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https://www.readbyqxmd.com/read/29051871/bilateral-divergent-shoulder-s-fracture-dislocation-case-in-an-ischemic-stroke-patient
#1
Atchi Walla, Faré Gnandi-Piou, Pilakimwé Egbohou, Komi Assogba, Mawuko Quacoe
INTRODUCTION: The literature review revealed that nowadays only about 15 cases of bilateral shoulder dislocation associated with the fracture of the upper end of the humerus have been published. The triad of lesional mechanism designated by the triple syndrome E composed of epilepsy, electrocution, and external trauma was the circumstances noted in which these fractures dislocations occur with migration of the two humeral heads either forward or backward. CASE REPORT: An architect of 36-year-old, right-handed, was admitted in emergency department for loss of knowledge of progressive installation...
May 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29038953/current-concepts-in-rehabilitation-for-traumatic-anterior-shoulder-instability
#2
REVIEW
Richard Ma, Olubusola A Brimmo, Xinning Li, Lindsey Colbert
PURPOSE OF REVIEW: The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. RECENT FINDINGS: The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair...
October 16, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29035662/treatment-of-medial-shoulder-joint-instability-in-dogs-by-extracapsular-stabilization-with-a-prosthetic-ligament-39-cases-2008-2013
#3
Erica M O'Donnell, Sherman O Canapp, James L Cook, Fred Pike
OBJECTIVE To investigate clinical outcomes for dogs surgically treated for medial shoulder joint instability (MSI) by extracapsular stabilization with a prosthetic ligament. DESIGN Retrospective multicenter case series. ANIMALS 39 client-owned dogs. PROCEDURES Medical records of 3 veterinary medical centers were searched to identify dogs with MSI diagnosed by clinical examination and arthroscopic assessment and treated by extracapsular stabilization with a prosthetic ligament. A minimum 6-month follow-up period was required for study inclusion...
November 1, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/29028848/the-stability-of-augmented-bone-between-two-different-membranes-used-for-guided-bone-regeneration-simultaneous-with-dental-implant-placement-in-the-esthetic-zone
#4
Sirida Arunjaroensuk, Soontra Panmekiate, Atiphan Pimkhaokham
PURPOSE: This randomized controlled clinical trial compared the stability of augmented bone between a synthetic resorbable membrane and a collagen resorbable membrane with guided bone regeneration (GBR) simultaneous with dental implant placement in the esthetic zone in terms of facial bone thickness. MATERIALS AND METHODS: A total of 60 dental implants from patients requiring implant placement with simultaneous GBR in the esthetic zone were equally allocated to the test group or control group by block randomization...
October 13, 2017: International Journal of Oral & Maxillofacial Implants
https://www.readbyqxmd.com/read/29025605/comparison-between-carbon-peek-volar-locking-plates-and-titanium-volar-locking-plates-in-the-treatment-of-distal-radius-fractures
#5
Dario Perugia, Matteo Guzzini, Daniele Mazza, Carlo Iorio, Carolina Civitenga, Andrea Ferretti
INTRODUCTION: Unstable intra articular fractures of distal radius are frequently being managed with open reduction and internal fixation. Volar locking plate based on polyetheretherketon (PEEK) polymer has developed lately as an alternative to conventional metallic devices. The advantage of this kind of plates include the lack of metal allergies, radiolucency, low artefacts on MRI or imaging scans and the high resistance associated to loading forces. The aim of this study was to evaluate the clinical and radiological results using a new Carbon-PEEK volar locking plate compared with titanium volar locking plates for the treatment of distal radius fractures...
October 2017: Injury
https://www.readbyqxmd.com/read/28991961/b-oh-4-hydration-and-association-in-sodium-metaborate-solutions-by-x-ray-diffraction-and-empirical-potential-structure-refinement
#6
Yongquan Zhou, Souta Higa, Chunhui Fang, Yan Fang, Wenqian Zhang, Toshio Yamaguchi
X-ray diffraction is used to study the structure of aqueous sodium metaborate solutions at salt concentrations of 1, 3, and 5 (oversaturated) mol dm(-3). The X-ray structure factors are subjected to empirical potential structure refinement (EPSR) modelling to extract the individual site-site pair correlation functions, the coordination numbers, and the spatial density functions (three-dimensional structure) of ion hydration and association as well as solvent water in the borate solutions. The sodium ion is surrounded on average by (5...
