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Shoulder arthroscopy

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https://www.readbyqxmd.com/read/29769058/efficacy-of-standardized-training-on-a-virtual-reality-simulator-to-advance-knee-and-shoulder-arthroscopic-motor-skills
#1
Stefan Rahm, Karl Wieser, David E Bauer, Felix Wa Waibel, Dominik C Meyer, Christian Gerber, Sandro F Fucentese
BACKGROUND: Most studies demonstrated, that training on a virtual reality based arthroscopy simulator leads to an improvement of technical skills in orthopaedic surgery. However, how long and what kind of training is optimal for young residents is unknown. In this study we tested the efficacy of a standardized, competency based training protocol on a validated virtual reality based knee- and shoulder arthroscopy simulator. METHODS: Twenty residents and five experts in arthroscopy were included...
May 16, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29754193/mr-arthrogram-of-the-postoperative-glenoid-labrum-normal-postoperative-appearance-versus-recurrent-tears
#2
Christin A Tiegs-Heiden, Nicholas G Rhodes, Mark S Collins, Quintin A Fender, Benjamin M Howe
OBJECTIVE: The purpose of this study is to describe the MR arthrogram appearance of the postoperative glenoid labrum and to describe the features consistent with recurrent tear. MATERIALS AND METHODS: We identified 30 patients who had undergone glenoid labral repair, had a subsequent MR arthrogram of his or her shoulder, and went on to repeat shoulder arthroscopy. Each MR arthrogram was reviewed blindly, and the glenoid labrum was described as normal, irregular, or torn...
May 13, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29744648/the-eden-hybbinette-procedure-is-one-hundred-years-old-a-historical-view-of-the-concept-and-its-evolutions
#3
Guillaume Villatte, Sally Spurr, Cyrus Broden, Antoine Martins, Roger Emery, Peter Reilly
INTRODUCTION: One hundred years ago, before Bankart, Latarjet or Bristow, Eden and Hybbinette developed a procedure to treat anterior shoulder instability and currently, this eponymous term is known by every shoulder surgeon. The purpose of this review is to summarise the historical "Eden-Hybbinette" procedure and its evolutions during the last century and discuss results. METHOD: On the centenary of the first publication on the "Eden-Hybbinette procedure", a search was conducted on Medline, Google Scholar and in the grey literature, to find its initial concept and description, and the evolutions...
May 9, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29730215/inter-rater-reliability-for-metrics-scored-in-a-binary-fashion-performance-assessment-for-an-arthroscopic-bankart-repair
#4
Anthony G Gallagher, Richard K N Ryu, Robert A Pedowitz, Patrick Henn, Richard L Angelo
PURPOSE: To determine the inter-rater reliability (IRR) of a procedure-specific checklist scored in a binary fashion for the evaluation of surgical skill and whether it meets a minimum level of agreement (≥0.8 between 2 raters) required for high-stakes assessment. METHODS: In a prospective randomized and blinded fashion, and after detailed assessment training, 10 Arthroscopy Association of North America Master/Associate Master faculty arthroscopic surgeons (in 5 pairs) with an average of 21 years of surgical experience assessed the video-recorded 3-anchor arthroscopic Bankart repair performance of 44 postgraduate year 4 or 5 residents from 21 Accreditation Council for Graduate Medical Education orthopaedic residency training programs from across the United States...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29728740/arthroscopic-rotator-cuff-surgery-following-shoulder-trauma-improves-outcome-despite-additional-pathologies-and-slow-recovery
#5
Barak Haviv, Tal Frenkel Rutenberg, Shlomo Bronak, Mustafa Yassin
PURPOSE: To compare the outcome, recovery and surgical findings after shoulder arthroscopy of clinically defined traumatic and non-traumatic rotator cuff pathology in middle-aged patients. METHODS: Of the patients who underwent rotator cuff surgery, 37 patients who reported a preceding shoulder injury related to their shoulder symptoms (traumatic group) were compared to a control group of 58 patients without a preceding injury (non-traumatic group), matched by age, body mass index and comorbidities...
May 4, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29725795/a-low-dose-of-three-local-anesthetic-solutions-for-interscalene-blockade-tested-by-thermal-quantitative-sensory-testing-a-randomized-controlled-trial
#6
Luc A Sermeus, Tom Schepens, Guy H Hans, Stuart G Morrison, Kristien Wouters, Margaretha B Breebaart, Carine J Smitz, Marcel P Vercauteren
This randomized double-blind controlled trial compared the block characteristics of three low-dose local anesthetics at different roots in an ultrasound-guided interscalene block, using thermal quantitative sensory testing for assessing the functioning of cutaneous small nerve fibres. A total of 37 adults scheduled to undergo shoulder arthroscopy were randomized to receive 5 mL of either 0.5% levobupivacaine with and without epinephrine 1/200,000 or 0.75% ropivacaine in a single-shot interscalene block. Thermal quantitative sensory testing was performed in the C4, C5, C6 and C7 dermatomes...
