keyword
https://read.qxmd.com/read/37975490/concomitant-biceps-tenodesis-does-not-portend-inferior-outcomes-after-anterior-glenohumeral-stabilization
#21
JOURNAL ARTICLE
Clare K Green, John P Scanaliato, Alexis B Sandler, Cole M Patrick, John C Dunn, Nata Parnes
BACKGROUND: Military patients are known to suffer disproportionately high rates of glenohumeral instability as well as superior labrum anterior to posterior (SLAP) tears. Additionally, a concomitant SLAP tear is frequently observed in patients with anterior shoulder instability. Even though biceps tenodesis has been demonstrated to produce superior outcomes to SLAP repair in military patients with isolated SLAP lesions, no existing studies have reported on outcomes after simultaneous tenodesis and anterior labral repair in patients with co-existing abnormalities...
December 2023: American Journal of Sports Medicine
https://read.qxmd.com/read/37959173/glenohumeral-pathologies-following-primary-anterior-traumatic-shoulder-dislocation-comparison-of-magnetic-resonance-arthrography-and-arthroscopy
#22
JOURNAL ARTICLE
Oliver Holub, Jakob E Schanda, Sandra Boesmueller, Marion Tödtling, Alexander Talaska, Rudolf M Kinsky, Rainer Mittermayr, Christian Fialka
BACKGROUND: We assessed intraarticular injuries in patients after primary anterior traumatic shoulder dislocation by comparing magnetic resonance arthrography (MRA) results with concomitant arthroscopic findings. METHODS: All patients with primary traumatic shoulder dislocation who underwent arthroscopic surgery between 2001 and 2020 with preoperative MRA were included in this study. MRA was retrospectively compared with arthroscopic findings. Postoperative shoulder function was prospectively assessed using the Disabilities of Arm, Shoulder and Hand score (quick DASH), the Oxford Shoulder Score (OSS), the Subjective Shoulder Value (SSV), as well as the rate of return to sports...
October 24, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37941104/effect-of-cervicothoracic-junction-liv-selection-on-posterior-cervical-fusion-mechanical-failure-a-systematic-review-and-meta-analysis
#23
JOURNAL ARTICLE
Joseph T Labrum, William H Waddell, Rishabh Gupta, Rogelio A Coronado, Alicia Hymel, Anthony Steinle, Amir M Abtahi, Byron F Stephens
STUDY DESIGN: Systematic review and Meta-analysis. OBJECTIVE: Analyze and summarize literature evaluating the role of C7, T1, and T2 lowest instrumented vertebra (LIV) selection in posterior cervical fusion (PCF) and if this affects the progression of mechanical failure and revision surgery. SUMMARY OF BACKGROUND DATA: Literature evaluating mechanical failure and adjacent segment disease in the setting of PCF at or nearby the cervicothoracic junction (CTJ) remains limited with studies reporting conflicting results...
November 6, 2023: Clinical Spine Surgery
https://read.qxmd.com/read/37937094/revealing-a-natural-model-of-pre-osteoarthritis-of-the-hip-through-study-of-femoroacetabular-impingement
#24
JOURNAL ARTICLE
Cecilia Pascual-Garrido, Kenichi Kikuchi, John C Clohisy, Regis J O'Keefe, Tomoyuki Kamenaga
Femoroacetabular impingement (FAI) is considered the mechanical cause of hip osteoarthritis (OA). Surgical intervention involves labrum repair and osteochondroplasty to remove the impingement, alleviating symptoms. Nevertheless, some patients progress to hip OA after surgery, indicating that factors other than mechanical abnormality are contributing to hip OA progression. This review article discusses our laboratory's studies on hip FAI and OA, undertaken to identify key molecular players in the progression of hip OA...
November 2023: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://read.qxmd.com/read/37908776/shoulder-intra-articular-temperature-is-higher-in-patients-with-small-rotator-cuff-tears-compared-with-patients-who-have-larger-tears
#25
JOURNAL ARTICLE
Stefano Gumina, Marco Rionero, Jacopo Preziosi Standoli, Matteo Cantore, Vittorio Candela
PURPOSE: The purpose of this study was to determine whether the intra-articular temperature of the shoulder correlates with the size of the tendon tear in patients with rotator cuff tears (RCTs). METHODS: The shoulder intra-articular temperature of 75 consecutive (32 female, 43 male; mean age 61.12; standard deviation = 7.10) patients who underwent arthroscopic rotator cuff repair was measured with a digital thermometer, at first in 2 points (biceps anchor and glenoid labrum) during dry arthroscopy, followed by a third measurement during wet arthroscopy...
