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https://www.readbyqxmd.com/read/27825707/reverse-shoulder-arthroplasty-with-glenoid-bone-grafting-for-anterior-glenoid-rim-fracture-associated-with-glenohumeral-dislocation-and-proximal-humerus-fracture
#1
R Garofalo, F Brody, A Castagna, E Ceccarelli, S G Krishnan
BACKGROUND: Large fractures of the anterior glenoid rim can result in persisting instability and osteoarthritis of the glenohumeral joint When this fracture is associated with a glenohumeral dislocation and proximal humerus fracture could be a concern. The goal of this paper was to evaluate the clinical and radiological outcomes and complications of reverse shoulder arthroplasty (RSA) and glenoid bone graft in cases with a significant anterior glenoid fracture associated with a proximal humerus fracture...
December 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27802889/is-central-skeleton-bone-quality-a-predictor-of-the-severity-of-proximal-humeral-fractures
#2
Seung Yeol Lee, Soon-Sun Kwon, Tae Hoon Kim, Sang-Jin Shin
INTRODUCTION: The objectives of this study were to evaluate the correlation between bone attenuation around the shoulder joint assessed on conventional computed tomography (CT) and bone mineral density (BMD) based on dual-energy X-ray absorptiometry (DEXA) of the central skeleton and the correlation between the bone quality around the shoulder joint and the severity of the fracture pattern of the proximal humerus. MATERIALS AND METHODS: A total of 200 patients with proximal humeral fracture who underwent preoperative 3-dimensional shoulder CT as well as DEXA within 3 months of the CT examination were included...
December 2016: Injury
https://www.readbyqxmd.com/read/27785555/clinical-and-radiologic-outcomes-of-arthroscopic-suture-bridge-repair-for-the-greater-tuberosity-fractures-of-the-proximal-humerus
#3
Jong-Hun Ji, Jae-Jung Jeong, Young-Yul Kim, Se-Won Lee, Do-Yeol Kim, Sang-Eun Park
PURPOSE: To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint. METHODS: From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated...
October 26, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27727052/comparative-study-of-total-shoulder-arthroplasty-versus-total-shoulder-surface-replacement-for-glenohumeral-osteoarthritis-with-minimum-2-year-follow-up
#4
Bauke W Kooistra, W Jaap Willems, Eelke Lemmens, Bas P Hartel, Michel P J van den Bekerom, Derek F P van Deurzen
BACKGROUND: Compared with total shoulder arthroplasty (TSA), total shoulder surface replacement (TSSR) may offer the advantage of preservation of bone stock and shorter surgical time, possibly at the expense of glenoid component positioning and increasing lateral glenohumeral offset. We hypothesized that in patients treated for osteoarthritis with a sufficient rotator cuff, TSA and TSSR patients have comparable functional outcome, glenoid component version, and lateral glenohumeral offset...
October 7, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27717542/is-radiograph-glenopolar-angle-accurate-for-extraarticular-scapular-neck-fractures
#5
Ritwik Kejriwal, Tarun Ahuja, Thin Hong
BACKGROUND: Plain radiographs still play a role in management of extraarticular scapular neck fractures. Glenopolar angle (GPA) is one of the radiograph measurements that is used to determine the necessity for surgery. Our aim was to establish reliability of GPA on plain radiograph in patients with extraarticular scapular neck fractures. METHODS: We performed a multicentre retrospective study including all patients with extraarticular scapular neck fractures with available imaging between 2006 and 2012...
December 2016: Injury
https://www.readbyqxmd.com/read/27716461/ct-scan-evaluation-of-glenoid-bone-and-pectoralis-major-tendon-interest-in-shoulder-prosthesis
#6
Laurent Obert, Christelle Peyron, Etienne Boyer, Gauthier Menu, François Loisel, Sébastien Aubry
INTRODUCTION: The shoulder arthroplasty brings satisfaction to patients in terms of quality of life and indolence. However whether anatomic implant or reverse, it does not escape from the loosening of the glenoid component. Moreover, optimal implantation is required to ensure the functional outcome without shortening of the arm. The purpose of this study is obtain CT scan evaluation of the glenoid bone stock in order to optimize glenoid component implantation and obtain a reference to determine optimal humeral component placement in case of humeral proximal fracture...
2016: SICOT-J
https://www.readbyqxmd.com/read/27707848/functional-outcomes-after-operative-management-of-extra-articular-glenoid-neck-and-scapular-body-fractures
#7
Lisa K Schroder, Erich M Gauger, Jeffrey A Gilbertson, Peter A Cole
BACKGROUND: This study's purpose was to assess patient-based functional outcomes following open reduction and internal fixation (ORIF) of displaced scapular body and glenoid neck fractures. This series represents a 9-year experience at a level-I trauma center and referral destination for this injury. METHODS: A database was established to record surgical and functional outcomes of scapular fractures treated with ORIF. For this report, the cases of all patients who had a glenoid neck or scapular body fracture (AO/OTA 14-A3 or 14-C1) without intra-articular involvement were reviewed...
