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Shoulder osteoarthritis

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https://www.readbyqxmd.com/read/29779980/risk-and-risk-factors-for-revision-after-primary-reverse-shoulder-arthroplasty-for-cuff-tear-arthropathy-and-osteoarthritis-a-nordic-arthroplasty-register-association-study
#1
Kaisa Lehtimäki, Jeppe V Rasmussen, Jari Mokka, Björn Salomonsson, Randi Hole, Steen Lund Jensen, Ville Äärimaa
BACKGROUND: Reverse shoulder arthroplasty (RSA) has gained increasing popularity in the treatment of rotator cuff tear arthropathy (CTA). The purpose of this study was to evaluate the survival of RSA and the risk factors for revision following RSA. METHODS: RSA patients with CTA or osteoarthritis were identified from the Nordic Arthroplasty Register Association registry data (2004-2013). Kaplan-Meier survival analysis was used to calculate survival probabilities...
May 17, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29774949/the-critical-shoulder-angle-acromial-coverage-is-more-relevant-than-glenoid-inclination
#2
Silvan Beeler, Anita Hasler, Tobias Götschi, Dominik C Meyer, Christian Gerber
It is still unknown whether glenoid inclination or lateral acromial roof extension is a more important determinant for development of rotator cuff tears (RCT) or osteoarthritis (OA) of the shoulder. It was the purpose of this study, to evaluate whether there is a potential predominance of one of these factors in pathogenesis of RCT or concentric OA. We analyzed 70 shoulders with advanced degenerative RCT and 54 shoulders with concentric OA undergoing primary shoulder arthroplasty (anatomical or reverse) using antero-posterior radiography and multiplanar computed tomography...
May 18, 2018: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29754845/do-magnetic-resonance-imaging-and-computed-tomography-provide-equivalent-measures-of-rotator-cuff-muscle-size-in-glenohumeral-osteoarthritis
#3
Peter N Chalmers, Lindsay Beck, Irene Stertz, Alexander Aleem, Jay D Keener, Heath B Henninger, Robert Z Tashjian
BACKGROUND: Rotator cuff muscle volume is associated with outcomes after cuff repair and total shoulder arthroplasty. Muscle area on select magnetic resonance imaging (MRI) slices has been shown to be a surrogate for muscle volume. The purpose of this study was to determine whether computed tomography (CT) provides an equivalent measurement of cuff muscle area to a previously validated MRI measurement. METHODS: We included 30 patients before they were undergoing total shoulder arthroplasty with both preoperative CT and MRI scans performed within 30 days of one another at 1 institution using a consistent protocol...
May 10, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29752508/comparison-of-shoulder-replacement-to-treat-osteoarthritis-secondary-to-instability-surgery-and-primary-osteoarthritis-a-retrospective-controlled-study-of-patient-outcomes
#4
Giovanni Merolla, Simone Cerciello, Stefano Marenco, Elisabetta Fabbri, Paolo Paladini, Giuseppe Porcellini
PURPOSE: We hypothesized that osteoarthritis developing after instability surgery is radiographically similar to primary arthritis and that arthroplasty provides comparable outcomes in patients with these two types of osteoarthritis. METHODS: Patients with osteoarthritis due to instability surgery (group I) and with primary osteoarthritis (group II) were included. Mean follow-up was 52.6 and 41.6 months, respectively. Hemiarthroplasties (HA) were 32% in group I and 27% in group II; total shoulder arthroplasties (TSA) were 68 and 73% respectively...
May 12, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29752500/arthroscopic-double-bone-block-augmentation-is-a-salvage-procedure-for-anterior-and-posterior-shoulder-instability-secondary-to-glenoid-bone-loss
#5
David Haeni, Matthieu Sanchez, Plath Johannes, Lilling Victoria, Dan Henderson, Jeremy Munji, Kalojan Petkin, Laurent Lafosse
PURPOSE: The aim of this study was to describe a one-step arthroscopic anterior and posterior bone block augmentation technique for bidirectional shoulder instability and to present preliminary results. METHODS: Seven consecutive patients who underwent a concomitant anterior and posterior bone block procedure between 2007 and 2015 were retrospectively reviewed. Clinical scores, return to sport rate, and complications were assessed. Radiological outcome, with CT scan at 6 months and plain radiographs at final follow-up were reviewed...
