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Shoulder arthroscopy

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https://www.readbyqxmd.com/read/29350537/cartilage-morphological-and-histological-findings-after-reconstruction-of-the-glenoid-with-an-iliac-crest-bone-graft
#1
Alexander Auffarth, Herbert Resch, Nicholas Matis, Martin Hudelmaier, Wolfgang Wirth, Rosemarie Forstner, Daniel Neureiter, Andreas Traweger, Philipp Moroder
BACKGROUND: The J-bone graft is presumably representative of iliac crest bone grafts in general and allows anatomic glenoid reconstruction in cases of bone defects due to recurrent traumatic anterior shoulder dislocations. As a side effect, these grafts have been observed to be covered by some soft, cartilage-like tissue when arthroscopy has been indicated after such procedures. PURPOSE: To evaluate the soft tissue covering of J-bone grafts by use of magnetic resonance imaging (MRI) and histological analysis...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29318329/-arthroscopic-fracture-treatment-of-the-shoulder-joint
#2
REVIEW
C Gerhardt, L J Lehmann
In recent years, the understanding of shoulder fractures has changed due to the progress of arthroscopy. In addition to the cosmetic result, the access morbidity, particularly the integrity of the subscapularis muscle in glenoid and scapular fractures, must be mentioned as an advantage of a minimally invasive approach. Furthermore, necessary secondary interventions, e. g. hook plate removal, can be prevented or minimized by modern implants and arthroscopic techniques.However, the available data and publications are almost exclusively limited to technical notes or small case series, so statements about faster recreation or potential reduction of infection risk cannot be made...
January 9, 2018: Der Orthopäde
https://www.readbyqxmd.com/read/29299503/massive-emphysema-and-pneumothorax-following-shoulder-arthroscopy-under-general-anaesthesia-a-case-report
#3
Mohammad J Shariyate, Amir R Kachooei, Mohammad H Ebrahimzadeh
The patient was a 61-year-old female with massive rotator cuff tear who had no history of smoking, COPD, asthma, or other pulmonary diseases. Four hours following shoulder arthroscopy, the patient developed progressive dyspnea, which was diagnosed as pneumothorax with subcutaneous emphysema extending to the neck and face. Chest tube was inserted promptly. The patient was discharged with a good condition after 7 days. Follow up of the patient for the next 3 months was uneventful.
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29287948/readability-of-the-most-commonly-accessed-arthroscopy-related-online-patient-education-materials
#4
Sheriff D Akinleye, Ryan Krochak, Nicholas Richardson, Garret Garofolo, Maya Deza Culbertson, Orry Erez
PURPOSE: To assess the readability and comprehension of written text by the most commonly visited websites containing patient education materials on common conditions that can be treated arthroscopically. METHODS: We examined 50 websites, assessed independently by 2 orthopaedic surgery residents (S.A. and G.G.), with educational materials on 5 common conditions treated by arthroscopic surgeons: anterior cruciate ligament (ACL) tear, meniscus tear, hip labral tear, shoulder labral tear, and rotator cuff tear...
December 26, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29249548/patients-with-a-long-standing-cuff-tear-in-one-shoulder-have-high-rates-of-contralateral-cuff-tears-a-study-of-patients-with-arthroscopically-verified-cuff-tears-22-years-ago
#5
Mats C Ranebo, Hanna C Björnsson Hallgren, Lars E Adolfsson
BACKGROUND: The prevalence of contralateral full-thickness cuff tears (FTTs) and cuff tear arthropathy (CTA) is presumed to be higher in patients with long-standing cuff tears than in those with newly diagnosed tears, but data are currently lacking. METHODS: Sixty-one patients with 38 partial and 23 full-thickness tears of 1 shoulder at arthroscopy were examined with bilateral radiographs, ultrasound, and the Constant-Murley score at a mean of 22 years (range, 21-25 years) after arthroscopy...
