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https://www.readbyqxmd.com/read/29665605/-shoulder-arthroplasty
#1
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/29664803/posterior-shoulder-dislocation-associated-with-the-head-splitting-and-humeral-neck-fracture-impact-of-understanding-radiologic-signs-and-experience-with-an-extended-deltopectoral-approach
#2
Kemal Gokkus, Ergin Sagtas, Hasan Kara, Ahmet T Aydin
In this paper, our main objective was to emphasize the competency of extended deltopectoral exposure, enforced with the supraspinatus and subscapularis detachment, to gain access to the entire head. The second important point in this paper was to underline the importance of the knowledge that is necessary for interpreting classic radiologic signs of posterior fracture-dislocation of the shoulder. A 47-year-old woman fell down directly onto her shoulder while she was skiing. She was diagnosed with posterior shoulder dislocation, associated with fracture of the head (head splitting) and humeral neck fracture, with the aid of plain radiographs and computed tomographic results...
April 11, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29661068/correlation-between-radiological-parameters-and-functional-outcomes-in-patients-older-than-60-years-of-age-with-distal-radius-fracture
#3
Rodrigo Gutiérrez-Monclus, Héctor Gutiérrez-Espinoza, Jonathan Zavala-González, Cristian Olguín-Huerta, David Rubio-Oyarzún, Felipe Araya-Quintanilla
BACKGROUND: The relationship between radiographic and functional outcomes is controversial in the elderly. The objective of this study is to determine whether there is a correlation between functional outcome and acceptable distal radius fracture (DRF) alignment in patients older than 60 years of age. METHODS: This correlation study was carried out at the Central Metropolitan Health Service of Chile. A total of 180 patients diagnosed with extra-articular DRF, according to the AO classification, were prospectively recruited...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29657448/diagnostic-difficulties-in-the-radiological-assessment-of-subscapularis-tears
#4
Jonathan R N Ward, Naeil Lotfi, Richard G Dias, Timothy J McBride
Background: Radiological evaluation of rotator cuff tears are sensitive and specific. Accuracy may be low in diagnosing subscapularis tears. Materials and methods: We retrospectively reviewed shoulder arthroscopies performed by two surgeons over 45 months. We reviewed patients who had subscapularis repairs and their preoperative imaging. Result: 286 cases had imaging (193 MRIs, 93 USS) with 77 subscapularis repairs. MRI suggested 31 tears, arthroscopy confirmed 16 (30% sensitivity, 89% specificity)...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29650378/long-term-clinical-outcome-after-titanium-lunate-arthroplasty-for-kienb%C3%A3-ck-disease
#5
Timo Viljakka, Kaj Tallroth, Martti Vastamäki
PURPOSE: Titanium lunate arthroplasty (TLA) for Kienböck disease was introduced in 1984 to address the silicone-wear particle problem common to silicone lunate implants. We sought to study the outcome of TLA. METHODS: We identified 11 patients from our hospital database who had undergone TLA between 2001 and 2010. We evaluated pain, range of motion (ROM), function, and radiological outcome at a mean 11 years after surgery. We compared preoperative ROM and radiological findings with final follow-up in the ipsilateral wrist and also made comparisons with the contralateral wrists...
April 9, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29628706/does-operative-fixation-of-isolated-fractures-of-ulna-shaft-results-in-different-outcomes-than-non-operative-management-by-long-arm-cast
#6
Altaf Hussain, Sandeep Kumar Nema, Deep Sharma, Sujiv Akkilagunta, Gopisankar Balaji
Objective: The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional outcomes and radiological union in patients treated for isolated fractures of the ulnar shaft by open reduction and internal fixation and a long arm cast. Methods: This prospective study was conducted at level I trauma center from November 2014 to March 2016. 30 patients with isolated fractures of ulnar shaft were randomized to two groups to receive treatment by open reduction and internal fixation by plates and screws and a long arm cast...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29625813/sidus-stem-free-shoulder-system-for-primary-osteoarthritis-short-term-results-of-a-multicenter-study
#7
Anna Krukenberg, Julie McBirnie, Stefan Bartsch, Nikolaus Böhler, Ernst Wiedemann, Bernhard Jost, Pierre Mansat, Pierre Bellon-Champel, Renzo Angeloni, Markus Scheibel
BACKGROUND: The aim of this prospective multicenter study was to evaluate clinical and radiologic results of a new metaphyseal anchored system. This system features a different anchor geometry that potentially leads to better bony integration and less loosening. METHODS: From November 2012 until December 2015, 148 patients (151 shoulders) were treated with the Sidus Stem-Free Shoulder System at 9 centers in Europe. The main indication was primary osteoarthritis (80...
