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https://www.readbyqxmd.com/read/28335687/isolated-hagl-lesion-after-arthroscopic-bankart-repair-in-a-professional-soccer-player
#1
Haluk Celik, Mustafa Faik Seckin, Adnan Kara, Senol Akman
Post-traumatic anterior shoulder instability commonly occurs following an avulsion of capsulolabral complex from glenoid (Bankart lesion) or rarely after humeral avulsion of the glenohumeral ligaments (HAGL lesion). Arthroscopic Bankart repair offers high success rates of healing. However, trauma following the treatment may cause implant failure or re-avulsion of the treated tissue. We aim to present the diagnosis and treatment of an isolated HAGL lesion in a professional soccer player who had previously undergone arthroscopic Bankart repair...
March 24, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28333542/critical-value-of-anterior-glenoid-bone-loss-that-leads-to-recurrent-glenohumeral-instability-after-arthroscopic-bankart-repair
#2
Sang-Jin Shin, Rag Gyu Kim, Yoon Sang Jeon, Tae Hun Kwon
BACKGROUND: Generally, a glenoid bone loss greater than 20% to 25% is considered critical for poor surgical outcomes after a soft tissue repair. However, recent studies have suggested that the critical value should be lower. PURPOSE: To determine the critical value of anterior glenoid bone loss that led to surgical failure in patients with anterior shoulder instability. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: The study included 169 patients with anterior glenoid erosion...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28331927/bilateral-shoulder-arthrodesis-in-a-pekinese-using-three-dimensional-printed-patient-specific-osteotomy-and-reduction-guides
#3
Bill Oxley
OBJECTIVE: To report the use of computer-aided design software for virtual surgical planning and design of three-dimensional printed patient-specific osteotomy and reduction guides for facilitation of bilateral shoulder arthrodesis in a dog. METHODS: A three-year-old male entire Pekinese was presented unable to walk due to bilateral severe medial shoulder instability. Computed tomographic data was processed to yield three-dimensional mesh representations of the humeri and scapulae which could be manipulated in computer-aided design software...
March 23, 2017: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/28319426/high-satisfaction-and-return-to-sports-after-total-shoulder-arthroplasty-in-patients-aged-55-years-and-younger
#4
Grant H Garcia, Joseph N Liu, Alec Sinatro, Hao-Hua Wu, Joshua S Dines, Russell F Warren, David M Dines, Lawrence V Gulotta
BACKGROUND: Young, active candidates for total shoulder arthroplasty (TSA) are a unique group of patients. Not only do they demand longevity and improved function, but they also desire a return to physical activities. PURPOSE: To determine the rate of return to sports in patients aged ≤55 years undergoing TSA. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This was a retrospective review of consecutive patients who underwent anatomic TSA at a single institution...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28315143/unclassified-mr-arthrography-pattern-evaluation-in-patients-with-episodes-of-recurrent-antero-inferior-shoulder-dislocation
#5
Luca Saba, Massimo De Filippo
PURPOSE: To evaluate prospectively the incidence of unclassifiable MR arthrography patterns of glenoid anterior-inferior labrum lesions, in patients with at least two episodes of recurrent antero-inferior shoulder dislocation. MATERIALS AND METHODS: The MR shoulder Arthrography images of 36 patients, with at least two episodes of recurrent antero-inferior dislocation, were prospectively evaluated, during a period between November 2015 and Mai 2016. All patients were contacted after 6 months of the MR arthrography to evaluate their course of treatment...
March 17, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28287685/care-of-shoulder-pain-in-the-overhead-athlete
#6
Joseph Chorley, Richard E Eccles, Armand Scurfield
Shoulder complaints are common in the overhead athlete. Understanding the biomechanics of throwing and swimming requires understanding the importance of maintaining the glenohumeral relationship of the shoulder. Capsular laxity, humeral retrotorsion, glenoid retroversion, glenohumeral internal rotation deficit, and scapular dyskinesis can all contribute to shoulder dysfunction and pain. Injuries are more likely during peak height velocity, especially when coupled with overuse, previous injuries not adequately treated, or change in the demands on the shoulder such as a new technique, bigger field, or longer race...
March 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28274881/arthroscopic-congruent-arc-shoulder-bone-block-for-severe-glenoid-bone-defect-preliminary-report
#7
Jean Kany, Belliappa Codanda
INTRODUCTION: Glenoid bone defect remains a surgical challenge in managing anterior shoulder instability. The technique first described by Latarjet has become the gold-standard, but may fail to restore fully normal anatomy in case of severe "inverted pear" glenoid bone defect. Likewise, the naturally "banana-shaped" coracoid process fails to match this flat shoulder. The congruent-arc modified Latarjet technique, which consists in pivoting the coracoid process through 90°, optimizes the contact surface, adapting to the glenoid curvature radius and increasing the articular surface of the graft...