December 14, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29238824/effect-of-perioperative-gabapentin-on-postoperative-pain-resolution-and-opioid-cessation-in-a-mixed-surgical-cohort-a-randomized-clinical-trial
#6
Jennifer Hah, Sean C Mackey, Peter Schmidt, Rebecca McCue, Keith Humphreys, Jodie Trafton, Bradley Efron, Debra Clay, Yasamin Sharifzadeh, Gabriela Ruchelli, Stuart Goodman, James Huddleston, William J Maloney, Frederick M Dirbas, Joseph Shrager, John Costouros, Catherine Curtin, Ian Carroll
Importance: Guidelines recommend using gabapentin to decrease postoperative pain and opioid use, but significant variation exists in clinical practice. Objective: To determine the effect of perioperative gabapentin on remote postoperative time to pain resolution and opioid cessation. Design, Setting, and Participants: A randomized, double-blind, placebo-controlled trial of perioperative gabapentin was conducted at a single-center, tertiary referral teaching hospital...
December 13, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29234651/dorsal-capsulodesis-associated-with-arthoscopy-assisted-scapholunate-ligament-reconstruction-using-a-palmaris-longus-tendon-graft
#7
Victor Bignatto Carvalho, Carlos Henrique Vieira Ferreira, Andresa Ramires Hoshino, Viviane Alves Bernardo, Gustavo Mantovani Ruggiero, Márcio Aurélio Aita
Objectives: To measure the quality of life, the time to work return, and clinical, functional, and radiographic parameters of patients treated with dorsal capsulodesis associated with scapholunate (SL) reconstruction, assisted by arthroscopy. Methods: From January 2015 to September 2016, 14 adult patients with SL dissociation underwent surgical treatment with the SL reconstruction procedure assisted by arthroscopy, using the new technique proposed in this study...
November 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29233760/recovery-after-shoulder-arthroscopy-inpatient-versus-outpatient-management
#8
M Boissard, V Crenn, T Noailles, S Campard, F Lespagnol
INTRODUCTION: Shoulder arthroscopy is particularly suited to outpatient surgery, thanks to advances in anesthetic and analgesic techniques. The main goal of this study was to compare postoperative recovery after shoulder arthroscopy between outpatient and inpatient management. HYPOTHESIS: There is no difference in functional recovery between inpatient and outpatient management. MATERIALS AND METHOD: A single-center, single-operator prospective study was conducted...
December 9, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29217304/warming-of-irrigation-fluids-for-prevention-of-perioperative-hypothermia-during-arthroscopy-a-systematic-review-and-meta-analysis
#9
REVIEW
Victoria M Steelman, Sena Chae, Jed Duff, Michael J Anderson, Adnan Zaidi
PURPOSE: To determine whether warming of irrigation fluids (32°C-40°C) compared with using room-temperature irrigation fluids (20°C-22°C) decreases the risk of perioperative hypothermia (<36°C) for patients undergoing shoulder, hip, or knee arthroscopy. METHODS: One reviewer, with the assistance of a medical librarian, searched the following databases: PubMed, Embase, Cochrane Central, SPORTDiscus, Web of Science, and CINAHL (Cumulative Index to Nursing and Allied Health Literature)...
December 4, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29216699/-diagnostic-value-of-a-predictive-model-for-complete-ruptures-of-the-rotator-cuff-associated-to-subacromial-impingement
#10
I R Águila-Ledesma, J L Córdova-Fonseca, O Medina-Pontaza, D A Núñez-Gómez, C Calvache-García, J M Pérez-Atanasio, R Torres-González
Pathology related to the rotator cuff remains among the most prevalent musculoskeletal diseases. There is an increasing need for imaging studies (MRI, US, arthroscopy) to test the diagnostic performance of the medical history and physical examination. OBJECTIVE: To prove the diagnostic value of a clinical-radiographic predictive model to find complete ruptures of the rotator cuff. MATERIAL AND METHODS: Descriptive, observational, prospective, transversal and analytical study...
