keyword
https://read.qxmd.com/read/38482338/clinical-outcomes-of-arthroscopic-superior-capsular-reconstruction-using-fascia-lata-autograft-versus-reverse-shoulder-arthroplasty-in-patients-65-years-and-older-with-irreparable-rotator-cuff-tears-a-retrospective-cohort-study
#21
JOURNAL ARTICLE
Sang-Pil So, Erica Kholinne, Hui Ben, Jun-Bum Lee, Hood Alsaqri, Hyun June Lee, Kyoung Hwan Koh, In-Ho Jeon
BACKGROUND: Arthroscopic superior capsular reconstruction (ASCR) and reverse shoulder arthroplasty (RSA) have both shown favorable outcomes in patients with irreparable rotator cuff tears (IRCTs). PURPOSE: To (1) compare the clinical outcomes of ASCR versus RSA in patients aged ≥65 years with IRCTs and (2) compare serial changes in clinical outcomes between treatment groups. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This study included patients with IRCTs without glenohumeral osteoarthritis who underwent either ASCR or RSA between March 2013 and December 2020 and had at least 2 years of follow-up data...
March 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38479723/total-shoulder-arthroplasty-in-patients-with-factor-v-leiden
#22
JOURNAL ARTICLE
Katie M Zehner, Joshua G Sanchez, Meera M Dhodapkar, Maxwell Modrak, Xuan Luo, Jonathan N Grauer
BACKGROUND: Anatomic and reverse total shoulder arthroplasty (TSA) are effective treatment options for end-stage glenohumeral osteoarthritis. However, consideration for pre-existing conditions must be taken into account. Factor V Leiden (FVL), the most common inherited thrombophilia, is one such condition that predisposes to a prothrombotic state and may affect perioperative and longer-term outcomes following TSA. METHODS: Adult patients undergoing primary TSA for osteoarthritis indication were identified in the 2010 through October 2021 PearlDiver M157 database...
March 11, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38478022/neuropathy-of-the-suprascapular-and-axillary-nerves-in-rotator-cuff-arthropathy-a-prospective-electrodiagnostic-study
#23
JOURNAL ARTICLE
Yaiza Lopiz, Alberto Rodríguez-González, Susana Martín-Albarrán, Raul Herzog, Carlos García-Fernández, Fernando Marco
PURPOSE: Prevalence of axillary (AN) and/or suprascapular (SSN) neuropathy in rotator cuff tear arthropathy (RCTA) is unknown. We aimed to prospectively evaluate for preoperative neurodiagnostic abnormalities in order to determine their prevalence, location, and influence on reverse shoulder arthroplasty (RSA) outcomes. METHODS: Patients who underwent RSA for RCTA were prospectively included. An electromyography and nerve conduction study were performed pre and post-surgery...
March 13, 2024: International Orthopaedics
https://read.qxmd.com/read/38475917/time-elapsed-microstructural-imaging-of-failure-of-the-reverse-shoulder-implant
#24
JOURNAL ARTICLE
Saulo Martelli, Egon Perilli, Xiaolong Fan, Sophie Rapagna, Ashish Gupta
BACKGROUND: Reverse Shoulder Arthroplasties (RSA) have become a primary choice for improving shoulder function and pain. However, the biomechanical failure mechanism of the humeral component is still unclear. The present study reports a novel protocol for microstructural imaging of the entire humerus implant under load before and after fracture. METHODS: A humerus specimen was obtained from a 75-year-old male donor. An expert surgeon implanted the specimen with a commonly used RSA implant (Aequalis reversed II, Stryker Orthopaedics, USA) and surgical procedure...
March 12, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38469595/towards-optimal-reverse-total-shoulder-arthroplasty-design-reconsidering-the-role-of-lateralized-implants
#25
EDITORIAL
Sam-Guk Park, Hyun-Gyu Seok
No abstract text is available yet for this article.