December 2023: Arthroscopy, sports medicine, and rehabilitation
https://read.qxmd.com/read/37898306/arthroscopic-labral-reconstruction-with-a-modified-inferior-capsular-shift-allows-return-to-sport-and-excellent-outcomes-in-contact-and-non-contact-athletes-with-anterior-shoulder-instability-at-minimum-5-year-follow-up
#26
JOURNAL ARTICLE
Kevin D Plancher, Karen K Briggs, Philip Zuccaro, Erin E Tucker, Stephanie C Petterson
PURPOSE: To compare return to sport, functional outcomes, recurrence of instability, and osteoarthritis(OA) between collision/contact and limited/non-contact athletes following arthroscopic labral reconstruction with a modified inferior capsular shift for anterior shoulder instability. METHODS: Athletes underwent an arthroscopic labral reconstruction with a modified inferior capsular shift, by the senior author between 1999 and 2017. Inclusion criteria were labral stripping from 12(just beyond the biceps anchor) to 6 o'clock, less than 20% glenoid bone loss, active sports participation, and no prior surgery...
October 26, 2023: Arthroscopy
https://read.qxmd.com/read/37858314/double-trouble-combined-neurogenic-thoracic-outlet-syndrome-and-superior-labrum-anterior-posterior-tear
#27
JOURNAL ARTICLE
Ashlee Stutsrim, Benjamin Albertson, Brian Waterman, Julie Freischlag
Neurogenic thoracic outlet syndrome and superior labrum anterior posterior tears are usually treated in a staged manner due to different post-operative therapy needs. This case describes successful combined surgery with expedited physical therapy.
October 19, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/37797939/similar-outcomes-between-biceps-tenodesis-and-slap-repair-for-slap-tears-in-younger-patients-a-meta-analysis
#28
REVIEW
Eoghan T Hurley, Rafeal Baker, Richard Danilkowicz, Jay Levin, Christopher Klifto, Jonathan F Dickens, Dean Taylor, Brian Lau
OBJECTIVES: The purpose of this study is to systematically review the comparative studies in the literature to ascertain if biceps tenodesis or superior-labrum anterior to posterior (SLAP) repair results in superior clinical outcomes in the treatment of type II SLAP tears in patients under 40. METHODS: A systematic search of articles in Pubmed, EMBASE and The Cochrane Library databases was carried out according to the PRISMA guidelines. Cohort studies comparing biceps tenodesis to repair in type II SLAP tears in patients under 40 were included...
October 3, 2023: Journal of ISAKOS
https://read.qxmd.com/read/37790009/humeral-head-articular-cartilage-damage-by-a-retained-arthroscopic-suture-anchor-inserter-in-a-college-athlete
#29
Robert Wood, Christopher McCrum
Arthroscopic repair of the glenoid labrum has been shown to be a safe and effective method to address recurrent shoulder instability. However, suture anchor devices must be used appropriately and with caution to avoid postoperative complications such as prominence, migration, and loosening, which can result in intraarticular pathology postoperatively. We report a case of significant glenohumeral articular cartilage damage that occurred as a result of a retained broken suture anchor inserter after arthroscopic Bankart repair...
September 2023: Curēus
https://read.qxmd.com/read/37780652/modified-loop-suture-technique-in-arthroscopic-labral-repair-of-the-hip
#30
JOURNAL ARTICLE
Ryan H Barnes, W Kelton Vasileff
Hip arthroscopy is rapidly increasing in case volume annually in the United States. However, it remains a challenging surgery with a steep learning curve. Labral repair is commonly performed to preserve the labrum rather than labral debridement or reconstruction. Many techniques have been described for labral repair. In this technical note, we describe our technique for a modified loop suture technique for arthroscopic labral repair of the hip.
