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Shoulder arthroscopy

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https://www.readbyqxmd.com/read/27916179/season-s-greetings-a-good-year-for-arthroscopy
#1
EDITORIAL
James H Lubowitz, Jefferson C Brand, Matthew T Provencher, Michael J Rossi
The Arthroscopy journal "Most Read" list evolves over time, and reflects the popularity of knee and shoulder and hip topics, original scientific articles, Letters to the Editor, and Level V Evidence (expert opinion). And, for the holiday season, we share a cruciverbalist challenge.
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27909677/basic-shoulder-arthroscopy-lateral-decubitus-patient-positioning
#2
Alexander H Jinnah, Sandeep Mannava, Johannes F Plate, Austin V Stone, Michael T Freehill
Shoulder arthroscopy offers a minimally invasive surgical approach to treat a variety of shoulder pathologies. The patient can be positioned in either the lateral decubitus or the beach chair position. This note and accompanying video describe the operating room setup for shoulder arthroscopy in the lateral decubitus position, including positioning of the arms, head, and sterile preparation and draping. Appropriate lateral decubitus positioning for shoulder arthroscopy with careful attention to detail will promote ease of surgical intervention and minimize complications...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27904970/reliability-of-magnetic-resonance-imaging-versus-arthroscopy-for-the-diagnosis-and-classification-of-superior-glenoid-labrum-anterior-to-posterior-lesions
#3
Fatih Yıldız, Kerem Bilsel, Anıl Pulatkan, Gökçer Uzer, Ayşe Aralaşmak, Musa Atay
PURPOSE: The physical examination of the shoulder is usually not reliable for the true diagnosis of superior glenoid labrum anterior to posterior (SLAP) lesions. Magnetic resonance imaging (MRI) has been routinely used for the diagnosis. This prospective study investigates the radiological diagnosis of the SLAP lesions and compares accuracy of arthroscopic and MRI classifications. METHODS: One hundred thirty-two patients with positive physical examination signs using O'Brien, Yergason, resistance supination external rotation and Krank tests and MRI findings are included in the study...
November 30, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27904211/post-operative-pain-management-in-shoulder-surgery-suprascapular-and-axillary-nerve-block-by-arthroscope-assisted-catheter-placement
#4
H Çağdaş Basat, D Hakan Uçar, Mehmet Armangil, Berk Güçlü, Mehmet Demirtaş
BACKGROUND: Postoperative pain management is the part of shoulder surgery to improve patient satisfaction, start rehabilitation process rapidly and decrease for hospital stay. Various treatment modalities have been used for pain management, but they have some limitations, side effects and risks. Throughout intraoperative and postoperative period, nerve blocks have been used more popularly than others because of efficacy. For the regional nerve block, local anesthetic should be infiltrated close to the nerve for maximum effect...
November 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27896294/a-qualitative-assessment-of-return-to-sport-after-hip-arthroscopy-for-femoroacetabular-impingement
#5
Vehniah K Tjong, Charles J Cogan, Brett D Riederman, Michael A Terry
BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) is known to produce excellent outcomes, yet some patients do not return to their preinjury level of sport participation. Much literature on return to sport has revolved around anterior cruciate ligament reconstruction and even shoulder instability, but none to date have used qualitative, semistructured patient interviews on patients with hip labral tears. PURPOSE: To understand the factors influencing the decision to return to sport after arthroscopic hip surgery for FAI...
November 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27885850/detour-sign-in-the-diagnosis-of-subluxation-of-the-long-head-of-the-biceps-tendon-with-arthroscopic-correlation
#6
Eun Kyung Khil, Jang Gyu Cha, Ji Sook Yi, Hyun-Joo Kim, Kyung Dae Min, Young Cheol Yoon, Chan Hong Jeon
OBJECTIVES: To determine whether detection of the detour sign via magnetic resonance imaging (MRI) indicates of subluxation of the long head of the biceps tendon (SLBT) in the shoulder joint and to investigate the association of SLBT with the degeneration of the long head of the biceps tendon (LBT) and rotator cuff tears. METHODS: This retrospective study included 65 patients with shoulder pain who underwent shoulder MRI and arthroscopic surgery. When axial images revealed that the LBT was displaced over the inner rim of the bicipital groove with some remaining contact with the groove (criterion 1), or demonstrated a "detour sign" of the biceps tendon (criterion 2), the lesion was diagnosed an SLBT...
November 25, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27881294/comparison-of-outcomes-with-arthroscopic-repair-of-acute-on-chronic-within-6-months-and-chronic-rotator-cuff-tears
#7
Jeung Yeol Jeong, Seung Yeop Song, Jae Chul Yoo, Keun Min Park, Sang Min Lee
BACKGROUND: The purpose of this study was to define preoperative and intraoperative findings of acute-on-chronic rotator cuff tears (RCTs). This study also compared the functional and clinical outcomes with acute-on-chronic RCTs and chronic RCTs. METHODS: This study was conducted between December 2007 and December 2013. An acute-on-chronic full-thickness RCT was diagnosed with preoperative and intraoperative findings on arthroscopy. The study group consisted of 36 patients with preoperative and intraoperative findings (surgery performed within 6 months of trauma) indicative of an acute-on-chronic RCT...
