-following-arthroscopic-rotator-cuff-repair
#20
Jessica H Heyer, Xiangyu Kuang, Richard L Amdur, Rajeev Pandarinath
OBJECTIVES: Shoulder arthroscopy has increased in frequency over the past decade, with rotator cuff repair comprising the majority of cases performed. Prior studies have detailed risk factors for 30-day complications and readmission rates after arthroscopic shoulder surgery using the National Surgical Quality Improvement Program (NSQIP) database, but no study has specifically looked at arthroscopic rotator cuff repair. The purpose of the study is to evaluate the risk factors for 30-day complications following arthroscopic rotator cuff repair using the NSQIP database...
October 11, 2017: Physician and Sportsmedicine
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