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Shoulder arthritis

Anita Sadhu, Ryan P Calfee, Andre Guthrie, Lindley B Wall
PURPOSE: To test the null hypothesis that there is no difference in patient-reported and objective outcomes of revision ligament reconstruction and tendon interposition (LRTI) compared with primary LRTI. METHODS: This case-control investigation enrolled 10 patients who had undergone revision LRTI at a tertiary care center. All patients had previously undergone primary trapeziectomy with LRTI. Patients with a minimum of 2 years' follow-up were eligible. All patients completed an in-office study evaluation...
October 14, 2016: Journal of Hand Surgery
Tim Leschinger, Patric Raiss, Markus Loew, Felix Zeifang
BACKGROUND: This study evaluated and identified risk factors for the development of intraoperative and postoperative surgical complications in total shoulder arthroplasty in patients with primary osteoarthritis. METHODS: We evaluated patient-specific factors, including age, sex, body mass index, prior nonarthroplasty surgery, smoking, alcohol consumption, and the American Society of Anesthesiologists (ASA) Physical Status Classification System in 275 patients (76 men, 199 women) with an average age of 68 years (range, 51-85 years)...
October 10, 2016: Journal of Shoulder and Elbow Surgery
Oren I Feder, Konrad I Gruson
Septic arthritis of the shoulder girdle remains relatively uncommon, with Staphylococcus aureus and β-hemolytic streptococci the typical offending organisms in adult patients. Rare cases of Streptococcus viridans, an oral bacterium with low virulence, have been reported in the setting of septic arthritis, mostly involving the knee joint or the sternoclavicular joint. In this article, we report a case of Streptococcus mitis infection of the glenohumeral joint that likely resulted from hematogenous spread after oral trauma in a patient with poor underlying dentition...
September 2016: American Journal of Orthopedics
Xinning Li, Antonio Cusano, Josef Eichinger
Shoulder dislocations are a common injury, with anterior shoulder dislocation among male patients being the most common presentation. A patient with recurrent shoulder instability, anterior-superior escape, and chronic subscapularis tendon rupture following multiple shoulder stabilization surgeries presents the surgeon with a complex and challenging case. This report describes a 40-year-old man with an extensive left shoulder history that included a failed Latarjet procedure, an irreparable, chronic subscapularis tear with grade 4 Goutallier fatty infiltration, and associated anterior-superior escape...
October 13, 2016: Orthopedics
Matthias Bülhoff, Jörn Reinders, Felix Zeifang, Patric Raiss, Ulrike Müller, J Philippe Kretzer
BACKGROUND: Shoulder hemiarthroplasty is a viable treatment for shoulder arthritis, particularly if the natural glenoid is still intact. One of the most common reasons for revision surgery is glenoid erosion, where the cartilage or bone is worn. The aim of the current study was to analyze whether the metallic articular surface of retrieved shoulder hemiarthroplasty is different from new implants. We hypothesized that the surface roughness would increase as a result of the articulation and that metallic wear would be detectable on the implants...
October 7, 2016: Journal of Shoulder and Elbow Surgery
M Petri, J A Greenspoon, S G Moulton, P J Millett
BACKGROUND: Massive rotator cuff tears in active patients with minimal glenohumeral arthritis remain a particular challenge for the treating surgeon. METHODS: A selective literature search was performed and personal surgical experiences are reported. RESULTS: For patients with irreparable rotator cuff tears, a reverse shoulder arthroplasty or a tendon transfer are often performed. However, both procedures have rather high complication rates and debatable long-term results, particularly in younger patients...
2016: Open Orthopaedics Journal
Catharina A Nordin, Peter Michaelson, Gunvor Gard, Margareta K Eriksson
BACKGROUND: Web-based interventions with a focus on behavior change have been used for pain management, but studies of Web-based interventions integrated in clinical practice are lacking. To emphasize the development of cognitive skills and behavior, and to increase activity and self-care in rehabilitation, the Web Behavior Change Program for Activity (Web-BCPA) was developed and added to multimodal pain rehabilitation (MMR). OBJECTIVE: The objective of our study was to evaluate the effects of MMR in combination with the Web-BCPA compared with MMR among persons with persistent musculoskeletal pain in primary health care on pain intensity, self-efficacy, and copying, as part of a larger collection of data...