October 18, 2017: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/28989939/recovery-of-shoulder-rotational-muscle-strength-after-arthroscopic-bankart-repair
#7
Masatoshi Amako, Hiroshi Arino, Yoshifumi Tsuda, Toyokazu Tsuchihara, Koichi Nemoto
BACKGROUND: Shoulder rotational muscles act as dynamic stabilizers of the glenohumeral joint, and the recovery of muscle strength plays an important role in stabilizing the joint during postoperative rehabilitation. However, temporal changes in muscle strength after arthroscopic Bankart repair have not been clarified. PURPOSE: To better understand the temporal recovery of shoulder rotational muscle strength after arthroscopic Bankart repair. STUDY DESIGN: Case series; Level of evidence, 4...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28987528/the-effectiveness-of-the-latarjet-procedure-for-shoulder-instability-in-patients-with-epilepsy
#8
A Ersen, S Bayram, F Birisik, A C Atalar, M Demirhan
INTRODUCTION: Powerful contractions during epileptic seizures may cause shoulder dislocation and instability. The aim of the study is to evaluate the functional and radiographic results of the Latarjet procedure for anterior shoulder dislocation in patients with epilepsy and compare the functional results of these patients with the results of patients without epilepsy. HYPOTHESIS: Is latarjet procedure effective in epileptic patients as non-epileptic patients with anterior shoulder instability? MATERIAL AND METHOD: 11 shoulders of 9 patients with epileptic seizures causing anterior shoulder instability were evaluated retrospectively...
October 4, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28985490/bone-grafting-in-oblique-versus-prepared-rectangular-uncontained-glenoid-defects-in-reversed-shoulder-arthroplasty-a-biomechanical-comparison
#9
M Königshausen, N Sverdlova, C Ehlert, B Jettkant, C Mersmann, R Dermietzel, J Gessmann, T A Schildhauer, D Seybold
BACKGROUND: How the shape of the glenoid defect being reconstructed influences stability in reversed shoulder arthroplasty has never been evaluated. The purpose of this study was to compare the reconstruction of two different shaped defects in reversed shoulder arthroplasty. METHODS: Two groups (ten Sawbone scapulae each) of oblique- and rectangular-shaped glenoid defects were tested biomechanically. On the anterior half of the glenoid, bony defects (rectangular and oblique shaped) were prepared and reconstructed subsequently with a graft and reversed shoulder arthroplasty...
September 21, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28983224/arthroscopic-treatment-of-osseous-instability-of-the-shoulder
#10
REVIEW
David A Porter, Michael Birns, Sarah J Hobart, Marc Kowalsky, Gregory J Galano
BACKGROUND: Bony deficiency of the anteroinferior glenoid rim as a result of a dislocation can lead to recurrent glenohumeral instability. These lesions, traditionally treated by open techniques, are increasingly being treated arthroscopically as our understanding of the pathophysiology and anatomy of the glenohumeral joint becomes clearer. Different techniques for arthroscopic management have been described and continue to evolve. While the success of the repair is surgeon dependent, the recent advances in arthroscopic shoulder surgery have contributed to the growing acceptance of arthroscopic reconstruction of glenoid bone defects to restore stability...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28979919/arthroscopic-stabilization-after-a-first-time-dislocation-collision-versus-contact-athletes
#11
Maximiliano Ranalletta, Luciano A Rossi, Ignacio Alonso Hidalgo, Adrian Sirio, Julieta Puig Dubois, Gastón D Maignon, Santiago L Bongiovanni
BACKGROUND: There is no universally accepted definition of "contact" or "collision" sports in the literature. The few available studies evaluating contact and collision sports consider them to be synonymous. However, athletes in collision sports purposely hit or collide with each other or with inanimate objects with greater force and frequency than in contact sports, which could jeopardize functional outcomes. PURPOSE: To compare the functional outcomes, return to sports, and recurrences in a series of contact and collision athletes with a first-time anterior shoulder dislocation treated using arthroscopic stabilization with suture anchors...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28979601/rehabilitation-for-shoulder-instability-current-approaches
#12
Anju Jaggi, Susan Alexander
BACKGROUND: The shoulder relies predominantly on dynamic muscular control to provide stability. Successful treatment is highly dependent upon the correct clinical diagnosis, identification of anatomical structural defects and abnormal movement patterns so that rehabilitation programs can be designed accordingly and individualised to the patient. METHOD: A systematic outline is provided to guide the clinician on how to identify muscular insufficiencies both local to the shoulder joint and global muscles that can influence shoulder instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979600/anatomy-and-biomechanics-of-the-unstable-shoulder