April 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29623353/an-arthroscopic-bone-block-procedure-is-effective-in-restoring-stability-allowing-return-to-sports-in-cases-of-glenohumeral-instability-with-glenoid-bone-deficiency
#8
Ettore Taverna, Guido Garavaglia, Carlo Perfetti, Henri Ufenast, Luca Maria Sconfienza, Vincenzo Guarrella
PURPOSE: A group of patients affected by bone loss in the context of recurrent anterior shoulder instability were treated arthroscopically with a modified Eden-Hybinette technique since 2005. The last modification was made in 2013, consisting of fixation using a pair of specifically designed double round Endobuttons, which secure the bone graft to the glenoid rim placed through a guide. This report describes patients operated on after this last modification. No reports have described the results of this technique, and the purpose of this study was to assess early clinical and radiological results of an arthroscopic bone block procedure with double round Endobutton fixation...
April 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29619396/anthropometric-and-radiologic-measurements-of-coracoid-dimensions-and-clinical-implications-in-an-indian-population
#9
Deepak Joshi, Lalit Mohan Gupta, Milind Tanwar, Ajay Lal, Deepak Chaudhary
Background: Recurrent shoulder dislocation and anterior instability are most commonly attributed to pathology of the capsulolabral complex with the presence of bony loss at the humeral and glenoid surfaces. Unassessed bone loss has been a cause of failure of primary soft tissue procedures or recurrence of symptoms, despite adequate address of soft tissue pathology. Purpose: To study the anthropometric and radiologic dimensions of the coracoid in relation to glenoid bone loss, its adequacy in filling glenoid defects in an Indian population, and whether the choice of surgical technique (congruent arc vs classical) and graft positioning alters the surgical results...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29595674/outcomes-of-modified-trapeziectomy-with-ligament-reconstruction-tendon-interposition-for-the-treatment-of-advanced-thumb-carpometacarpal-arthritis-two-year-follow-up
#10
Tao Wang, Gang Zhao, Yong-Jun Rui, Jing-Yi Mi
Numerous arthroplasty techniques had been reported for the treatment of thumb carpometacarpal (CMC) joint osteoarthritis. The purpose of our study is to evaluate long-term clinical and radiographic outcomes of patients who underwent modified trapeziectomy with ligament reconstruction tendon interposition (LRTI).Our retrospective study included 20 consecutive patients with advanced thumb CMC arthritis receiving modified trapeziectomy with LRTI (20 thumbs). For clinical evaluation, we assessed visual analogue scale (VAS), Disabilities of the Arm, Shoulder and Hand (DASH) scores and Kapandji index...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29594325/can-inadequate-acromiohumeral-distance-improvement-and-poor-posterior-remnant-tissue-be-the-predictive-factors-of-re-tear-preliminary-outcomes-of-arthroscopic-superior-capsular-reconstruction
#11
Seung-Jun Lee, Young-Kyoung Min
PURPOSE: The factors affecting the anatomical and functional outcomes of arthroscopic superior capsular reconstruction (ASCR) were investigated in this study. Continuity between the posterior remnant tissue and graft, as well as medial-to-lateral anatomical graft continuity, might play a vital role in shoulder stability and functional recovery, which could be correlated with postoperative factors such as the acromiohumeral distance (AHD). METHODS: Thirty-two patients (36 shoulders) who underwent ASCR were included...