September 2023: Arthroscopy Techniques
https://read.qxmd.com/read/37770871/intra-articular-temperature-monitoring-during-radiofrequency-ablation-in-ex-vivo-bovine-hip-joints-via-fiber-bragg-grating-sensors
#31
JOURNAL ARTICLE
Umile Giuseppe Longo, Francesca De Tommasi, Giuseppe Salvatore, Alberto Lalli, Daniela Lo Presti, Carlo Massaroni, Emiliano Schena
PURPOSE: Radiofrequency ablation is an increasingly used surgical option for ablation, resection and coagulation of soft tissues in joint arthroscopy. One of the major issues of thermal ablation is the temperature monitoring across the target areas, as cellular mortality is a direct consequence of thermal dosimetry. Temperatures from 45 °C to 50 °C are at risk of damage to chondrocytes. One of the most reliable tools for temperature monitoring is represented by fiber optic sensors, as they allow accurate and real-time temperature measurement via a minimally invasive approach...
September 28, 2023: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/37750263/segmentation-of-measurable-images-from-standard-plane-of-graf-hip-ultrasonograms-based-on-mask-region-based-convolutional-neural-network
#32
JOURNAL ARTICLE
Aysun Sezer, Hasan Basri Sezer
OBJECTIVES: This study proposed a Mask Region-Based Convolutional Neural Network (R-CNN)-based automatic segmentation to accurately detect the measurable standard plane of Graf hip ultrasonography images via segmentation of the labrum, lower limb of ilium, and the iliac wing. PATIENTS AND METHODS: The study examined the hip ultrasonograms of 675 infants (205 males, 470 females; mean age: 7±2.8 weeks; range, 3 to 20 weeks) recorded between January 2011 and January 2018...
September 20, 2023: Joint diseases and related surgery
https://read.qxmd.com/read/37732715/can-the-acetabular-labrum-be-reconstructed-with-a-meniscal-allograft-an-in-vivo-pig-model
#33
JOURNAL ARTICLE
Maihemuti Maimaitimin, Fan Yang, Hongjie Huang, Yingfang Ao, Jianquan Wang
BACKGROUND: No single graft type has been shown to have a benefit in acetabular labral reconstruction. The native labrum and lateral meniscus share many similarities, suggesting that the meniscus may be a promising source of graft material in labral reconstruction. QUESTIONS/PURPOSES: Using a pig model, we sought to evaluate the healing process of fresh-frozen meniscus allograft for acetabular reconstruction by assessing (1) MRI and macroscopic observations of the meniscus allograft; (2) histologic appearance and immunohistologic evaluation of the meniscus allograft, native meniscus, and labrum; (3) microscopic assessment of the native labrum and meniscus via scanning electron microscopy; and (4) biomechanical assessment of tensile properties...
September 19, 2023: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/37723972/femoroacetabular-impingement-and-the-effect-of-osteochondroplasty-on-hip-osteoarthritis-prevention-the-pandora-s-box-opening-process
#34
JOURNAL ARTICLE
José M Lamo-Espinosa, Jorge Gómez-Álvarez, Elena Pascual Roquet-Jalmar, Asier Iribarren, Anne Recke, María Cruz Roa, Andrés Valentí-Azcárate, Froilán Granero-Moltó, Mikel San-Julián
OBJECTIVE: This study was conducted to assess the effect of osteochondroplasty on osteoarthritis (OA) prevention, comparing radiological evolution between identical hips from the same patient who had undergone unilateral surgery. DESIGN: We retrospectively reviewed radiological evolution between hips with similar shape from the same patient who had undergone unilateral surgery. In all, 56 FAI patients (112 hips) with a mean age of 42.18 ± 9.16 years and had undergone unilateral arthroscopy treatment have been included...
September 18, 2023: Cartilage
https://read.qxmd.com/read/37719809/the-influence-of-posterior-acromial-morphology-on-outcomes-and-return-to-pushups-in-young-patients-undergoing-arthroscopic-posterior-capsulolabral-repair
#35
JOURNAL ARTICLE
Joseph W Galvin, Patrick Rooney, John Slevin, Henry H Yu, John M Tokish, Jason A Grassbaugh, Edward D Arrington
BACKGROUND: Prior evidence has identified specific posterior acromial morphology as significantly associated with unidirectional posterior shoulder instability. The purpose of this study is to determine the influence of posterior acromial morphology on the outcomes of arthroscopic posterior capsulolabral repair (APCLR) for unidirectional posterior shoulder instability. Additionally, we sought to determine the influence of posterior acromial morphology on the rate and time to return to pushups following APCLR...