March 5, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28273959/morphometric-evaluation-of-adult-acromion-process-in-north-indian-population
#8
Susmita Saha, Neelam Vasudeva
INTRODUCTION: Dimensions of acromion process are important to show linkage to the shoulder girdle pathologies. Also morphometric analysis of acromion process would be helpful for surgeons while performing surgical procedures on the shoulder joint. AIM: The purpose of this present study was to observe the detailed morphometric evaluation of adult acromion processes in North Indian population because different morphometric dimensions play an important role in various disorders of the shoulder, particularly sub acromial impingement syndrome...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28271283/rotator-interval-closure-has-no-additional-effect-on-shoulder-stability-compared-to-bankart-repair-alone
#9
Eran Maman, Oleg Dolkart, Efi Kazum, Noam Rosen, Gavriel Mozes, Michael Drexler, Ofir Chechik
PURPOSE: Arthroscopic Bankart repair (ABR) provides satisfactory results for recurrent anterior shoulder instability, but the high recurrence rate post-ABR remain a concern. One of the adjunct procedures proposed to improve ABR results is arthroscopic rotator interval closure (ARIC). This study prospectively evaluated the outcomes of ABRs alone compared to combined ABR + ARIC and identified risk factors related to failure of each procedure. METHODS: Thirty-nine consecutive patients (mean age 23...
March 7, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28267370/posterior-decentering-of-the-humeral-head-on-shoulder-mr-arthrography-significant-association-with-posterior-synovial-proliferation
#10
Gabin Yun, Yusuhn Kang, Joong Mo Ahn, Eugene Lee, Joon Woo Lee, Joo Han Oh, Heung Sik Kang
OBJECTIVE: The purpose of this study is to analyze MRI findings associated with posterior decentering of the humeral head on shoulder MR arthrogram. MATERIALS AND METHODS: A total of 255 MR arthrograms were obtained during a 10-month period. MR arthrograms in patients with posterior decentering of the humeral head (n = 33) were reviewed and compared with those of randomly selected control group without posterior decentering (n = 66). MR arthrograms were retrospectively evaluated by two observers for posterior factors (posterior synovial proliferation, posterior capsular thickening, and posterior labral abnormality), rotator cuff factors related to fatty degeneration, glenoid version, and anterior factors (subcoracoid bursa effusion and rotator interval tear)...
March 7, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28261607/temporomandibular-joint-anatomy-assessed-by-cbct-images
#11
REVIEW
Silvia Caruso, Ennio Storti, Alessandro Nota, Shideh Ehsani, Roberto Gatto
Aim. Since cone beam computed tomography (CBCT) has been used for the study of craniofacial morphology, the attention of orthodontists has also focused on the mandibular condyle. The purpose of this brief review is to summarize the recent 3D CBCT images of mandibular condyle. Material and Methods. The eligibility criteria for the studies are (a) studies aimed at evaluating the anatomy of the temporomandibular joint; (b) studies performed with CBCT images; (c) studies on human subjects; (d) studies that were not clinical case-reports and clinical series; (e) studies reporting data on children, adolescents, or young adults (data from individuals with age ≤ 30 years)...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28261432/comparison-of-clinical-and-radiological-results-according-to-glenosphere-position-in-reverse-total-shoulder-arthroplasty-a-short-term-follow-up-study
#12
Chang Hyuk Choi, Sung Guk Kim, Jae Jun Lee, Byung Hoon Kwack
BACKGROUND: In a previous biomechanical study, eccentric glenospheres with more inferior position of the center of rotation were shown to improve range of motion and reduce the incidence of scapular notching after reverse total shoulder arthroplasty (RSA). The purpose of this study was to compare the clinical and radiological results of RSA using an eccentric glenosphere to those using a concentric glenosphere and to determine the usefulness of the eccentric glenosphere. METHODS: From 2009 to 2015, we performed a retrospective review of 20 consecutive patients who underwent RSA using a deltopectoral approach...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28258327/latarjet-procedure-using-subscapularis-split-approach-offers-better-rotational-endurance-than-partial-tenotomy-for-anterior-shoulder-instability
#13
Ali Ersen, Fevzi Birisik, Hakan Ozben, Ata Can Atalar, Turker Sahinkaya, Aksel Seyahi, Mehmet Demirhan
PURPOSE: Latarjet, which is a coracoid bone block procedure, is an effective treatment for anterior shoulder instability with glenoid bone loss. During this reconstructive procedure the subscapularis may be tenotomized or be split to expose the glenoid neck. The aim of this study was to assess the effect of subscapularis management on functional outcomes and internal and external rotation durability and strength. Hypothesis is that the subscapularis split approach will result in better functional results and superior internal rotation strength and endurance...
March 3, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28256437/the-main-cause-of-instability-after-unconstrained-shoulder-prosthesis-is-soft-tissue-deficiency
#14
Jean Kany, Jijo Jose, Denis Katz, Jean David Werthel, Padmanaban Sekaran, Rajkumar S Amaravathi, Philippe Valenti
BACKGROUND: Instability is one of the major causes of failures in unconstrained anatomic total shoulder arthroplasty (TSA). This study reviewed the instabilities that may occur in an anatomic shoulder platform system to identify its potential predictors. We hypothesized that soft tissue deficiency was the main cause of instability and that the best treatment option would be conversion to a reverse shoulder arthroplasty (RSA). MATERIALS AND METHODS: Between 2003 and 2013, we reviewed 27 patients who experienced postoperative instability, and the overall incidence was 5...