May 11, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29752154/cementless-versus-cemented-glenoid-components-in-conventional-total-shoulder-joint-arthroplasty-analysis-from-the-australian-orthopaedic-association-national-joint-replacement-registry
#6
Richard S Page, Vishal Pai, Kevin Eng, Gregory Bain, Stephen Graves, Michelle Lorimer
BACKGROUND: Glenoid loosening is a common mode of failure after total shoulder arthroplasty (TSA). Newer cementless glenoid components have been introduced to promote biological fixation with the aim to decrease glenoid loosening. Limited data are available comparing revision rates between cemented and cementless glenoid fixation in TSA. The study aim was to compare the revision rates of cemented and cementless design glenoid components used in conventional TSA performed for the diagnosis of osteoarthritis...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29752153/acromial-roof-in-patients-with-concentric-osteoarthritis-and-massive-rotator-cuff-tears-multiplanar-analysis-of-115-computed-tomography-scans
#7
Silvan Beeler, Anita Hasler, Jonas Getzmann, Lizzy Weigelt, Dominik C Meyer, Christian Gerber
BACKGROUND: There is evidence for differences of scapular shape between shoulders with rotator cuff tears (RCT) and osteoarthritic shoulders (OA). This study analyzed orientation and shape of the acromion in patients with massive RCT and concentric OA (COA) in a multiplanar computed tomography (CT) analysis. METHODS: CT scans of 70 shoulders with degenerative RCT and 45 shoulders with COA undergoing primary shoulder arthroplasty were analyzed. The 2 groups were compared in relation of (1) shape of the acromion, (2) its orientation in space, and (3) the anteroposterior glenoid coverage in relation to the scapular plane...
May 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29744735/revision-shoulder-arthroplasty-for-failed-surface-replacement-hemiarthroplasty
#8
A Jaiswal, A Malhotra, S Hay, C P Kelly
PURPOSE: The aim of this study was to assess the reasons of failure of shoulder surface replacement hemiarthroplasty (SRH) and to evaluate the outcome of revision surgery. METHOD: The study group included 25 patients (26 shoulders) with failed SRHs. The mean time to revision surgery was 3.6 years. Their functional outcome was evaluated using adjusted Constant-Murley score at mean follow-up of 5.2 years (range 2-16 years). RESULT: Most common cause of failure was glenoid erosion (42%) and progressive failure of rotator cuff (31%)...
May 9, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29744648/the-eden-hybbinette-procedure-is-one-hundred-years-old-a-historical-view-of-the-concept-and-its-evolutions
#9
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/29731396/critical-shoulder-angle-in-an-east-asian-population-correlation-to-the-incidence-of-rotator-cuff-tear-and-glenohumeral-osteoarthritis
#10
Kiyotsugu Shinagawa, Taku Hatta, Nobuyuki Yamamoto, Jun Kawakami, Yuki Shiota, Mitsuyoshi Mineta, Eiji Itoi
BACKGROUND: Focus has recently been on the critical shoulder angle (CSA) as a factor related to rotator cuff tear and osteoarthritis (OA) in the European population. However, whether this relationship is observed in the Asian population is unclear. METHODS: The correlation between the CSAs measured on anteroposterior radiographs and the presence or absence of rotator cuff tears or OA changes was assessed in 295 patients. Rotator cuff tears were diagnosed with magnetic resonance imaging or ultrasonography...
May 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29725507/precontoured-clavicular-locking-plate-with-broad-lateral-end-a-newly-designed-plate-for-lateral-third-clavicle-fractures
#11
K C Kapil-Mani, P Acharya, S Arun
Introduction: Various treatment modalities are available but no consensus has been reached for optimal treatment of lateral third clavicle fractures. Precontoured locking plates with broad lateral end for multiple screws fixation is a newly designed plate for lateral third clavicle fractures. The objective of our study was to analyse the functional outcomes as well as complications of this technique in a significant number of cases with long follow-up duration. Materials and Methods: Forty-six patients with distal third clavicle fractures were treated by precontoured clavicular locking plate with broad lateral end...
March 2018: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29721659/who-disability-assessment-schedule-2-0-is-related-to-upper-and-lower-extremity-disease-specific-quality-of-life
#12
Jun-Il Yoo, Jin-Sung Park, Rock-Beum Kim, Ae-Rim Seo, Young-Jin Park, Mi-Ji Kim, Ki Soo Park
PURPOSE: We evaluated whether two disease-specific quality of life instruments (Disabilities of the Arm, Shoulder and Hand, DASH and Western Ontario & McMaster Universities Osteoarthritis Index, WOMAC) reflect a patient's perception of general disability using the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0) and determined whether disability components are explained by upper and lower extremity HRQOL. METHODS: We recruited 421 participants, 50 years or older without stroke, cancer, or history of surgery for musculoskeletal disease, who participated in the NAMGARAM Cohort...
May 2, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29709415/biomechanical-comparison-of-glenoid-implants-with-adaptable-and-fixed-backside-curvatures-in-anatomic-total-shoulder-arthroplasty
#13
Alexandre Terrier, Raphaël Obrist, Valérie Malfroy Camine, Fabio Becce, Alain Farron
BACKGROUND: We evaluated the biomechanical effects and potential advantages of glenoid implants with adaptable backside curvature radii and compared them with standard implants having fixed backside curvatures in anatomic total shoulder arthroplasty (aTSA) for primary glenohumeral osteoarthritis with uniconcave glenoids. METHODS: A glenoid implant with adaptable backside curvatures (Aequalis PerFORM, Tornier SAS, Montbonnot, France) was compared with its previous model having a fixed curvature radius...