March 2024: Clinics in shoulder and elbow
https://read.qxmd.com/read/38466801/proximal-humerus-reconstruction-for-bone-sarcomas-a-critical-analysis
#26
JOURNAL ARTICLE
Matthew T Houdek, Mikaela H Sullivan, Samuel E Broida, Jonathan D Barlow, Mark E Morrey, Steven L Moran, Joaquin Sanchez-Sotelo
» The proximal humerus is a common location for primary bone tumors, and the goal of surgical care is to obtain a negative margin resection and subsequent reconstruction of the proximal humerus to allow for shoulder function.» The current evidence supports the use of reverse total shoulder arthroplasty over hemiarthroplasty when reconstructing the proximal humerus after resection of a bone sarcoma if the axillary nerve can be preserved.» There is a lack of high-quality data comparing allograft prosthetic composite (APC) with endoprosthetic reconstruction of the proximal humerus...
March 1, 2024: JBJS Reviews
https://read.qxmd.com/read/38464507/mclaughlin-technique-and-humeral-grafting-provide-similar-results-for-treatment-of-reverse-hill-sachs-lesions-a-systematic-review
#27
REVIEW
Matteo Buda, Vito Coco, Alberto Grassi, Mattia Filanti, Costanza Musiani, Luca Solaro, Enrico Guerra, Matteo Romagnoli
PURPOSE: Various surgical treatments have been described for the treatment of reverse Hill-Sachs lesions (rHSls) sized between 20% and 50% in the case of posterior shoulder dislocation. The aim of this systematic review is to report the clinical and radiological outcomes of subscapularis or lesser tuberosity transfer (McLaughlin and modified procedures) compared to bone or osteochondral autograft or allograft. METHODS: A systematic review was performed on five medical databases up to December 2022...
January 2024: Journal of Experimental Orthopaedics
https://read.qxmd.com/read/38464453/humeral-head-size-predicts-baseplate-lateralization-in-reverse-shoulder-arthroplasty-a-comparative-computer-model-study
#28
JOURNAL ARTICLE
Stefan Bauer, William G Blakeney, Arnaud Meylan, Jaad Mahlouly, Allan W Wang, Arnaud Walch, Luca Tolosano
BACKGROUND: In reverse shoulder arthroplasty (RSA), the ideal combination of baseplate lateralization (BL), glenosphere size (GS), and glenosphere overhang (GOH) with a commonly used 145° neck shaft angle (NSA) is unclear. This is the first study evaluating correlations of body height (BH), humeral head size (HS), glenoid height (GH), and association of gender with best glenoid configurations for range of motion (ROM) maintaining anatomic lateralization (aLAT) for optimized muscle length in 145° and less distalized 135° RSA...
March 2024: JSES international
https://read.qxmd.com/read/38461937/suprascapular-nerve-irritation-as-an-important-cause-of-pain-following-reverse-total-shoulder-arthroplasty
#29
Ashish Narang, Leanne Dupley, Ronnie Davies, Nicholas Phillips, Christopher Peach
No abstract text is available yet for this article.
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38461936/stratification-of-the-minimal-clinically-important-difference-substantial-clinical-benefit-and-patient-acceptable-symptomatic-state-after-total-shoulder-arthroplasty-by-implant-type-preoperative-diagnosis-and-sex
#30
JOURNAL ARTICLE
Ryan W Simovitch, Josie Elwell, Christopher A Colasanti, Kevin A Hao, Richard J Friedman, Pierre-Henri Flurin, Thomas W Wright, Bradley S Schoch, Christopher P Roche, Joseph D Zuckerman
BACKGROUND: Clinical significance, as opposed to statistical significance, has increasingly been utilized to evaluate outcomes after total shoulder arthroplasty (TSA). The purpose of this study was to identify thresholds of the minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for TSA outcome metrics and determine if these thresholds are influenced by prosthesis type (anatomic or reverse TSA), sex, or preoperative diagnosis...
March 8, 2024: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/38458550/tuberoplasty-is-a-reliable-option-to-address-pain-in-massive-irreparable-rotator-cuff-tears
#31
EDITORIAL
Joseph C Brinkman
The massive irreparable rotator cuff tear remains a challenging condition for which there are many reported treatment options including biceps tenotomy/tenodesis, subacromial decompression, cuff debridement, partial or augmented rotator cuff repair, bursal acromial reconstruction, balloon spacer placement, superior capsular reconstruction (SCR), reverse total shoulder arthroplasty (RSA), tendon transfer, and others. Optimally treating the condition relies on paying attention to several patient factors, including correctly identifying if function loss is driven by pain or compromised shoulder kinematics...