February 27, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28249340/arthroskopische-therapie-bei-spinoglenoidalem-ganglion
#15
Kilian Rueckl, Christian Konrads, Thomas Barthel, Maximilian Rudert, Friedrich Boettner, Piet Plumhoff
Aims and Indications A paralabral ganglion cyst of the shoulder can cause neuropathy of the inferior branches of the suprascapular nerve. This can lead to atrophy of the infraspinatus muscle. Arthroscopic decompression of the cyst in combination with repair of the associated labrum tear appears to be an effective treatment option. Methods Initially the connection of the cyst to the joint in the area of the posterior rim of the glenoid is identified arthroscopically. Following the decompression of the cyst the labrum tear is repaired to avoid recurrence...
February 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28243338/the-bony-bankart-lesion-how-to-measure-the-glenoid-bone-loss
#16
REVIEW
Jarosław Skupiński, Małgorzata Zofia Piechota, Wojciech Wawrzynek, Jarosław Maczuch, Anna Babińska
An osseous Bankart lesion is commonly seen in patients with an anterior shoulder dislocation. It is defined as a detachment of the anteroinferior labrum associated with a glenoid rim fracture. Radiological studies are crucial not only for detecting glenoid bone defects but also for measuring the amount of bone loss. The precise quantification of the bony defect is crucial for the therapeutic desicion-making and clinical outcomes. Although we know that major glenoid bone loss requires surgical intervention, none of the studies performed so far answered the question what size of the defect should be an indication for open surgery procedures...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28238965/preoperative-planning-for-accurate-glenoid-component-positioning-in-reverse-shoulder-arthroplasty
#17
Julien Berhouet, Lawrence Gulotta, David Dines, Edward Craig, Russell Warren, Daniel Choi, Xiang Chen, Andreas Kontaxis
BACKGROUND: Glenoid component positioning in reverse shoulder arthroplasty (RSA) is challenging. Patient-specific instrumentation (PSI) has been advocated to improve accuracy, and is based on precise preoperative planning. The purpose of this study was to determine the accuracy of glenoid component positioning when only the glenoid surface is visible, compared to when the entire scapula is visible on a 3D virtual model. METHODS: CT scans of 30 arthritic shoulders were reconstructed in 3D models...
February 23, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28229565/calcifying-tendinitis-of-the-long-head-of-the-biceps-brachii-and-superior-labrum-a-report-of-one-case-and-literature-review
#18
Xing-He Xue, Zhen-Hua Feng, Zhen-Xing Li, Xiao-Yun Pan
INTRODUCTION: Calcifying tendinitis of the shoulder is characterized with the formation of the calcium deposits in tendon, which mostly involves supraspinatus. The formation of the calcium deposits may be related to the excessive mechanical stimulation and non-tenocytes generation from tendon stem cell. The disease is usually associated with pain, especially when activating the shoulder. MATERIALS AND METHODS: We describe one case of calcifying tendinitis involving the long head of the biceps brachii and superior labrum...
February 22, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28228898/disseminated-coccidioidomycosis-with-multifocal-musculoskeletal-disease-involvement
#19
Michael F McConnell, Ann Shi, Todd M Lasco, Luke Yoon
We report a rare case of disseminated coccidioidomycosis with multifocal musculoskeletal involvement. The patient presented to the emergency department with left shoulder pain and swelling. Magnetic resonance imaging of the left shoulder revealed enhancing soft tissue masses, bony lesions, and fluid collections in and around the glenohumeral joint with involvement of the proximal humerus, glenoid, and rotator cuff musculature. Multiple additional areas of involvement were subsequently discovered. Fungal cultures confirmed coccidioidomycosis infection at all surgical sites with superimposed polymicrobial bacterial infection in the left shoulder...
March 2017: Radiology case reports
https://www.readbyqxmd.com/read/28224068/arthroscopic-remplissage-and-open-latarjet-procedure-for-the-treatment-of-anterior-glenohumeral-instability-with-severe-bipolar-bone-loss
#20
J Christoph Katthagen, Jack Anavian, Dimitri S Tahal, Peter J Millett
Bipolar bone loss in patients with anterior glenohumeral instability is challenging to treat. The goal of the treatment is to restore stability by ensuring that the humeral head remains within the glenoid vault. This can be achieved either with the combination of an arthroscopic Bankart procedure and remplissage (glenoid bone loss <25%), or with a Latarjet procedure (glenoid bone loss >25%). In cases with more severe bipolar bone loss of both the glenoid and the humeral head, the conventional approach has been to lengthen the articular arc of the glenoid and to ignore the Hill-Sachs lesion...
October 2016: Arthroscopy Techniques
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