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https://www.readbyqxmd.com/read/29018839/clinical-assessment-of-physical-examination-maneuvers-for-superior-labral-anterior-to-posterior-lesions
#1
Lyndsay E Somerville, Kevin Willits, Andrew M Johnson, Robert Litchfield, Marie-Eve LeBel, Jaydeep Moro, Dianne Bryant
Purpose  Shoulder pain and disability pose a diagnostic challenge owing to the numerous etiologies and the potential for multiple disorders to exist simultaneously. The evidence to support the use of clinical tests for superior labral anterior to posterior complex (SLAP) is weak or absent. The purpose of this study is to determine the diagnostic validity of physical examination maneuvers for SLAP lesions by performing a methodologically rigorous, clinically applicable study. Methods  We recruited consecutive new shoulder patients reporting pain and/or disability...
October 2017: Surg J (N Y)
https://www.readbyqxmd.com/read/28988351/management-of-complex-anterior-shoulder-instability-a-case-based-approach
#2
REVIEW
Nathan Olszewski, Michael Gustin, Emily J Curry, Xinning Li
PURPOSE OF THE REVIEW: The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach. RECENT FINDINGS: Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with minimal bone loss. Latarjet is a generally accepted procedure in patients with 20-30% glenoid bone loss. When bone loss exceeds that which cannot be managed through Latarjet, a range of options exist and are highly dependent upon the extent of osseous deficiency on both the glenoid and humeral sides, surgeon experience, and patient-specific factors...
October 7, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28979603/controversies-in-the-surgical-management-of-shoulder-instability-associated-soft-tissue-procedures
#3
Santos Moros Marco, José Luis Ávila Lafuente, Miguel Angel Ruiz Ibán, Jorge Diaz Heredia
BACKGROUND: The glenohumeral joint is a ball-and-socket joint that is inherently unstable and thus, susceptible to dislocation. The traditional and most common anatomic finding is the Bankart lesion (anterior-inferior capsule labral complex avulsion), but there is a wide variety of anatomic alterations that can cause shoulder instability or may be present as a concomitant injury or in combination, including bone loss (glenoid or humeral head), complex capsule-labral tears, rotator cuff tears, Kim´s lesions (injuries to the posterior-inferior labrum) and rotator interval pathology...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28974332/recurrent-labral-tearing-on-magnetic-resonance-imaging-is-not-predictive-of-diminished-participation-among-national-football-league-athletes
#4
Derrick M Knapik, Jeremy J Gebhart, Joseph Sheehan, Joseph E Tanenbaum, Michael J Salata, James E Voos
PURPOSE: To investigate the prevalence of shoulder labral repair and utility of magnetic resonance imaging (MRI) in determining the risks of recurrent labral tearing and impact on future participation in the National Football League (NFL). METHODS: Athletes invited to the NFL Combine between 2012 and 2015 were retrospectively reviewed. Athletes with a history of labral repair and MRI of the operative shoulder at the Combine were included in the study for further analysis, excluding athletes without a history of labral repair, labral repair without MRI at the Combine, additional procedure to the operative shoulder, or athletes still undergoing rehabilitation at the time of the Combine after labral repair...