October 5, 2016: Journal of Medical Internet Research
Senthil Nathan Sambandam, Mukesh Atturu
INTRODUCTION: Septic arthritis of the shoulder is uncommon in adults. It is a surgical emergency as joint destruction occurs rapidly and can lead to significant morbidity and mortality. Accurate diagnosis can be particularly challenging in patients with underlying liver disease. MRI is a useful adjunct in early detection of atypical causes of shoulder pain. CASE REPORT: A 43 years old male came to our outpatient department with complaints of pain and stiffness of his left shoulder...
April 2016: Journal of Orthopaedic Case Reports
Constantina Moraiti, Shahnaz Klouche, Jean David Werthel, Thomas Bauer, Philippe Hardy
PURPOSE: To propose and to assess the reproducibility of a new method (GO [glenoid orientation] index) for the estimation of the glenoid orientation in relation to the anterior surface of the glenoid. METHODS: This is a retrospective study on computed tomography (CT) scan. The GO index was defined as the angle formed by a line perpendicular to the tangent to the anterior surface of the scapula and the glenoid line (which is defined as the line connecting the anterior and the posterior rim of the glenoid)...
October 4, 2016: International Orthopaedics
Elizabeth Salt, Amanda T Wiggins, Mary Kay Rayens, Brent J Morris, David Mannino, Andrew Hoellein, Ryan P Donegan, Leslie J Crofford
OBJECTIVE: Inconclusive findings about infection risks, importantly the use of immunosuppressive medications in patients who have undergone large-joint total joint arthroplasty, challenge efforts to provide evidence-based perioperative total joint arthroplasty recommendations to improve surgical outcomes. Thus, the aim of this study was to describe risk factors for developing a post-operative infection in patients undergoing TJA of a large joint (total hip arthroplasty, total knee arthroplasty, or total shoulder arthroplasty) by identifying clinical and demographic factors, including the use of high-risk medications (i...
August 24, 2016: Seminars in Arthritis and Rheumatism
E Van Hoecke, A Van De Vijver, F Van Glabbeek, J Gielen
Radial head fractures are common injuries, occurring mostly in active young people 85%. Treatment of the more complex radial head fractures (Mason type III and IV), appear to be challenging and remain a subject of controversy. Replacement of the radial head with a metal prosthesis imitates the stabilizing role of the radial head and has been considered as the treatment of choice. However, long-term results are scarce. We report our mid to long-term (mean 9.4 year) clinical and radiographic results after insertion of a Judet Bipolar Radial Head prosthesis...
August 2016: Acta Orthopaedica Belgica
A Karelse, N Spapens, A Van Tongel, L De Wilde
We evaluate our experience with arthroscopic interpositioning arthroplasty as a treatment of the young degenerative shoulder joint. Between 2007 and 2009 ten patients were treated with either a dermal allograft or a meniscal allograft. In seven patients the graft failed and within 13 months these were revised to a total shoulder arthroplasty. Three patients are still satisfied after 7 to 8 years follow-up. Biologic resurfacing of the glenoid may have a role in the management of glenohumeral arthritis in the young and active patient, but the optimal graft and pathology still need to be defined...
August 2016: Acta Orthopaedica Belgica
Moni Roy, Sharjeel Ahmad
Corynebacterium species are aerobic, Gram-positive bacilli that are commensal organisms of skin and mucosal membranes. Although its pathogenicity is well established, Corynebacterium striatum is frequently isolated in cultures and generally regarded as a contaminant. Rarely, this bacterium causes septic arthritis. We present a case of right shoulder joint septic arthritis due to C. striatum in a lung-transplant recipient with end-stage renal disease. A brief review of the literature regarding C. striatum septic arthritis is also a part of this report...