November 21, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27847979/relationship-between-subscapularis-tears-and-injuries-to-the-biceps-pulley
#8
Arnaud Godenèche, Laurent Nové-Josserand, Stéphane Audebert, Bruno Toussaint, Patrick J Denard, Alexandre Lädermann
PURPOSE: The purpose of this study was to analyse the relationship between long head of the biceps brachii (LHBT) lesions and subscapularis tears. The hypothesis was that a bicipital pulley might remain intact, even in the case of a subscapularis tear. METHODS: Between 2010 and 2011, all patients who had a primary arthroscopic repair of a subscapularis tear were potentially included in this prospective study. The outcome of interest was the prevalence and type of arthroscopic lesions of the LHBT and bicipital pulley...
November 15, 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27829728/mr-arthrography-evaluation-in-patients-with-traumatic-anterior-shoulder-instability
#9
Luca Saba, Massimo De Filippo
INTRODUCTION: To evaluate retrospectively the diagnostic accuracy of MR arthrography, compared with arthroscopy, in research of the glenoid labrum tear in patients with a first episode of traumatic anterior shoulder instability (TUBS). MATERIAL AND METHODS: We retrospectively reviewed the MR arthrography shoulder images of 118 patients with a first episode of TUBS, between June 2014 and May 2016. RESULTS: The overall accuracy of MR arthrography compared with arthroscopy of the glenoid labrum lesions was 94%, sensitivity 93%, and specificity 96%...
March 2017: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27816608/arthroscopic-decompression-with-indigo-carmine-for-treating-paralabral-cysts-in-the-shoulder
#10
Y Kabuto, T Morihara, R Furukawa, Y Kida, T Sukenari, O Onishi, M Minami, Y Arai, H Fujiwara, T Kubo
Paralabral cysts in the shoulder are a relatively rare pathology. It is sometimes difficult to detect the location of a paralabral cyst in the shoulder using arthroscopy, and it can be difficult to confirm sufficient decompression by arthroscopy. We describe the case of a 64-year-old woman who underwent arthroscopic decompression for a paralabral cyst in the shoulder. Indigo carmine was injected into the cyst under ultrasonography guidance just before the operation. The leakage point of indigo carmine was detected using arthroscopy...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27810264/the-nirschl-procedure-versus-arthroscopic-extensor-carpi-radialis-brevis-debridement-for-lateral-epicondylitis
#11
Bong Cheol Kwon, Jin Young Kim, Kun-Tae Park
BACKGROUND: The Nirschl technique and arthroscopic debridement are common surgical procedures for chronic lateral elbow tendinopathy. The purpose of this study was to compare outcomes following the use of these techniques to treat chronic lateral elbow tendinopathy. METHODS: We retrospectively reviewed 59 elbows of 55 patients who did not improve after conservative treatment. Twenty-nine elbows of 26 patients were treated with the Nirschl procedure (Nirschl group), and 30 elbows of 29 patients were treated with arthroscopic debridement (arthroscopy group)...
October 31, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27801698/magnetic-resonance-neurographic-and-clinical-long-term-results-after-oberlin-s-transfer-for-adult-brachial-plexus-injuries
#12
Florian S Frueh, Michael Ho, Andreas Schiller, Pascal Ducommun, Andrei Manoliu, Gustav Andreisek, Maurizio Calcagni, Pietro Giovanoli
The primary goal of the surgical treatment of upper brachial plexus injuries is to restore active elbow flexion. Accordingly, Oberlin's transfer has been frequently performed since 1994 and has influenced the development of other nerve transfers. However, the window of opportunity for nerve transfers remains a subject of controversy. The objective of this study was to assess magnetic resonance (MR) neurographic, clinical and electrophysiological long-term results after Oberlin's transfer. For this purpose, we performed a retrospective follow-up study...
October 31, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27771428/preliminary-clinical-outcomes-of-latarjet-patte-coracoid-transfer-by-arthroscopy-vs-open-surgery-prospective-multicentre-study-of-390%C3%A2-cases
#13
P Metais, P Clavert, J Barth, P Boileau, R Broszka, G Nourissat, J Leuzinger, G Walch, L Lafosse
BACKGROUND: The Latarjet-Patte procedure consisting in transfer and screw fixation of the coracoid process to the anterior glenoid is a treatment of reference for anterior shoulder instability. Over time, surgical innovations translated into a number of improvements and, in late 2003, an arthroscopically assisted variant of the procedure was described. OBJECTIVE: To evaluate and compare clinical outcomes of the modified Latarjet-Patte procedure performed by open surgery, arthroscopy with screw fixation, or arthroscopy with endobutton fixation...