October 5, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27702451/sex-estimation-from-the-scapula-in-a-contemporary-chilean-population
#8
Tanya R Peckmann, Ciara Logar, Susan Meek
The scapula is valuable for sex estimation in human skeletons. Muscles provide protection to the scapula making it difficult to fracture, therefore increasing the potential for undamaged scapulae at forensic scenes. The goal of this project is to evaluate the accuracy of discriminant functions, created using an indigenous Guatemalan and contemporary Mexican population, when applied to a contemporary Chilean sample for estimation of sex from the scapula. The length of the glenoid cavity (LGC) and breadth of the glenoid cavity (BGC) were measured...
September 2016: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/27617665/a-prospective-comparative-study-of-arthroscopic-versus-mini-open-latarjet-procedure-with-a-minimum-2-year-follow-up
#9
Blandine Marion, Shahnaz Klouche, Julien Deranlot, Thomas Bauer, Geoffroy Nourissat, Philippe Hardy
PURPOSE: To compare postoperative pain during the first postoperative week and the position of the coracoid bone block at the anterior aspect of the glenoid after the arthroscopic and the mini-open Latarjet procedure. The secondary purpose was to assess functional results and recurrence after at least 2 years of follow-up. METHODS: This comparative prospective study included patients who underwent a Latarjet-Bristow procedure for anterior shoulder instability in 2012...
September 8, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27583005/acromial-and-scapular-spine-fractures-after-reverse-total-shoulder-arthroplasty
#10
Ian P Mayne, Simon N Bell, Warwick Wright, Jennifer A Coghlan
Acromial and scapular spine fractures after reverse total shoulder arthroplasty occur predominantly as a result of bony insufficiency secondary to patient and intra-operative technical factors. The spectrum of the pathology can range from a stress reaction to an undisplaced or displaced fracture. Prompt diagnosis of these fractures requires a high suspicion in the postoperative patient with a clinical presentation of acute onset of pain along the acromion or scapular spine and/or deterioration of shoulder function...
April 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27566616/clinical-and-radiologic-outcomes-of-the-second-generation-trabecular-metal%C3%A2-glenoid-for-total-shoulder-replacements-after-2-6%C3%A2-years-follow-up
#11
Juan Paulo Panti, Simon Tan, Warren Kuo, Sebastian Fung, Kim Walker, Jed Duff
BACKGROUND: A porous tantalum glenoid component for total shoulder replacements was introduced in 2003 to promote biologic ingrowth. However, reports of component failure prompted design modifications. The purpose of this study is to present the largest series to date, of TSR with the second-generation Trabecular Metal™ glenoid component. METHOD: A radiologic and clinical evaluation of the second-generation TM glenoid was conducted in consecutive cases of 76 shoulders (66 patients) with a mean follow-up of 43...
August 26, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27566458/total-alloplastic-joint-reconstruction-in-a-patient-with-temporomandibular-joint-ankylosis-following-condylar-dislocation-into-the-middle-cranial-fossa
#12
Ephraim R Rikhotso, Muhammad A Bobat
PURPOSE: Traumatic dislocation of the mandibular condyle into the middle cranial fossa is an extremely rare complication of maxillofacial injury. Management case of the of dislocation of the mandibular condyle complicated by bilateral temporomandibular joint ankylosis is presented. MATERIALS AND METHODS: A 17year old male patient presented to the outpatient clinic complaining of inability to open his mouth following a motor vehicle accident 6 months prior. Examination revealed bilateral TMJ ankylosis following left condylar head fracture and dislocation of the right condylar head into the middle cranial fossa...
December 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27545049/risk-factors-for-glenoid-erosion-in-patients-with-shoulder-hemiarthroplasty-an-analysis-of-118-cases
#13
Ramin Herschel, Karl Wieser, Mark E Morrey, Carlos H Ramos, Christian Gerber, Dominik C Meyer
BACKGROUND: Glenoid erosion is one of the main concerns in shoulder hemiarthroplasty. The goal of this study was to quantify glenoid erosion and to identify risk factors in patients with humeral hemiarthroplasty. METHODS: There were 118 shoulders in 113 patients available for a standardized retrospective review. Erosion was graded as follows: grade 1, none; grade 2, mild (erosion into subchondral bone); grade 3, moderate (medialization of subchondral bone with hemispheric deformation); or grade 4, severe...
August 18, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27522339/primary-shoulder-arthroplasty-using-a-custom-made-hip-inspired-implant-for-the-treatment-of-advanced-glenohumeral-arthritis-in-the-presence-of-severe-glenoid-bone-loss
#14
Ramsey Chammaa, Ofir Uri, Simon Lambert
BACKGROUND: Total shoulder arthroplasty for end-stage glenohumeral arthritis with severe glenoid bone loss poses a unique challenge for shoulder surgeons. Current surgical solutions are limited and associated with high complication rates. We hypothesized that a custom-made computer-aided design-computer-aided manufacturing (CAD-CAM) total shoulder replacement (TSR; Stanmore Implants Worldwide, Elstree, UK) resembling a total hip prosthesis could offer a reliable alternative for this challenging subset of patients...
