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Shoulder osteoarthritis

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https://www.readbyqxmd.com/read/29315262/intraarticularly-injected-mesenchymal-stem-cells-stimulate-anti-inflammatory-molecules-and-inhibit-pain-related-protein-and-chondrolytic-enzymes-in-a-monoiodoacetate-induced-rat-arthritis-model
#1
Toru Ichiseki, Miyako Shimazaki, Yoshimichi Ueda, Shusuke Ueda, Masanobu Tsuchiya, Daisuke Souma, Ayumi Kaneuji, Norio Kawahara
Persistent inflammation is well known to promote the progression of arthropathy. mesenchymal stem cells (MSCs) have been shown to possess anti-inflammatory properties and tissue differentiation potency. Although the experience so far with the intraarticular administration of mesenchymal stem cell (MSC) to induce cartilage regeneration has been disappointing, MSC implantation is now being attempted using various surgical techniques. Meanwhile, prevention of osteoarthritis (OA) progression and pain control remain important components of the treatment of early-stage OA...
January 9, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29299668/the-open-modified-bankart-procedure-long-term-follow-up-a-16-26-year-follow-up-study
#2
Thomas Berendes, Nina Mathijssen, Hennie Verburg, Gerald Kraan
INTRODUCTION: A Bankart procedure is a surgical technique for the repair of recurrent shoulder joint dislocations. This study reports the long-term results of the 'open'-modified Bankart procedure. METHODS: We performed a retrospective cohort study in which patients are studied who had open-modified Bankart surgery for instability problems in the absence of a substantial osseous glenoid defect after a traumatic shoulder dislocation, 16-26 years ago, in a large regional hospital...
January 3, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29298260/progression-of-glenoid-morphology-in-glenohumeral-osteoarthritis
#3
Kyle E Walker, Xavier C Simcock, Bong Jae Jun, Joseph P Iannotti, Eric T Ricchetti
BACKGROUND: Walch defined the pathologic characteristics of glenohumeral osteoarthritis on the basis of patterns of glenoid morphology and humeral head subluxation. However, it is unclear how pathologic changes evolve over time. The purpose of this study was to determine whether there are common patterns of pathologic progression based on the Walch classification in primary glenohumeral osteoarthritis and if glenoid bone-loss patterns correlate with rotator cuff fatty infiltration. METHODS: A retrospective chart review identified 65 shoulders with glenohumeral osteoarthritis for which at least 2 computed tomography (CT) scans had been performed at least 24 months apart...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29290608/an-analysis-of-proximal-humerus-morphology-with-special-interest-in-stemless-shoulder-arthroplasty
#4
Jacob M Reeves, James A Johnson, George S Athwal
BACKGROUND: Shoulder arthroplasty evolution has resulted in the shortening of traditional stemmed humeral components. Newer stemless implants rely on structures that maintain fixation in the metaphyseal region of the proximal humerus. Whereas the overall morphology of the proximal humerus is well understood, the advent of stemless implants requires that additional geometric measures be assessed. This study's purpose was to introduce new anatomic measures to assist with the design of stemless implants...
December 29, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29290218/shoulder-replacement-for-osteoarthritis-a-review-of-surgical-management
#5
REVIEW
Jay Pandya, Tamara Johnson, Adrian K Low
Osteoarthritis of the shoulder is caused by progressive cartilage wear of the glenohumeral joint. Its prevalence is increasing due to our ageing population and it may affect up to one-third of people over 60 years of age. Patients usually complain of pain with restricted shoulder movement and function. Initial treatment should be non-operative, such as activity modification, oral analgesics (e.g. non-steroidal anti-inflammatories) and possibly physical therapy or corticosteroid injections. Patients with ongoing severe pain and functional restriction despite non-operative treatment would be candidates for surgery, usually a shoulder replacement...