March 6, 2024: Arthroscopy
https://read.qxmd.com/read/38454432/analysis-of-three-different-reverse-shoulder-arthroplasty-designs-for-cuff-tear-arthropathy-the-combination-of-lateralization-and-distalization-provides-best-mobility
#32
JOURNAL ARTICLE
Florian Freislederer, Philipp Moroder, Laurent Audigé, Tim Schneller, Yacine Ameziane, Raphael Trefzer, Jan-Philipp Imiolczyk, Markus Scheibel
BACKGROUND: The two major reverse shoulder arthroplasty (RSA) designs are the Grammont design and the lateralized design. Even if the lateralized design is biomechanically favored, the classic Grammont prosthesis continues to be used. Functional and subjective patient scores as well as implant survival described in the literature so far are comparable to the lateralized design. A pure comparison of how the RSA design influences outcome in patients has not yet been determined. The aim of this study was a comparison focused on patients with cuff tear arthropathy (CTA)...
March 7, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38449969/satisfactory-short-term-outcomes-of-reverse-shoulder-arthroplasty-for-complex-three-and-four-part-fractures-of-the-humeral-head-in-octogenarians
#33
JOURNAL ARTICLE
Ioannis Gigis, Theofylaktos Kyriakidis, Triantafyllos Katsimentzas, Alexandros Nenopoulos, Roderich Heikenfeld, Konstantinos Ditsios, Periklis Papadopoulos
BACKGROUND: Proximal humeral fractures with severe comminution and poor bone quality are among the most common injuries in the elderly population. Reverse shoulder arthroplasty (RSA) has been widely used to manage complex three- and four-part humeral head fractures. The purpose of the present study was to report the result of this technique in the demanding population of octogenarians. MATERIALS AND METHODS:  Twenty-six patients above the age of 80 years were included in the study and followed for a minimum of one-year follow-up...
February 2024: Curēus
https://read.qxmd.com/read/38440023/revitalizing-recovery-unveiling-the-transformative-impact-of-physiotherapy-in-rehabilitating-a-neglected-case-of-shoulder-hemiarthroplasty
#34
Om C Wadhokar, Minal Dahiwadkar, Sakshi Rawal, Reetkaur Arora, Aakanksha Choudhari, Aishwarya Mali, Chaitanya A Kulkarni, Tushar J Palekar, Mayur Wanjari
The shoulder joint has a complex anatomy and biomechanics. It is a ball and socket joint made by the articulation surface of the humeral head (ball) and glenoidal fossa (socket) of the scapula. Shoulder arthroplasty is done when parts of the shoulder joint are severely affected and damaged beyond repair. The damaged parts are replaced with artificial parts. Prosthetic implants are typically made of metal or plastic material. Implants come in various sizes and shapes. There are three types of surgical arthroplasty: total shoulder arthroplasty, partial shoulder arthroplasty, and reverse arthroplasty...
February 2024: Curēus
https://read.qxmd.com/read/38436507/up-to-date-diagnosis-and-treatment-of-massive-irreparable-cuff-tears-results-of-the-survey-of-the-u45-esska-committee
#35
JOURNAL ARTICLE
Simone Cerciello, Matthieu Ollivier, Matthew Charles Giordano, Baris Kocaoglu
PURPOSE: Irreparable rotator cuff tears are disabling and can severely affect daily life activities, especially when young and active patients are involved. The definition is still debated, and they can have several clinical presentations. The treatment depends on the clinical presentation and the patient's age. METHODS: The survey was developed by the ESSKA U45 Committee and was uploaded on the ESSKA website. Fifty-seven questionnaires were returned. Several aspects of the diagnosis and treatment of massive irreparable cuff tears were investigated...
March 4, 2024: Knee Surgery, Sports Traumatology, Arthroscopy
https://read.qxmd.com/read/38435273/arthroscopic-repair-of-rotator-cuff-tears-using-a-suture-hook-with-lasso-loop-for-forward-suture-passing
#36
JOURNAL ARTICLE
Wenbo Yang, Hong Wang, Zengu Shao, Wei Huang
Rotator cuff injury is a common shoulder injury. Arthroscopic repair of rotator cuff tears has become a common way. Suture anchor is a commonly used fixation device. Threading the suture through the rotator cuff tendon is a key step in arthroscopic repair of rotator cuff tears. Common methods of passing suture through the rotator cuff tendon include using a suture hook or rotator cuff suture passer device. However, the suture using suture hook is a kind of reverse suture, and the operation is more troublesome...