September 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28970986/tenosuspension-of-the-reflected-head-of-the-rectus-femoris-in-hip-arthroscopy-description-of-a-portal-and-a-surgical-maneuver
#5
Bernardo Aguilera-Bohorquez, Eduardo Gil, John Fonseca, Miguel Fernandez, Miguel Sánchez
Arthroscopy is a surgical technique useful in the treatment of intra- and extra-articular hip pathologies, including femoroacetabular impingement (FAI). In the arthroscopic treatment of pincer-type FAI, tendon interposition of the reflected head of the rectus femoris frequently hinders acetabular edge resection in the anterior-superior region (acetabuloplasty) and labrum repositioning, even causing tendon injury during the surgical procedure. Many surgeons do not give importance to the reflected head of the rectus femoris, and during the procedure they try to avoid it, giving 30° of flexion to the hip...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28970978/anterior-capsular-reconstruction-for-irreparable-subscapularis-tears
#6
Jonas Pogorzelski, Zaamin B Hussain, George F Lebus, Erik M Fritz, Peter J Millett
Chronic anterior shoulder instability due to structural failure of the subscapularis muscle and the anterior capsule is a rare and challenging diagnosis for surgeons to manage because poor-quality capsular, labral, and rotator cuff tissue often limits effective treatment options. If primary repair is not possible because of retraction and poor tissue quality, reconstruction with an allograft or autograft may be the only joint-preserving option. The purpose of this article is to describe a surgical technique for anterior capsular reconstruction using a human acellular dermal allograft for the treatment of irreparable subscapularis tears...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28969951/endoscopic-gluteus-medius-repair-with-concomitant-arthroscopy-for-labral-tears-a-case-series-with-minimum-5-year-outcomes
#7
Itay Perets, Yosif Mansor, Leslie C Yuen, Austin W Chen, Edwin O Chaharbakhshi, Benjamin G Domb
PURPOSE: To report the minimum 5-year outcomes of endoscopic gluteus medius repair for partial- and full-thickness tears with concomitant hip arthroscopy. METHODS: Data for all patients who underwent hip arthroscopy between February 2009 and September 2011 were prospectively collected. We included patients who underwent endoscopic gluteus medius repair with concomitant arthroscopic labral treatment and for whom the following measures were obtained preoperatively and at a minimum of 5 years' follow-up: modified Harris Hip Score, Non-Arthritic Hip Score, Hip Outcome Score-Sports Specific Subscale, and visual analog scale score for pain...
September 29, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28969949/variability-and-comprehensiveness-of-north-american-online-available-physical-therapy-protocols-following-hip-arthroscopy-for-femoroacetabular-impingement-and-labral-repair
#8
Gregory L Cvetanovich, Vincent Lizzio, Fabien Meta, Derek Chan, Ira Zaltz, Shane J Nho, Eric C Makhni
PURPOSE: To assess comprehensiveness and variability of postoperative physical therapy protocols published online following hip arthroscopy for femoroacetabular impingement (FAI) and/or labral repair. METHODS: Surgeons were identified by the International Society for Hip Arthroscopy "Find a Surgeon" feature in North America (http://www.isha.net/members/, search August 10, 2016). Exclusion criteria included nonsurgeons and protocols for conditions other than hip arthroscopy for FAI and/or labral tear...
September 29, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28969816/fluoroscopy-learning-curve-in-hip-arthroscopy-a-single-surgeon-s-experience
#9
Kevin M Smith, Neil L Duplantier, Kimbelyn H Crump, Domenica A Delgado, Stephanie L Sullivan, Patrick C McCulloch, Joshua D Harris
PURPOSE: To determine if (1) absorbed radiation dose and (2) fluoroscopy time decreased with experience over the first 100 cases of a single surgeon's hip arthroscopy practice. METHODS: Subjects who underwent hip arthroscopy for symptomatic femoroacetabular impingement and labral injury were eligible for analysis. Inclusion criteria included the first 100 subjects who underwent hip arthroscopy by a single surgeon (December 2013 to December 2014). Subject demographics, procedure details, fluoroscopy absorbed dose (milligray [mGy]), and time were recorded...
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28965317/radiographic-evaluation-of-patients-with-anterior-shoulder-instability
#10
REVIEW
Andrew J Kompel, Xinning Li, Ali Guermazi, Akira M Murakami
PURPOSE OF REVIEW: Injuries to the labrum, joint capsule (in particular the inferior glenohumeral ligament), cartilage, and glenoid periosteum are associated with anterior shoulder instability. The goal of this review is to provide common radiographic images and findings in patients with anterior shoulder instability. Furthermore, we will demonstrate the best methods for measuring anterior glenoid bone loss. RECENT FINDINGS: Magnetic resonance (MR) imaging is highly relied upon for evaluating anterior shoulder instability and can diagnose soft tissue injuries with high sensitivity...