February 2018: Maturitas
https://www.readbyqxmd.com/read/29276532/managing-acromio-clavicular-joint-pain-a-scoping-review
#6
REVIEW
Salma Chaudhury, Luckshman Bavan, Neal Rupani, Kyriacos Mouyis, Ro Kulkarni, Amar Rangan, Jonathan Rees
Background: Shoulder pain secondary to acromioclavicular joint pain is a common presentation in primary and secondary care but is often poorly managed as a result of uncertainty about optimal treatment strategies. Osteoarthritis is the commonest cause. Although acromioclavicular pain can be treated non-operatively and operatively, there appears to be no consensus on the best practice pathway of care for these patients, with variations in treatment being common place. The present study comprises a scoping review of the current published evidence for the management of isolated acromioclavicular pain (excluding acromioclavicular joint dislocation)...
January 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29275432/aetiopathogenesis-of-cuff-tear-arthropathy-could-juvenile-joint-laxity-be-considered-a-predisposing-factor
#7
Stefano Gumina, Alessandro Castagna, Vittorio Candela, Teresa Venditto, Giuseppe Giannicola, Mario Borroni, Ciro Villani
PURPOSE: Although many hypotheses have been formulated, aetiopathogenesis of cuff-tear arthropathy (CTA) is still motive for discussion. Since prevalence of CTA is notoriously higher in women, as is joint hypermobility, we hypothesised a possible correlation between the two conditions. METHODS: One hundred thirty-three (n = 133) consecutive patients with glenohumeral osteoarthritis [48 men, 85 women; mean age (SD) 72.32 (7.05)] were divided into two groups: Groups 1 (CTA) and 2 (concentric shoulder arthropathy) comprised 71 (22 men, 49 women) and 62 (26 men, 36 women), respectively...
December 23, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29273388/assessing-glenosphere-position-superior-approach-versus-deltopectoral-for-reverse-shoulder-arthroplasty
#8
William R Aibinder, Nicholas J Clark, Bradley S Schoch, Scott P Steinmann
BACKGROUND: The anterosuperior (AS) approach for reverse total shoulder arthroplasty (RTSA) has been reported as a risk factor for baseplate malposition because of potential difficulty in glenoid exposure. The objective of this study was to compare glenoid baseplate position between the AS and deltopectoral (DP) approaches in relation to the surgeon's experience and to evaluate the effect of placement on clinical outcomes. METHODS: There were 109 shoulders that underwent RTSA for cuff tear arthropathy or osteoarthritis with cuff tearing by a single surgeon...
December 19, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29273386/total-shoulder-arthroplasty-with-minimum-5-year-follow-up-does-the-presence-of-subchondral-cysts-in-the-glenoid-increase-risk-of-failure
#9
Gregory Tanner, Peter Simon, Thomas Sellers, Kaitlyn N Christmas, Randall J Otto, Derek J Cuff, Adham Abdelfattah, Mark A Mighell, Mark A Frankle
BACKGROUND: This study evaluated the effect of cystic changes in the glenoid on postoperative outcomes and implant survival after total shoulder arthroplasty (TSA). MATERIALS AND METHODS: From 2004 to 2012, 75 patients underwent TSA for primary osteoarthritis with minimum 5-year follow-up. Preoperative 3-dimensional models based on computed tomography imaging were created for all patients. A qualitative evaluation of cystic osteoarthritis was performed through survey grading by 3 fellowship-trained shoulder surgeons...
December 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29246239/individualized-coracoid-osteotomy-and-3d-congruent-arc-reconstruction-of-glenoid-for-the-treatment-of-recurrent-anterior-shoulder-dislocation
#10
Hongxin Zhang, Jicheng Gong, Meiming Xie, Kanglai Tang
BACKGROUND: The present study investigated individualized coracoid osteotomy for 3D congruent arc glenoid reconstruction and evaluated the clinical outcomes in recurrent anterior shoulder dislocation. METHODS: From January 2005 to July 2015, 78 patients with glenoid defect underwent coracoid and conjoint tendon transposition. The patients were divided into the individualized group (n = 34) and the non-individualized group (n = 44). All patients had CT data to reconstruct the shoulder model using Mimics software...