February 2024: Arthroscopy Techniques
https://read.qxmd.com/read/38434716/high-complication-and-revision-rates-in-anatomical-total-shoulder-arthroplasty-with-the-combination-of-polyethylene-and-cementless-convertible-metal-backed-glenoid-components-a-retrospective-cohort-study
#37
Klaus W J Hanisch
BACKGROUND: Historically, Metal-Backed (MB) glenoid components in anatomical total Shoulder arthroplasty (aTSA) are prone to failure primarily due to loosening between the metal and bony surface. However, newer generations of MB glenoid components have performed well in reverse shoulder arthroplasty (RSA), with convertibility being considered to be the most significant benefit of MB components. Theoretically, MB components may be a viable option in "Rotator cuff at risk" cases. The aim of this study is to compare revisions versus revision-free survivorship and highlight problems associated with using convertible MB glenoid components in aTSA...
2024: Orthopedic Research and Reviews
https://read.qxmd.com/read/38433876/better-constant-scores-and-active-forward-elevation-using-deltopectoral-versus-anterosuperior-approach-for-reverse-shoulder-arthroplasty-matched-cohort-study
#38
JOURNAL ARTICLE
Cecile Nerot, Julien Berhouet, Jérôme Garret, Jean Kany, ReSurg, SoFEC, Arnaud Godenèche, Floris van Rooij, Aude Hibon, Luca Nover, Mo Saffarini, Richard Aswad, Laurent Hubert, Pierre Mansat, David Gallinet, Jacques Guery, Laurent Nove Josserand, François Sirveaux, Lisa Peduzzi
PURPOSE: To determine, from a sizable cohort of reverse shoulder arthroplasty (RSA), whether the deltopectoral (DP) or anterosuperior (AS) approach grant better outcomes at a minimum follow-up of 24 months. METHODS: The authors reviewed 743 RSAs in patients with primary osteoarthritis (OA) with or without rotator cuff lesions and secondary OA due to rotator cuff tears. The DP approach was used in 540 and the AS approach in 203. Pre- and post-operative constant scores (CSs) and shoulder range of motion were recorded...
2024: Journal of shoulder and elbow arthroplasty
https://read.qxmd.com/read/38431896/do-the-humeral-radiographic-changes-at-5-year-follow-up-affect-the-clinical-outcomes-of-press-fit-humeral-stems-in-primary-reverse-shoulder-arthroplasties
#39
JOURNAL ARTICLE
Carlos García-Fernández, Yaiza Lopiz, Daniel Garríguez-Pérez, Camilla Arvinius, Virginia Ponz, Marta Echevarria, Ana Garrido, Fernando Marco
INTRODUCTION: The purposes of this study were to analyze and compare the functional outcomes and radiological changes around the press-fit humeral components in two contemporary medialized reverse total shoulder arthroplasty (RTSA) systems at a minimum of 5-year follow-up. MATERIALS AND METHODS: Between December 2003 and December 2015, 249 consecutive RTSAs were performed at our hospital. Of these, 68 primary uncemented RTSA met our inclusion criteria. The Constant-Murley score (CMS), the modified Constant score, a visual analog scale (VAS) and active shoulder range of motion (ROM) were measured pre- and postoperatively...
March 3, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38430981/arthroscopic-stabilization-surgery-for-first-time-anterior-shoulder-dislocations-a-systematic-review-and-meta-analysis
#40
REVIEW
Hassaan Abdel Khalik, Darius L Lameire, Timothy Leroux, Mohit Bhandari, Moin Khan
BACKGROUND: The optimal management of first-time anterior shoulder dislocations (FTASDs) remains controversial. Therefore, the purpose of this study was to assess the efficacy of arthroscopic stabilization surgery for FTASDs through a systematic review and meta-analysis of existing literature. METHODS: MEDLINE, EMBASE and Web of Science were searched from inception to December 18, 2022, for single-arm or comparative studies assessing FTASDs managed with arthroscopic stabilization surgery following first time dislocation...
February 29, 2024: Journal of Shoulder and Elbow Surgery
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