April 27, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29707461/partial-versus-total-trapeziectomy-thumb-arthroplasty-an-expertise-based-feasibility-study
#14
Achilleas Thoma, Carolyn Levis, Pinkal Patel, Jessica Murphy, Eric Duku
Background: There are numerous surgical techniques for the treatment of first carpometacarpal joint osteoarthritis, however, controversy exists as to whether outcomes differ between techniques. This feasibility study aimed to determine if a large-scale, health-related quality of life and functional outcomes study comparing 2 surgical techniques, complete trapeziectomy with ligament reconstruction and tendon interposition (T + LRTI) versus partial trapeziectomy and tendon interposition (PT + TI) arthroplasty, is possible...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29706200/a-client-centered-approach-for-thumb-carpometacarpal-joint-osteoarthritis-pain-two-case-studies
#15
Barbara Shankland, Bernadette Nedelec
DESIGN: Case study. INTRODUCTION: Hand therapists are often called upon to provide treatment for thumb carpometacarpal joint osteoarthritis. PURPOSE: These 2 case studies present a client-centered approach in the selection of orthoses and joint protection strategies for patients with thumb carpometacarpal joint osteoarthritis. At baseline, the participants presented with pain, decreased active range of motion, decreased pinch strength, and limitations in activity and participation...
April 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29701085/mid-term-results-of-anatomical-total-shoulder-arthroplasty-for-primary-osteoarthritis-using-a-short-stemmed-cementless-humeral-component
#16
M Schnetzke, S Rick, P Raiss, G Walch, M Loew
Aims The aim of this study was to evaluate the clinical and radiological outcome of using an anatomical short-stem shoulder prosthesis to treat primary osteoarthritis of the glenohumeral joint. Patients and Methods A total of 66 patients (67 shoulders) with a mean age of 76 years (63 to 92) were available for clinical and radiological follow-up at two different timepoints (T1, mean 2.6 years, sd 0.5; T2, mean 5.3 years, sd 0.7). Postoperative radiographs were analyzed for stem angle, cortical contact, and filling ratio of the stem...
May 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29696363/comparison-of-volarly-and-dorsally-displaced-distal-radius-fracture-treated-by-volar-locking-plate-fixation
#17
S Erhart, S Toth, P Kaiser, T Kastenberger, C Deml, R Arora
INTRODUCTION: In case of distal radius fractures (DRF) the distal fragment generally displaces either dorsally or volarly. Scientific literature however, seldom differentiates between volarly and dorsally displaced DRFs when reporting results. It is no clear, if the direction of displacement has an influence on the clinical and radiological outcome. This study was intended to evaluate the influence of displacement direction in adult patients with surgically treated Colles or Smith type fractures...
April 25, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29671497/osteoarthritis-rapid-evidence-review
#18
Mark H Ebell
Osteoarthritis (OA) should be suspected in patients with pain in the fingers, shoulders, hips, knees, or ankles, especially if they are older than 40 years. Patients older than 50 years who have joint pain, minimal morning stiffness, and functional impairment likely have OA. Radiography can confirm the diagnosis and may be helpful before surgical referral, but findings generally do not correlate well with symptoms. Exercise, physical therapy, knee taping, and tai chi are beneficial for knee OA. Medical therapy provides modest benefits in pain reduction and functional improvement; however, nonsteroidal anti-inflammatory drugs, tramadol, and other opioids have significant potential harms...
April 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29665605/-shoulder-arthroplasty
#19
Anna Krukenberg, Jan-Philipp Imiolczyk, Philipp Moroder, Markus Scheibel
Shoulder arthroplasty has been performed increasingly during the last years. The concept of modern anatomic shoulder arthroplasty is based on C. S. Neer's first shoulder prosthesis in the 1950s which was originally designed for the treatment of fractures of the proximal humerus. Since then, this monoblock prosthesis has undergone many changes and improvements. By now, an anatomic reconstruction of the joint is possible. Hence, the indications for anatomic shoulder arthroplasty have been added amongst others by osteoarthritis, necrosis, rheumatoid arthritis or posttraumatic arthritis...
April 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29664849/association-between-distal-radial-fracture-malunion-and-patient-reported-activity-limitations-a-long-term-follow-up
#20
Muhanned Ali, Elisabeth Brogren, Philippe Wagner, Isam Atroshi
BACKGROUND: The long-term effect of distal radial fracture malunion on activity limitations is unknown. Between 2001 and 2002, we conducted a prospective cohort study of all patients with distal radial fracture treated with casting or percutaneous fixation in northeast Scania in Sweden. In that original study, the patients completed the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire at baseline and at 2 years. We performed a long-term follow-up study of patients who were 18 to 65 years of age at the time of the fracture to investigate the association between fracture malunion and activity limitations...
April 18, 2018: Journal of Bone and Joint Surgery. American Volume
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