May 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/29215382/initial-treatment-in-septic-arthritis-medical-versus-surgical-approach-an-8-year-single-center-in-spain-experience
#11
Bryan Josué Flores-Robles, Mercedes Jiménez Palop, Abel Alejandro Sanabria Sanchinel, Robert Francis Andrus, Ana Royuela Vicente, Marta Isabel Sanz Pérez, María Espinosa Malpartida, Consuelo Ramos Giráldez, Carolina Merino Argumanez, Luis Fernando Villa Alcázar, José Luis Andréu Sánchez, Hildegarda Godoy Tundidor, José Campos Esteban, Jesús Sanz Sanz, Carmen Barbadillo Mateos, Carlos Isasi Zaragoza, Juan Mulero Mendoza
OBJECTIVE: The aim of this study was to compare the functional results of 2 different procedure types, medical or surgical, which are used in treating native joint septic arthritis. METHODS: In this retrospective cohort study, we reviewed clinical registries of patients admitted to a single third-level hospital with the diagnosis of septic arthritis during the period of January 1, 2008, to January 31, 2016. RESULTS: A total of 63 cases of septic arthritis were identified in which the initial approach for 49 patients was medical (arthrocentesis), whereas the initial approach for 14 patients was surgical (arthroscopy or arthrotomy)...
December 5, 2017: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29185350/arthroscopic-resection-of-dorsal-wrist-ganglion-results-and-rate-of-recurrence-over-a-minimum-follow-up-of-4-years
#12
Carlos H Fernandes, Lia M Meirelles, Jorge Raduan Neto, Marcela Fernandes, João Baptista G Dos Santos, Flávio Faloppa
BACKGROUND: Dorsal wrist ganglia are the most common soft tissue tumor type of the upper limb. Surgical resection, open or arthroscopic, is one of the most frequent procedures performed by hand surgeons. This study sought to perform an objective evaluation of the outcomes of arthroscopic resection of dorsal wrist ganglia and their recurrence rates over 4 years. Patients treated with arthroscopic resection were expected to have favorable outcomes and low complication rates after 4 years of follow-up...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29169668/arthroscopic-subacromial-decompression-for-subacromial-shoulder-pain-csaw-a-multicentre-pragmatic-parallel-group-placebo-controlled-three-group-randomised-surgical-trial
#13
David J Beard, Jonathan L Rees, Jonathan A Cook, Ines Rombach, Cushla Cooper, Naomi Merritt, Beverly A Shirkey, Jenny L Donovan, Stephen Gwilym, Julian Savulescu, Jane Moser, Alastair Gray, Marcus Jepson, Irene Tracey, Andrew Judge, Karolina Wartolowska, Andrew J Carr
BACKGROUND: Arthroscopic sub-acromial decompression (decompressing the sub-acromial space by removing bone spurs and soft tissue arthroscopically) is a common surgery for subacromial shoulder pain, but its effectiveness is uncertain. We did a study to assess its effectiveness and to investigate the mechanism for surgical decompression. METHODS: We did a multicentre, randomised, pragmatic, parallel group, placebo-controlled, three-group trial at 32 hospitals in the UK with 51 surgeons...
November 20, 2017: Lancet
https://www.readbyqxmd.com/read/29169667/no-benefit-of-arthroscopy-in-subacromial-shoulder-pain
#14
Berend W Schreurs, Stephanie L van der Pas
No abstract text is available yet for this article.
November 20, 2017: Lancet
https://www.readbyqxmd.com/read/29153993/the-high-frequency-of-superior-labrum-biceps-tendon-and-superior-rotator-cuff-pathologies-in-patients-with-subscapularis-tears-a-cohort-study
#15
Muhammet Baybars Ataoglu, Mehmet Cetinkaya, Mustafa Ozer, Tacettin Ayanoglu, Ulunay Kanatli
BACKGROUND: The purpose of this study was to assess the frequency of superior labrum anterior posterior (SLAP) lesions, long head of biceps tendon (LHBT) pathologies, and superior rotator cuff tears accompanying subscapularis tears. We hypothesised that LHBT lesions, superior rotator cuff tears, and especially SLAP lesions were very frequent with subscapularis tears. METHODS: The digital files of patients who underwent shoulder arthroscopy were reviewed retrospectively...
November 16, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29126611/diaphragmatic-thickness-ratio-inspiratory-expiratory-as-a-diagnostic-method-of-diaphragmatic-palsy-associated-with-interescalene-block
#16
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
#17
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
#18
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
#19
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
#20
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
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