December 15, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29244705/arthroscopic-repair-of-recurrent-posterior-shoulder-subluxation-after-total-shoulder-arthroplasty-a-case-report
#11
Ricardo Grieshaber-Bouyer, Christian Gerber
CASE: A 53-year-old man presented with osteoarthritis (Walch biconcave [B2] glenoid retroversion, 22°; glenohumeral subluxation index, 65%) and a partial rupture of the supraspinatus tendon in the left shoulder. Following anatomic total joint replacement, he developed disabling recurrent posterior subluxation despite a stable prosthesis and a correctly centered glenoid head, as observed with postoperative radiography and computed tomography. In order to avoid bone loss and the complications associated with revision arthroplasty, we performed arthroscopic reefing of the posterior capsule as an experimental minimally invasive treatment...
July 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29244664/glenoid-erosion-leading-to-contact-with-retained-metallic-suture-anchors-bilateral-metallosis-after-bilateral-shoulder-hemiarthroplasty-a-case-report
#12
Justin J Mitchell, Dimitri S Tahal, J Christoph Katthagen, Alexander R Vap, Peter J Millett
CASE: Hemiarthroplasty of the shoulder is commonly indicated for younger patients with osteoarthritis who desire to continue recreational and employment activities. In patients who have undergone prior shoulder surgery, metallic suture anchors may be present in the glenoid. We present a case of bilateral shoulder metallosis following bilateral resurfacing hemiarthroplasty for arthropathy in the setting of previous shoulder instability; the prostheses caused eventual glenoid erosion, leading to contact with the retained metal anchors...
April 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29241661/glenoid-component-loosening-associated-with-increased-critical-shoulder-angle-at-midterm-follow-up
#13
Jonathan P Watling, Javier E Sanchez, Samuel P Heilbroner, William N Levine, Louis U Bigliani, Charles M Jobin
BACKGROUND: Glenoid component loosening is a common failure mode of total shoulder arthroplasty (TSA). A larger critical shoulder angle (CSA) may cause superior glenoid component loading and more rapid component loosening. The purpose of this study was to define the relationship between the CSA and glenoid component loosening in midterm follow-up after TSA. METHODS: We conducted a retrospective study of 61 primary TSAs for osteoarthritis with an average follow-up of 5...
December 11, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29239667/the-prevalence-of-radiological-glenohumeral-osteoarthritis-in-long-term-type-1-diabetes-the-dialong-shoulder-study
#14
N G Juel, J I Brox, J C Hellund, K B Holte, T J Berg
OBJECTIVES: This study compares the prevalence of radiological osteoarthritis (OA) in patients with type 1 diabetes mellitus (DM1) for > 45 years and controls, and explores the association with shoulder pain and glycaemic burden in patients with DM1. METHOD: The Dialong study is a cross-sectional, observational study with 30 years of historical data on long-term glycaemic control. We included 102 patients with DM1 and 73 diabetes-free controls. Demographic data, worst shoulder pain last week [numeric rating scale (NRS) 0-10], pain on abduction at examination (NRS 0-10), and current and historical glycosylated haemoglobin (HbA1c) levels were collected...
December 14, 2017: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/29227355/basic-calcium-phosphate-crystal-associated-musculoskeletal-syndromes-an-update
#15
Ann K Rosenthal
PURPOSE OF REVIEW: Basic calcium phosphate (BCP) crystals are associated with two important musculoskeletal syndromes. Deposition of BCP crystals in tendons, bursae, and other soft tissues around joints causes calcific periarthritis, whereas intra-articular BCP crystals contribute to osteoarthritis and cause the highly destructive arthritis known as Milwaukee Shoulder Syndrome. The epidemiology and natural history of these syndromes are poorly understood, and because the pathogenesis remains unclear, few targeted therapies are available...