#13
Ricardo Cuéllar, Miguel Angel Ruiz-Ibán, Adrián Cuéllar
PURPOSE: To review the anatomy of the shoulder joint and of the physiology of glenohumeral stability is essential to manage correctly shoulder instability. METHODS: It was reviewed a large number of recently published research studies related to the shoulder instability that received a higher Level of Evidence grade. RESULTS: It is reviewed the bony anatomy, the anatomy and function of the ligaments that act on this joint, the physiology and physiopathology of glenohumeral instability and the therapeutic implications of the injured structures...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979597/controversies-in-the-surgical-management-of-shoulder-instability-open-vs-arthroscopic-procedures
#14
Alejandro Huerta, Gustavo Rincón, Lluis Peidro, Andreu Combalia, Sergi Sastre
BACKGROUND: Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Operative treatment reduces the risk of recurrence. Several studies have compared arthroscopic and open shoulder instability repair. The purpose of this paper is to perform a review of the literature where both techniques are compared in the repair of the anterior shoulder instability without bone loss. METHODS: Prior to arthroscopy, recurrent dislocations were managed by open repair...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28979595/multidirectional-shoulder-instability-treatment
#15
Miguel Angel Ruiz Ibán, Jorge Díaz Heredia, Miguel García Navlet, Francisco Serrano, María Santos Oliete
BACKGROUND: The treatment of multidirectional instability of the shoulder is complex. The surgeon should have a clear understanding of the role of hiperlaxity, anatomical variations, muscle misbalance and possible traumatic incidents in each patient. METHODS: A review of the relevant literature was performed including indexed journals in English and Spanish. The review was focused in both surgical and conservative management of multidirectional shoulder instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28971653/-total-elbow-replacement-as-an-alternative-to-severely-comminuted-fractures-around-the-elbow
#16
Eyal Ginesin, Yaniv Keren, Ofer Zachs, Doron Norman
BACKGROUND: Intra-articular elbow fractures are considered to be one of the most complex injuries in orthopedic trauma. Some are too comminuted for open reduction and internal fixation. Recently, total elbow replacement (TER) has gained popularity for the treatment of comminuted elbow trauma when other treatment options are not possible. METHODS: Since 2007-2013 we treated 18 patients with TER due to comminuted distal humeral fractures. We used the Disabilities of the Arm, Shoulder and Hand scoring system (DASH) to evaluate the patient's satisfaction...
September 2017: Harefuah
https://www.readbyqxmd.com/read/28971317/arthroscopic-bankart-repair-for-the-management-of-anterior-shoulder-instability-indications-and-outcomes
#17
REVIEW
Steven DeFroda, Steven Bokshan, Evan Stern, Kayleigh Sullivan, Brett D Owens
PURPOSE OF REVIEW: Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. RECENT FINDINGS: Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability...
October 2, 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28969811/editorial-commentary-off-track-hill-sachs-lesions-in-adolescents-with-multiple-anterior-dislocations-the-case-for-stabilizing-adolescent-first-time-dislocators
#18
EDITORIAL
Stephen S Burkhart
Recurrent anterior dislocations in adolescents reveal a high rate of off-track Hill-Sachs lesions, much higher than in adults. This new information makes a strong case in favor of arthroscopic Bankart repair for adolescents with a first-time anterior dislocation of the shoulder.
October 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28968475/arthroscopic-cortical-button-stabilization-of-isolated-acute-neer-type-ii-fractures-of-the-distal-clavicle
#19
Matthew H Blake, Michael T Lu, Brandon S Shulman, David L Glaser, G Russell Huffman
Neer type II distal clavicle fractures are inherently unstable. The purpose of this study was to review the outcome of Neer type II distal clavicle fractures arthroscopically treated using a suspensory cortical button technique. Between 2008 and 2012, a total of 17 Neer type IIB fractures were managed operatively at the authors' institution. Functional outcomes were assessed using the pain score, the Disabilities of the Arm, Shoulder and Hand score, the Penn Shoulder Score, and the American Shoulder and Elbow Surgeons score...
October 2, 2017: Orthopedics
https://www.readbyqxmd.com/read/28965317/radiographic-evaluation-of-patients-with-anterior-shoulder-instability
#20
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
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