September 30, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28949248/characteristics-and-outcomes-of-arthroscopic-femoroacetabular-impingement-surgery-in-the-national-football-league
#11
Benedict U Nwachukwu, Asheesh Bedi, Ajay Premkumar, Pete Draovitch, Bryan T Kelly
BACKGROUND: Previous studies have reported that hip abnormalities may account for 10% of injuries in professional football players. The effect of femoroacetabular impingement (FAI) and arthroscopic FAI surgery in National Football League (NFL) athletes has not been well studied. PURPOSE: To investigate the effect of arthroscopic FAI surgery on return to play (RTP) and RTP performance in NFL players. STUDY DESIGN: Cohort study; Level of evidence, 3...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28948037/hip-arthroscopy-in-the-united-states-an-update-following-coding-changes-in-2011
#12
Jeremy N Truntzer, Lauren M Shapiro, Daniel J Hoppe, Geoffrey D Abrams, Marc R Safran
The purpose of this study is to define the incidence of hip arthroscopy-related procedures in the United States prior to and following 2011 and to determine if the rise in incidence has coincided with an increase in the complexity and diversity of procedures performed. Patients who underwent hip arthroscopy were identified from a publicly available US database. A distinction was made between 'traditional' and 'extended' codes. CPT-29999 (unlisted arthroscopy) was considered extended and counted only if associated with a hip pathology diagnosis...
August 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28948033/risk-of-failure-of-primary-hip-arthroscopy-a-population-based-study
#13
Ryan M Degen, Ting J Pan, Brenda Chang, Nabil Mehta, Peter D Chamberlin, Anil S Ranawat, Danyal H Nawabi, Bryan T Kelly, Stephen Lyman
The aims of this study are (i) to report on the rates of subsequent surgery following hip arthroscopy and (ii) to identify prognostic variables associated with revision surgery, survival rates and complication rates. The Statewide Planning and Research Cooperative System database, a census of hospital admissions and ambulatory surgery in New York State, was used to identify cases of primary hip arthroscopy. Demographic information and rates of subsequent revision hip arthroscopy or arthroplasty were collected...
August 2017: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/28942657/return-to-play-and-outcomes-in-baseball-players-after-superior-labral-anterior-posterior-repairs
#14
Brad D Gilliam, Lonnie Douglas, Glenn S Fleisig, Kyle T Aune, Kylie A Mason, Jeffrey R Dugas, E Lyle Cain, Roger V Ostrander, James R Andrews
BACKGROUND: Few studies have documented the outcomes of superior labral anterior-posterior (SLAP) repairs in baseball players. Furthermore, the results of these previous studies varied widely and were based on small numbers of patients. Hypothesis/Purpose: The purpose was to report return-to-play (RTP) rates and validated subjective outcome scores for baseball players after SLAP repair. It was hypothesized that RTP rates and outcomes would be significantly different between pitchers and nonpitchers, as well as among baseball levels...
September 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28942460/hip-arthroscopy-enables-classification-and-treatment-of-precollapse-subchondral-insufficiency-fracture-of-the-femoral-head-associated-intra-articular-pathology
#15
Soshi Uchida, Moriyuki Noguchi, Hajime Utsunomiya, Shiho Kanezaki, Toshiharu Mori, Dean K Matsuda, Akinori Sakai
PURPOSE: The purposes of this study were to investigate (1) the clinical, radiographic and arthroscopic presentation of patients with subchondral insufficiency fracture of the femoral head (SIFFH) and (2) the outcomes following arthroscopic treatment with internal fixation using hydroxyapatite poly-lactate acid (HA/PLLA) threaded pins and concomitant arthroscopic treatment of associated findings. METHODS: Nine patients (median age 49.0 years, range 43-65, five female and four male patients) with SIFFH who underwent arthroscopic treatment with labral repair, capsular closure and internal fixation of SIFFH using HA/PLLA pins were retrospectively reviewed...