May 3, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/29715640/visualization-of-rotator-cuff-tear-morphology-by-radial-magnetic-resonance-imaging
#7
Kentaro Sasaki, Toru Morihara, Yoshikazu Kida, Ryuhei Furukawa, Yuji Arai, Hiroyoshi Fujiwara, Toshikazu Kubo
The objective of this study was to investigate whether rotator cuff tear morphology could be visualized using radial MRI. We retrospectively investigated 52 shoulders that underwent preoperative MRI and arthroscopy for a complete rotator cuff tear. The tear length and width were measured using oblique coronal, axial, and radial MRI. Arthroscopic findings were compared with the tear morphology. Tear morphology was visualized using oblique coronal and axial MRI for 24 of the 52 shoulders (46%), and radial MRI for all 52 shoulders...
April 10, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29701089/does-virtual-reality-simulation-have-a-role-in-training-trauma-and-orthopaedic-surgeons
#8
J D Bartlett, J E Lawrence, M E Stewart, N Nakano, V Khanduja
Aims The aim of this study was to assess the current evidence relating to the benefits of virtual reality (VR) simulation in orthopaedic surgical training, and to identify areas of future research. Materials and Methods A literature search using the MEDLINE, Embase, and Google Scholar databases was performed. The results' titles, abstracts, and references were examined for relevance. Results A total of 31 articles published between 2004 and 2016 and relating to the objective validity and efficacy of specific virtual reality orthopaedic surgical simulators were identified...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29699862/effect-of-nonoperative-concomitant-intraarticular-pathologies-on-the-outcome-of-arthroscopic-capsular-release-for-adhesive-capsulitis-of-the-shoulder
#9
Fatih Yildiz, Abdulkadir Sari, Anil Pulatkan, Vahdet Ucan, Alauddin Kochai, Kerem Bilsel
OBJECTIVE: The aim of this study was to investigate whether coexistent intraarticular lesions are negative prognostic factors for the results of arthroscopic capsular release in frozen shoulder patients. METHODS: Seventy-two patients who met inclusion criteria and underwent arthroscopic capsular release between March 2011 and August 2015 for the frozen shoulder were retrospectively evaluated. The patients were divided into two groups according to existence of concomitant intraarticular pathologies detected during arthroscopy...
April 23, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#10
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29675507/are-prophylactic-intravenous-antibiotics-required-in-routine-shoulder-arthroscopic-surgery-a-systematic-review-of-the-literature
#11
REVIEW
Njalalle Baraza, Jordan Leith
Purpose  The purpose of this study was to find out from the literature the difference in infection rates between patients who did and patients who did not receive prophylactic antibiotics in arthroscopic shoulder surgery. Methods  We conducted a comprehensive search of the literature using Medline Ovid for prospective studies that looked at infection as the primary outcome following shoulder arthroscopy. The articles were then assessed for study design, outcome, and relevance to the specific question as part of the critical appraisal...
March 2018: Joints
https://www.readbyqxmd.com/read/29657448/diagnostic-difficulties-in-the-radiological-assessment-of-subscapularis-tears
#12
Jonathan R N Ward, Naeil Lotfi, Richard G Dias, Timothy J McBride
Background: Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. Materials and methods: We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. Result: 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity)...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29622254/editorial-commentary-a-model-for-shoulder-rotator-cuff-repair-and-for-basic-science-investigations
#13
EDITORIAL
Jefferson C Brand
"Breaking the fourth wall" is a theater convention where the narrator or character speaks directly to the audience. As an Assistant Editor-in-Chief, as I comment on a recent basic science study investigating rotator cuff repair, I break the fourth wall and articulate areas of basic science research excellence that align with the vision that we hold for our journal. Inclusion of a powerful video strengthens the submission. We prefer to publish clinical videos in our companion journal, Arthroscopy Techniques, and encourage basic science video submissions to Arthroscopy...