December 7, 2017: Current Opinion in Rheumatology
https://www.readbyqxmd.com/read/29225020/arthroscopic-wafer-procedure-versus-ulnar-shortening-osteotomy-as-a-surgical-treatment-for-idiopathic-ulnar-impaction-syndrome
#16
Won-Taek Oh, Ho-Jung Kang, Yong-Min Chun, Il-Hyun Koh, Hae-Mo-Su An, Yun-Rak Choi
PURPOSE: To compare clinical and radiologic outcomes and complication rates of the arthroscopic wafer procedure (AWP) and ulnar shortening osteotomy (USO) for idiopathic ulnar impaction syndrome (UIS). METHODS: From May 2009 to June 2014, 42 patients who were aged 45 years or older with idiopathic UIS underwent either the AWP or USO under the following identical surgical indications: (1) less than 4 mm of positive ulnar variance, (2) Palmer classification 2C or 2D lesion of the triangular fibrocartilage complex, (3) stable distal radioulnar joint (DRUJ) and/or lunotriquetral joint, and (4) no evidence of osteoarthritis of the DRUJ or ulnocarpal joint...
December 7, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29204822/the-experience-of-the-ripo-a-shoulder-prosthesis-registry-with-6-year-follow-up
#17
G Porcellini, A Combi, G Merolla, B Bordini, S Stea, G Zanoli, P Paladini
BACKGROUND: Implant registries have proved valuable in assessing the outcomes of arthroplasty procedures. Moreover, by identifying lesser quality implants they have indirectly improved the quality of care. The registry of prosthetic shoulder implants was established in 2008. METHODS: It records information on all types of primary and revision arthroplasty procedures involving the glenohumeral joint, including reverse and total arthroplasty, hemiarthroplasty, resurfacing, removal, and any other surgical procedures that are required to manage these patients...
December 4, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29198932/acupuncture-for-chronic-pain-update-of-an-individual-patient-data-meta-analysis
#18
REVIEW
Andrew J Vickers, Emily A Vertosick, George Lewith, Hugh MacPherson, Nadine E Foster, Karen J Sherman, Dominik Irnich, Claudia M Witt, Klaus Linde
Despite wide use in clinical practice, acupuncture remains a controversial treatment for chronic pain. Our objective was to update an individual patient data meta-analysis to determine the effect size of acupuncture for four chronic pain conditions.We searched MEDLINE and the Cochrane Central Registry of Controlled Trials randomized trials published up until December 31, 2015. We included randomized trials of acupuncture needling versus either sham acupuncture or no acupuncture control for non-specific musculoskeletal pain, osteoarthritis, chronic headache, or shoulder pain...
November 30, 2017: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/29195900/outcomes-for-subscapularis-management-techniques-in-shoulder-arthroplasty-a-systematic-review
#19
REVIEW
W Stephen Choate, Adam Kwapisz, Amit M Momaya, Richard J Hawkins, John M Tokish
BACKGROUND: This systematic review aims to synthesize published data for the most common subscapularis takedown and repair to compare outcomes in the setting of shoulder arthroplasty. METHODS: Searches of MEDLINE and Cochrane Library databases identified studies that reported clinical or radiologic outcomes for subscapularis management in the setting of shoulder arthroplasty. Comparisons included musculotendinous integrity, subscapularis testing and strength, shoulder range of motion, and functional outcome scores...
November 28, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29175827/poor-overall-quality-of-clinical-practice-guidelines-for-musculoskeletal-pain-a-systematic-review
#20
REVIEW
Ivan Lin, Louise K Wiles, Robert Waller, Roger Goucke, Yusuf Nagree, Michael Gibberd, Leon Straker, Christopher G Maher, Peter P B O'Sullivan
OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder. DESIGN: Systematic review of CPGs (PROSPERO number: CRD42016051653).Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment...
November 25, 2017: British Journal of Sports Medicine
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