March 28, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29589504/long-term-results-of-the-lateral-resurfacing-elbow-arthroplasty
#12
C E L Watkins, D W Elson, J W K Harrison, J Pooley
Aim The aim of this study was to report the long-term outcome and implant survival of the lateral resurfacing elbow (LRE) arthroplasty in the treatment of elbow arthritis. Patients and Methods We reviewed a consecutive series of 27 patients (30 elbows) who underwent LRE arthroplasty between December 2005 and January 2008. There were 15 women and 12 men, with a mean age of 61 years (25 to 82). The diagnosis was primary hypotrophic osteoarthritis (OA) in 12 patients (14 elbows), post-traumatic osteoarthritis (PTOA) in five (five elbows) and rheumatoid arthritis (RA) in ten patients (11 elbows)...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29582321/diagnostic-performance-of-shoulder-magnetic-resonance-arthrography-for-labral-tears-having-surgery-as-reference-comparison-of-high-resolution-isotropic-3d-sequence-thrive-with-standard-protocol
#13
Sun Hwa Lee, Seong Jong Yun, Youngno Yoon
PURPOSE: To compare the diagnostic performance of T1 high-resolution isotropic volume excitation (THRIVE) sequence with that of a standard protocol for direct shoulder magnetic resonance arthrography (MRA) for the diagnosis of superior labral anterior-to-posterior (SLAP) and Bankart lesions, using arthroscopy findings as a reference standard. MATERIALS AND METHODS: We retrospectively studied 84 patients who underwent direct shoulder 3T MRA using THRIVE and two-dimensional three-plane proton-density fat-suppressed (2D-PD-FS) sequences...
March 26, 2018: La Radiologia Medica
https://www.readbyqxmd.com/read/29582115/osteonecrosis-in-sickle-cell-disease-patients-from-bahia-brazil-a-cross-sectional-study
#14
Gildasio Daltro, Bruno Adelmo Franco, Thiago Batista Faleiro, Davi Araujo Veiga Rosário, Paula Braga Daltro, Vitor Fortuna
PURPOSE: The aim of this study was to describe the clinical features of osteonecrosis (ON) in sickle cell disease (SCD) patients in Bahia, a Northeast state with the highest prevalence of the disease in Brazil. METHODS: Between 2006 and 2017, 283 cases of osteonecrosis in SCD patients were enrolled to analyse the age at diagnosis, genotype, gender, pain, distribution of the lesions and disease staging. MRI and radiograph were obtained at the participation. RESULTS: Of the 283 SCD cases, 120 (42...
March 26, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29576925/effects-of-ulnar-styloid-fractures-on-unstable-distal-radius-fracture-outcomes-a-systematic-review-of-comparative-studies
#15
Sami Almedghio, Mohammed Shoaib Arshad, Fayez Almari, Indranil Chakrabarti
Purpose  In this literature review, functional outcomes such as Disability of Arm, Shoulder and Hand (DASH) score and the visual analog scale (VAS) of pain along with clinical outcomes such as range of movement and grip strength of treated distal radius fractures (DRF) accompanied with ulnar styloid fractures (USF) will be compared with those with isolated DRF. Materials and Methods  We analyzed articles from MEDLINE, Embase, and CINAHL that met our predetermined inclusion and exclusion criteria as per the Preferred Reporting Items for Systematic Reviews and Meta-analysis statements...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29572729/decision-making-for-complex-scapula-and-ipsilateral-clavicle-fractures-a-review
#16
REVIEW
Florian Hess, Ralph Zettl, Daniel Smolen, Christoph Knoth
INTRODUCTION: Complex scapula with ipsilateral clavicle fracures remains a challange and treatment recommendations are still missing.  This review provides an overview of the evolution of the definition, classification and treatment strategies for complex scapula and ipsilateral clavicle fractures. As with other rare conditions, consensus has not been reached on the most suitable management strategies to treat these patients. The aim of this review is twofold: to compile and summarize the currently available literature on this topic, and to recommend treatment approaches...