September 23, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28904634/treatment-of-chronic-stable-slipped-capital-femoral-epiphysis-via-surgical-hip-dislocation-with-combined-osteochondroplasty-and-imhauser-osteotomy
#16
J B Erickson, W P Samora, K E Klingele
PURPOSE: Treatment of slipped capital femoral epiphysis (SCFE), including the modified Dunn procedure, restores anatomy with significant risk for avascular necrosis (AVN), if performed in the setting of moderate to severe, stable SCFE. The Imhauser osteotomy has been shown to be an effective way to correct residual deformity without the risk of AVN. We sought to evaluate the effectiveness and safety of a combined Imhauser osteotomy and osteochondroplasty, performed via a surgical hip dislocation approach for the acute and delayed treatment of stable SCFE...
August 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/28902611/accelerated-degenerative-joint-disease-after-staged-hip-arthroscopy-and-periacetabular-osteotomy-in-a-patient-with-hip-dysplasia
#17
Michael Guss, Thomas Youm
Hip dysplasia, when significant, is effectively treated with periacetabular osteotomy. There have been good results reported with hip arthroscopy when dysplasia is mild. However, when dysplasia is significant, hip arthroscopy with labral repair alone has led to poor results and even rapid decline to end stage arthritis. Staged hip arthroscopy and periacetabular osteotomy would potentially treat the labral lesion and correct the underlying bony abnormality that resulted in the labral pathology. Such a staged treatment plan should help prevent progression to degenerative joint disease...
May 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28873349/posterior-shoulder-instability-prospective-non-randomised-comparison-of-operative-and-non-operative-treatment-in-51-patients
#18
E Cruz-Ferreira, P Abadie, A Godenèche, P Mansat, P Clavert, P H Flurin
BACKGROUND: The management of posterior shoulder instability remains controversial. Consequently, for a symposium on this topic, the French Arthroscopy Society (SFA) conducted a prospective multicentre study comparing outcomes of operative and non-operative treatment. OBJECTIVE: To compare outcomes after operative versus non-operative treatment of posterior shoulder instability HYPOTHESIS: The surgical treatment of posterior shoulder instability may achieve better clinical outcomes than non-operative treatment in selected patients...
September 2, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28873347/outcomes-of-capsulolabral-reconstruction-for-posterior-shoulder-instability
#19
K Andrieu, J Barth, M Saffarini, P Clavert, A Godenèche, P Mansat
BACKGROUND: Surgical treatment of isolated posterior shoulder instability-a rare and often misdiagnosed condition-is controversial because of poor outcomes. Failure of physical therapy in symptomatic young athletes requires capsulolabral reconstruction or bone block procedures. The goal of this study was to report the outcomes of patients who have undergone surgical capsulolabral reconstruction and to look for risk factors that contribute to failure of this procedure. MATERIAL AND METHOD: We analyzed the outcomes of 101 patients who underwent capsulolabral reconstruction: 83 included retrospectively, 18 included prospectively...
September 2, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28866345/should-the-capsule-be-repaired-or-plicated-after-hip-arthroscopy-for-labral-tears-associated-with-femoroacetabular-impingement-or-instability-a%C3%A2-systematic-review
#20
REVIEW
Victor Ortiz-Declet, Brian Mu, Austin W Chen, Jody Litrenta, Itay Perets, Leslie C Yuen, Benjamin G Domb
PURPOSE: To critically evaluate the existing literature on hip capsule biomechanics, clinical evidence of instability, and outcomes of capsular management to answer the following question: Should the capsule be repaired or plicated after hip arthroscopy for labral tears associated with femoroacetabular impingement or instability? METHODS: We used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines to find articles using PubMed and Embase...
August 30, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
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