August 10, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27522338/reverse-arthroplasty-for-patients-with-chronic-locked-dislocation-of-the-shoulder-type-2-fracture-sequela
#15
Patric Raiss, T Bradley Edwards, Thomas Bruckner, Markus Loew, Felix Zeifang, Gilles Walch
BACKGROUND: The aim of this multicenter study was to analyze the clinical and radiographic outcome and to report on the types of complications in patients with chronic locked shoulder dislocation treated with reverse shoulder arthroplasty. METHODS: Twenty-two patients with a mean age of 71 years were included. The mean duration of follow-up was 3.5 years. Preoperatively, computed tomography or magnetic resonance imaging scans were performed and analyzed for bone defects and the status of the rotator cuff...
August 10, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27521141/long-term-analysis-of-revision-reverse-shoulder-arthroplasty-using-cemented-long-stems
#16
Birgit S Werner, Ayman F Abdelkawi, Dorota Boehm, Robert Hudek, Piet Plumhoff, Klaus J Burkhart, Frank Gohlke
BACKGROUND: Revision of failed shoulder arthroplasty is often associated with poor results and a high rate of complications. Significant humeral bone loss after removal of long stems poses a considerable surgical challenge. Therefore, the aim of our study was the evaluation of the clinical and radiologic outcome of cemented long-stem humeral components in revision reverse shoulder arthroplasty with a minimum 5 years' follow-up. METHODS: Between June 2001 and June 2009, revision reverse shoulder arthroplasty using long-stem cemented humeral components was performed in 124 patients...
August 9, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27519693/advanced-imaging-of-glenohumeral-instability-the-role-of-mri-and-mdct-in-providing-what-clinicians-need-to-know
#17
Shadpour Demehri, Nima Hafezi-Nejad, Elliot K Fishman
The inherently unstable anatomy of glenohumeral (GH) joint predisposes it to shoulder dislocation. Shoulder dislocation can occur either due to acute trauma or due to chronic microtraumas in the setting of underlying morphological abnormality. A plain radiograph is the initial imaging modality for diagnosis and management of shoulder dislocation and its associated osseous abnormalities such as Hill-Sachs deformity or osseous Bankart lesion. However, advanced imaging techniques such as multidetector CT (MDCT) with three-dimensional (3D) volume rendering and MRI can be helpful in further characterization of osseous abnormalities and detection of associated soft tissue injuries, respectively...
August 13, 2016: Emergency Radiology
https://www.readbyqxmd.com/read/27514634/safety-and-efficacy-of-shoulder-arthroplasty-following-lower-extremity-periprosthetic-joint-infection
#18
William R Aibinder, Bradley S Schoch, Robert H Cofield, Joaquin Sánchez-Sotelo, John W Sperling
BACKGROUND: The safety of arthroplasty in patients with a previous periprosthetic joint infection (PJI) remains unclear. The objective of this study was to determine whether patients with a history of a properly treated PJI complicating lower extremity arthroplasty can safely undergo shoulder arthroplasty without an increased risk of shoulder infection or compromise in their clinical outcomes. METHODS: Between 2002 and 2013, 36 patients with successful treatment of an infected lower extremity arthroplasty underwent a subsequent primary shoulder arthroplasty...
August 8, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27496353/intermediate-term-outcome-of-hemiarthroplasty-for-comminuted-proximal-humerus-fractures
#19
Yeong Kyoon Park, Sae Hoon Kim, Joo Han Oh
BACKGROUND: The purpose of this study was to evaluate the outcome of hemiarthroplasty for comminuted proximal humerus fractures and to verify the risk factors for functional and radiologic outcomes. MATERIALS AND METHODS: We treated 29 comminuted proximal humerus fractures by hemiarthroplasty with a low-profile prosthesis and a bone block graft, with an average follow-up period of 53.9 (24-119) months. The patients' mean age at surgery was 71.7 (52-85) years. We evaluated visual analog scale (VAS) scores for pain and satisfaction, active range of motion, modified University of California-Los Angeles (UCLA) score, and shortened Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score...
August 2, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27478665/sword-like-trauma-to-the-shoulder-with-open-head-splitting-fracture-of-the-head
#20
Andreas Panagopoulos, Konstantinos Pantazis, Ilias Iliopoulos, Ioannis Seferlis, Zinon Kokkalis
Head-splitting fractures occur as a result of violent compression of the head against the glenoid; the head splits and the tuberosities may remain attached to the fragments or split and separate. Isolated humeral head-splitting fractures are rare injuries. Favorable results with osteosynthesis can be difficult to achieve because of the very proximal location of the head fracture and associated poor vascularity. We present a case of a 67-year-old man who sustained a severe, sword-like trauma to his left shoulder after a road traffic accident with associated isolated open Gustilo-Anderson IIIA humeral head-splitting fracture...
2016: Case Reports in Orthopedics
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