March 23, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29557927/upper-instrumented-vertebrae-uiv-tilt-angle-is-an-important-postoperative-radiological-parameter-that-correlates-with-postoperative-neck-and-medial-shoulder-imbalance
#17
Chris Yin Wei Chan, Chee Kidd Chiu, Xin Yi Ler, Yun Hui Ng, Xue Han Chian, Pheng Hian Tan, Mun Keong Kwan
STUDY DESIGN: Retrospective study. OBJECTIVE: To investigate the association between postoperative upper instrumented vertebra (UIV) Tilt Angle with postoperative medial shoulder and neck imbalance. SUMMARY OF BACKGROUND DATA: Studies had found that current recommendations for UIV selection were not predictive of good postoperative shoulder balance. METHODS: 98 AIS patients with Lenke 1/2 curves who underwent posterior spinal fusion between 2013 and 2014 with minimum follow up of 2 years were recruited...
March 19, 2018: Spine
https://www.readbyqxmd.com/read/29557754/arnica-compositum-hekla-lava-and-acidum-nitricum-together-are-superior-to-arnica-compositum-alone-in-the-local-treatment-of-symptomatic-calcific-periarthritis-of-the-shoulder-a-pilot-study
#18
Simone Zanella, Francesco Buccelletti, Francesco Franceschi, Claudio Ramponi, Federica Spagnolli, Gianpaolo Sacchetti, Giovanna Oliva
BACKGROUND: To evaluate the usefulness of Arnica compositum (AC) + Acidum nitricum (AN) + Hekla lava (HL) ointment in Emergency Medicine Department (EMD) as alternative non-pharmacological local treatment of patients with symptomatic calcific periarthritis of the shoulder (CPS) and to compare the effectiveness of this mixture against AC ointment alone. METHODS: A series of 41 consecutive patients (20 women, 19 men, median age 49 years, range 25-80 years) with non-traumatic painful unilateral CPS were randomly assigned to receive local treatment with AC+AN+HL ointment mixture (Group A, cases, N=21) or AC ointment alone (Group B, controls, N=20)...
March 19, 2018: Reviews on Recent Clinical Trials
https://www.readbyqxmd.com/read/29555560/total-shoulder-prosthesis-with-humeral-resurfacing-impact-on-lateral-offset-and-short-term-clinical-consequences
#19
A Galland, S Airaudi, J Mancini, R Gravier, D Camus
BACKGROUND: Reports of early glenoid wear after humeral resurfacing hemiarthroplasty have prompted the use, in combination with this procedure, of newly developed glenoid implants. This combination can increase global humeral offset. The objectives of this study were to assess changes in overall lateral offset and their potential short-term clinical consequences after combined humeral resurfacing and glenoid replacement. HYPOTHESIS: Combined humeral resurfacing and glenoid replacement induces a large increase in overall lateral offset, resulting in short-term clinical consequences...
March 16, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29551344/surgical-treatment-of-enchondromas-of-the-hand-during-childhood-in-ollier-disease
#20
Céline Klein, Tiphanie Delcourt, Arielle Salon, Georges Finidori, Christophe Glorion, Stéphanie Pannier
PURPOSE: The objective of the present study was to evaluate the outcome of surgical treatment of hand lesions in Ollier disease (OD) carried out during childhood. METHODS: A retrospective review was carried out of 10 pediatric patients with hand involvement of OD, who had undergone surgery for metacarpal or phalangeal enchondromas. The technique comprised curettage and cortical bone reconstruction with corticoplasty, to restore a near-normal phalangeal volume. The range of finger motion (pulp-to-palm distance), the shortened Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire score, cosmetic improvement, radiological findings (according to Tordai's classification), and recurrence were recorded after a mean follow-up of 7...
March 15, 2018: Journal of Hand Surgery
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