April 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29613930/operative-experience-during-orthopaedic-residency-compared-with-early-practice-in-the-u-s
#14
Jessica M Kohring, Michael O Bishop, Angela P Presson, John J Harrast, J Lawrence Marsh, Theodore W Parsons, Charles L Saltzman
BACKGROUND: The goal of surgical education is to prepare the trainee for independent practice; however, the relevance of the current residency experience to practice remains uncertain. The purpose of this study was to identify the surgical procedures most frequently performed in orthopaedic residency and in early surgical practice and to identify surgical procedures performed more often or less often in orthopaedic residency compared with early surgical practice. METHODS: This retrospective cohort study included American Medical Association (AMA) Current Procedural Terminology (CPT) codes (n = 4,329,561 procedures) reported by all U...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29593438/glenohumeral-internal-rotation-deficit-in-throwing-athletes-current-perspectives
#15
REVIEW
Michael B Rose, Thomas Noonan
Glenohumeral internal rotation deficit (GIRD) is an adaptive process in which the throwing shoulder experiences a loss of internal rotation (IR). GIRD has most commonly been defined by a loss of >20° of IR compared to the contralateral shoulder. Total rotational motion of the shoulder is the sum of internal and external rotation and may be more important than the absolute value of IR loss. Pathologic GIRD has been defined as a loss of IR combined with a loss of total rotational motion. The leading pathologic process in GIRD is posterior capsular and rotator-cuff tightness, due to the repetitive cocking that occurs with the overhead throwing motion...
2018: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/29582321/diagnostic-performance-of-shoulder-magnetic-resonance-arthrography-for-labral-tears-having-surgery-as-reference-comparison-of-high-resolution-isotropic-3d-sequence-thrive-with-standard-protocol
#16
Sun Hwa Lee, Seong Jong Yun, Youngno Yoon
PURPOSE: To compare the diagnostic performance of T1 high-resolution isotropic volume excitation (THRIVE) sequence with that of a standard protocol for direct shoulder magnetic resonance arthrography (MRA) for the diagnosis of superior labral anterior-to-posterior (SLAP) and Bankart lesions, using arthroscopy findings as a reference standard. MATERIALS AND METHODS: We retrospectively studied 84 patients who underwent direct shoulder 3T MRA using THRIVE and two-dimensional three-plane proton-density fat-suppressed (2D-PD-FS) sequences...
March 26, 2018: La Radiologia Medica
https://www.readbyqxmd.com/read/29582141/diagnosis-of-glenoid-labral-tears-using-3-tesla-mri-vs-3-tesla-mra-a-systematic-review-and-meta-analysis
#17
Adil Ajuied, Ciaran P McGarvey, Ziad Harb, Christian C Smith, Russell P Houghton, Steven A Corbett
BACKGROUND: Various protocols exist for magnetic resonance arthrogram (MRA) of the shoulder, including 3D isotropic scanning and positioning in neutral (2D neutral MRA), or abduction-external-rotation (ABER). HYPOTHESIS: MRA does not improve diagnostic accuracy for labral tears when compared to magnetic resonance imaging (MRI) performed using 3-Tesla (3T) magnets. METHOD: Systematic review of the Cochrane, MEDLINE, and PubMed databases according to PRISMA guidelines...
May 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29578105/arthroscopy-assisted-trillat-procedure-for-anterior-shoulder-instability-surgical-technique-and-preliminary-clinical-results
#18
L Labattut, V Bertrand, P Y Reybet Degat, M Arcens, P Trouilloud, E Baulot, P Martz
The Trillat procedure performed as open surgery to treat anterior shoulder instability has been proven effective in preventing recurrences and restoring range of motion. An arthroscopically assisted variant of the Trillat procedure is described here, together with the preliminary clinical results in 18 patients treated between 2011 and 2014. After a mean follow-up of 24.7±9.8 months, the clinical outcomes were very satisfactory, with a Walch-Duplay score of 81.5±18.0, a Rowe score of 83.6±16.0, and 94% of satisfied or very satisfied patients...
March 22, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29561446/results-of-arthroscopic-fixation-of-mason-type-ii-radial-head-fractures-using-kirschner-wires
#19
Junliang Wang, Wei Qi, Xuezhen Shen, Sheng Tao, Yujie Liu
The goals of this study are to report an arthroscopic technique for the treatment of Mason type II radial head fractures using Kirschner wires (K-wires), and investigate the feasibility and evaluate the results.We retrospectively review 18 cases of closed Mason type II radial head fractures treated in our institution from August 2010 to May 2015. There were 13 males and 5 females with an average age of 30.6 (17-45 years) years. Injuries were caused by falling in 8 cases, by traffic accidents in 5 cases, and by sports in 5 cases...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29549380/imaging-of-the-post-operative-shoulder-does-injection-of-iodinated-contrast-in-addition-to-mr-contrast-during-arthrography-improve-diagnostic-accuracy-and-patient-throughput
#20
Thomas Magee
OBJECTIVE: Post-operative shoulder patients are often difficult to image due to scar tissue, metallic artifact, and residual irregularity of anatomic structures. The purpose of this study was to assess MR versus MR arthrography versus CT arthrography in the post-operative shoulder. Also, we assessed whether injecting CT contrast in addition to MR contrast during arthrography improved patient care. METHODS AND MATERIALS: One hundred consecutive post-operative conventional shoulder MR and MR arthrography exams performed on the same patients were reviewed retrospectively by two musculoskeletal radiologists...
March 17, 2018: Skeletal Radiology
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