September 2023: JSES international
https://read.qxmd.com/read/37587498/modified-arthroscopic-intra-articular-transtendinous-looped-biceps-tenodesis-leads-to-satisfactory-functional-outcomes-and-less-frequent-popeye-deformity-compared-to-biceps-tenotomy
#36
JOURNAL ARTICLE
Chen-Hao Chiang, Wei Ho, Chang-Hao Lin, Wei-Hsing Chih, Wei-Ren Su, Chih-Kai Hong
PURPOSE: The present study aimed to propose a modified intra-articular transtendinous looped biceps tenodesis (mTLBT) using a suture anchor and to compare the functional outcomes and incidence of Popeye deformities between biceps tenotomy and mTLBT. METHODS: Medical records of patients who underwent either tenotomy or mTLBT for the long head of the biceps tendon (LHBT) lesion between January 2016 and April 2021 were retrospectively reviewed. The inclusion criteria were patients aged 40-70 years with LHBT pathologies, such as superior labrum anterior to posterior (SLAP) lesions > type II, LHBT pulley system rupture with bicipital instability, and intra-articular LHBT tear...
August 16, 2023: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/37529197/anterior-shoulder-instability-and-open-procedures-history-indications-and-clinical-outcomes
#37
REVIEW
Mohamad Y Fares, Peter Boufadel, Mohammad Daher, Jonathan Koa, Akshay Khanna, Joseph A Abboud
The shoulder, being the most mobile joint in the human body, is often susceptible to dislocations and subluxations more so than other joints. As such, shoulder instability constitutes a common complaint among patients worldwide, especially those who are young, participate in contact sports, and have increased innate flexibility in their joints. Management options in the setting of instability vary between conservative and surgical options that aim to mitigate symptoms and allow return of function. Surgical options can be arthroscopic and open, with a general shift among surgeons towards utilizing arthroscopic surgery in the past several decades...
August 2023: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/37507000/does-glenoid-bone-loss-accompany-shoulder-instability-with-only-labral-tear-a-magnetic-resonance-imaging-based-study
#38
JOURNAL ARTICLE
Özlem Orhan, Erdem Aras Sezgin, Mustafa Özer, Muhammet Baybars Ataoğlu, Ulunay Kanatlı
BACKGROUND: The primary aim of this study was to investigate bone loss in the glenoid with magnetic resonance imaging (MRI) in posterior shoulder instability with only a labral tear. METHODS: A total of 76 patients operated on due to posterior and anteroposterior shoulder instability only with a labral tear between 2006 and 2019 (n=40, n=36; respectively) were included in this study. The instability type, a presence of an additional SLAP lesion, the number of dislocations, and the MRI-based measurements (the glenoid diameter and the bone defect size in the glenoid, the Hill-Sachs lesion (HSL), and the reverse Hill-Sachs lesion (rHSL) length, the angle and the arc length of HSL and rHSL, the humerus head diameter and its area) were analyzed...
July 26, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/37499784/the-shoulder-joint-complex-in-the-throwing-motion
#39
REVIEW
W Ben Kibler, Aaron D Sciascia, W Jeff Grantham
The shoulder joint complex in the overhead athlete is organized to effectively transfer the proximally generated forces distally into the arm. The organization also protects the joints and anatomic structures against the repetitive high velocities, large ranges of motions, and compressive, shear, translational, and distraction loads in the overhead motion while placing the hand in the "launch window." Coupling of the movements of the scapula, clavicle, and humerus results in scapulohumeral rhythm (SHR). Effective SHR requires the clavicle and scapula-and, at times, the mechanically linked claviscapular segment-to move the arm into the task-specific position and motion and requires the humerus to move through the ranges of motion to achieve the specific task in the throwing motion...
July 26, 2023: Journal of Shoulder and Elbow Surgery
https://read.qxmd.com/read/37437966/three-dimensional-ct-and-3d-mri-of-hip-important-aids-to-hip-preservation-surgery
#40
REVIEW
Ajit Kohli, Shuda Xia, Joel E Wells, Avneesh Chhabra
Common hip internal derangements include femoroacetabular impingement (FAI), developmental dysplasia of hip (DDH) dysplasia, and avascular necrosis (AVN) of the femoral head. These are initially screened by radiographs. For preoperative planning of hip preservation, 3-dimensional (3D) CT is commonly performed to assess bony anatomy and its alterations. Magnetic resonance imaging (MRI) is used to evaluate labrum, hyaline cartilage, tendons, synovium, and loose bodies, and provides vital information for surgical decision-making...
August 2023: Seminars in Ultrasound, CT, and MR
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