October 19, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27769600/lesser-tuberosity-cysts-and-their-relationship-with-subscapularis-tears-and-subcoracoid-impingement
#14
Mehmet Cetinkaya, Ali Yusuf Öner, Muhammet Baybars Ataoglu, Mustafa Ozer, Tacettin Ayanoglu, Ulunay Kanatli
BACKGROUND: We aimed to evaluate cysts in the lesser tuberosity of humeral head seen on magnetic resonance imaging (MRI) and their relationship with subcoracoid impingement and subscapularis tears evident on arthroscopic surgery videos. Our hypothesis was that the cysts would be more frequent with subscapularis tears and in the case of subcoracoid impingement. METHODS: Patients who underwent shoulder arthroscopy between January 2010 and January 2016 were retrieved to evaluate subscapularis tears on surgery videos and lesser tuberosity cysts (LTC), coracohumeral distances (CHD) on both sagittal oblique and transverse sections of MRI retrospectively...
October 18, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27742248/anterior-interosseous-nerve-syndrome-after-shoulder-arthroscopy-report-of-3-cases
#15
Maria Florencia Deslivia, Hyun-Joo Lee, Seong-Man Lee, Bin Zhu, In-Ho Jeon
No abstract text is available yet for this article.
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27738643/interobserver-agreement-in-the-classification-of-partial-thickness-rotator-cuff-tears-using-the-snyder-classification-system
#16
Christopher S Lee, Shane M Davis, Brittany Doremus, Shalen Kouk, William B Stetson
BACKGROUND: At present, there is no widely accepted classification system for partial-thickness rotator cuff tears, and as a result, optimal treatment remains controversial. PURPOSE: To examine the interobserver reliability and accuracy of classifying partial rotator cuff tears using the Snyder classification system. We hypothesized that the Snyder classification would be reproducible with high reliability and accuracy. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2...
September 2016: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/27729319/pain-management-after-outpatient-shoulder-arthroscopy-a-systematic-review-of-randomized-controlled-trials
#17
William J Warrender, Usman Ali M Syed, Sommer Hammoud, William Emper, Michael G Ciccotti, Joseph A Abboud, Kevin B Freedman
BACKGROUND: Effective postoperative pain management after shoulder arthroscopy is a critical component to recovery, rehabilitation, and patient satisfaction. PURPOSE: This systematic review provides a comprehensive overview of level 1 and level 2 evidence regarding postoperative pain management for outpatient arthroscopic shoulder surgery. STUDY DESIGN: Systematic review. METHODS: We performed a systematic review of the various modalities reported in the literature for postoperative pain control after outpatient shoulder arthroscopy and analyzed their outcomes...
October 11, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27727061/arthroscopic-plication-for-multidirectional-instability-50-patients-with-a-minimum-of-2-years-of-follow-up
#18
Caroline Witney-Lagen, Abdul Hassan, Anouska Doodson, Balachandran Venkateswaran
BACKGROUND: Treatment of patients who have not improved after physiotherapy for multidirectional instability (MDI) remains challenging, with no agreed best practice. The purpose of this study was to ascertain whether arthroscopic plication is safe and effective for these patients. METHODS: Fifty consecutive patients who had not improved after at least 6 months of specialized shoulder physiotherapy for symptomatic MDI and no labral lesion at arthroscopy underwent arthroscopic plication between 2006 and 2013...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27717975/diagnostic-accuracy-of-3t-conventional-shoulder-mri-in-the-detection-of-the-long-head-of-the-biceps-tendon-tears-associated-with-rotator-cuff-tendon-tears
#19
Ro Woon Lee, Soo-Jung Choi, Man Ho Lee, Jae Hong Ahn, Dong Rock Shin, Chae Hoon Kang, Ki Won Lee
OBJECTIVE: To evaluate the diagnostic performance (DP) of 3T (3 Tesla field strength) conventional shoulder magnetic resonance imaging (MRI) in detecting the long head of the biceps tendon (LHBT) tears in association with rotator cuff tendon tears. MATERIALS AND METHODS: This study included 80 consecutive patients who underwent arthroscopic surgery for rotator cuff tendon tears. Two radiologists independently evaluated the preoperative 3T shoulder MRI for the presence of LHBT tears...
December 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27709052/the-hidden-lesion-of-the-subscapularis-arthroscopically-revisited
#20
Lionel Neyton, Matthew Daggett, Kevin Kruse, Gilles Walch
The "hidden lesion" refers to a tear of the subscapularis in the presence of an intact biceps pulley or rotator interval. Visualization of these tears during open surgery is difficult, yet even with the advancement of arthroscopy, visualization can still be challenging. Incomplete visualization of the subscapularis could lead to failure to diagnose a tear of the tendon and subsequently hinder results after shoulder surgery. With the advancement of arthroscopy, a technique to identify these hidden lesions is needed to avoid inferior results...
August 2016: Arthroscopy Techniques
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