2016: BMJ Case Reports
Justin W Walker, William L Hennrikus
Background. Septic arthritis of the glenohumeral joint in the pediatric population (<18 yo) is not commonly described in the literature. There is a corresponding paucity of information regarding its presentation and treatment. Methods. An IRB approved review of patients treated with irrigation and debridement by the Orthopaedic Department was completed. This retrospective study includes four patients, presenting from 2005 to 2015, with septic arthritis of the shoulder. Results. The mean age (M age) at presentation was 5 years, with a range of 1 month to 15 years...
2016: International Journal of Pediatrics
Ana K Romero-Guzmán, Víctor M Menchaca-Tapia, Irazú Contreras-Yáñez, Virginia Pascual-Ramos
BACKGROUND: In 2004, we initiated an inception cohort of patients with recent-onset rheumatoid arthritis (RA). Hand function was incorporated into evaluations from 2014 onward. The objectives were to examine hand function in our cohort, compare hand function with function in healthy controls and determine the factors associated with impaired function. METHODS: From February 2014 to June 2015, 139 patients (97.2 % of the cohort) had disease activity scored (28 joints, [DAS28]); the Michigan Hand Outcome Questionnaire (MHQ) and Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH) were completed, and the tip-, key- and palmar-pinch and grip strengths were measured...
2016: BMC Musculoskeletal Disorders
Michele N Edison, Anthony Caram, Miguel Flores, Kurt Scherer
Most commonly associated with chronic inflammatory conditions, rice bodies represent an uncommon, nonspecific, often intra-articular inflammatory process. Presumably, rice bodies represent the sequelae of microvascular infarcts of the joint synovium. However, rice bodies have been seen in pleural fluid, in the setting of bursitis, and within the tendon sheath. The etiology and prognostic significance of rice bodies are not clear. MRI is the diagnostic imaging modality of choice for the evaluation of rice body formation...
2016: Curēus
Alexa Dierig, Nicole Ritz, Uta Tacke, Ulrich Heininger
Osteoarticular infections in the newborn period are rare. A serious complication is paralysis of the affected extremity resulting from either pain or direct involvement of the nerve. We report a newborn with combined osteomyelitis and suppurative arthritis caused by Streptococcus pyogenes presenting with right brachial plexus palsy.
October 2016: Pediatric Infectious Disease Journal
Pierre-Yves Mulon, André Desrochers, David Francoz
Lameness related to synovial infection needs to be addressed promptly because rapid degradation of the synovial homeostasis results in permanent cartilage alterations detrimental to complete recovery. Diagnosis is based on clinical signs, synovial fluid analysis, and imaging. Commonly affected joints are the fetlock, carpus, tarsus, and stifle; shoulder, elbow, and hip may also be infected. Knowing the source of infection is essential in cases of remote septic arthritis. Antimicrobials should be administered; local delivery systems may be used...
November 2016: Veterinary Clinics of North America. Food Animal Practice
A E Sahin, Y Cayir, A Imerci, H Uzkeser, F Akcay
Heel spur is also known as a result of plantar calcaneal bone spur which is a common complaint associated with pain at heel. Heel spur is more common in females. Anti-inflammatory drugs, local steroid injections, physical therapy, low-dose radiotherapy and shock wave therapy are the commonly used treatment choices. There is no evidence that acupuncture is an effective method for heel spur in the literature. However, we know that acupuncture can be used for many orthopaedic diseases like frozen shoulder, tennis elbow, sciatic pain, joint sprains, several forms of bursitis and arthritis...
November 11, 2015: West Indian Medical Journal
Kimona Issa, Casey M Pierce, Todd P Pierce, Matthew R Boylan, Bashir A Zikria, Qais Naziri, Anthony Festa, Vincent K McInerney, Anthony J Scillia
INTRODUCTION: Total shoulder arthroplasty (TSA) has become a popular and successful surgery to treat advanced glenohumeral arthritis, rotator cuff arthropathy, and proximal humerus fractures. Historical data is available investigating the epidemiology of total shoulder arthroplasty with regard to patient characteristics, outcomes, and complications; however, there is a lack of studies investigating the most recent and up to date national trends related to shoulder replacement. The purpose of this study was to evaluate changes in the annual incidence, various demographics, and complications of TSA in America...
September 10, 2016: Surgical Technology International
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