Showing papers in "Journal of Shoulder and Elbow Surgery in 2003"

TL;DR: Two hundred twenty shoulders with a rotator cuff tear repaired by simple tendon-to-bone suture were analyzed to determine whether the severity of presurgical fatty degeneration had an influence on their anatomic and functional outcome.

TL;DR: It was concluded that stress shielding is a long-term complication of shoulder arthroplasty and that the relative stem size is an important factor in its genesis.

TL;DR: The results of this study suggest that the weak link in rotator cuff repairs with suture anchors and horizontal mattress sutures, as determined at revision surgery, is the tendon-suture interface.

TL;DR: Total shoulder arthroplasty provides results superior to those of hemiarthroplasty in primary osteoarthritis, and differences were statistically significant for all parameters.

TL;DR: Hemiarthroplasty for indicated fractures of the proximal humerus results in shoulder-level function and reproducible pain relief and patients with superior migration had statistically lower mean American Shoulder and Elbow Surgeons scores, mean Simple Shoulder Test scores, and decreased forward flexion.

TL;DR: Glenoid version cannot be determined accurately on standard axillary radiographs, either preoperatively or postoperatively, and studies that assess the role of glenoid component orientation should use a reproducible method of assessment such as CT.

TL;DR: Immobilization with the arm in external rotation is effective in reducing the rate of recurrence after initial dislocation of the shoulder.

TL;DR: Despite meticulous attention to subscapularis repair, suboptimal return of function was found on clinical examination and assessment of activities of daily living.

TL;DR: Repairs of these lateral soft-tissue structures should be an integral part of the surgical strategy for elbow dislocations and fracture-dislocations that require operative treatment.

TL;DR: This technique is safe, simple, and stronger than any currently available anchoring techniques and gives the surgeon a choice in bone preparation by using a single anterior elbow approach and the development of synostosis associated with two incision techniques can be minimized.

TL;DR: The purpose of this anatomic study was to assess the risk to the suprascapular nerve by measuring the tension on the nerve and the angle between the nerves and its motor branch at the scapular notch with medial supraspinatus tendon retraction.

TL;DR: The severity of the consequences after grade I and II AC sprains is underestimated, according to the results of a study treating 37 consecutive patients for AC joint sprains in the Tossy classification between 1993 and 1997.

TL;DR: Both the belly-press and lift-off tests activated the upper and lower portions of the subscapularis muscle greater than all other muscles, indicating that both tests are valid and specific for evaluation of the subsurface muscle.

TL;DR: A subcoracoid pectoralis major muscle transfer has a low complication rate and is a viable option in this difficult patient population, with better results than those previously reported.

TL;DR: A modest superiority of TSA over hemiarthroplasty in the medium term is suggested, and the long-term risks of glenoid wear and loosening need to be clearly defined before a definitive conclusion can be reached regarding the differential indications for these two procedures.

TL;DR: The surgeon should remain cognizant that a higher rate of complications, infection in particular, may occur after rotator cuff repair in the diabetic population, although less than nondiabetic counterparts.

TL;DR: This review addresses isolated greater tuberosity fractures of the proximal humerus and suggests that more precise evaluation of diagnostic criteria, treatment selection, and outcome is required.

TL;DR: It is concluded that major complications after anatomic repair are rare but must not be ignored and tenodesis of the distal biceps tendon is a safe alternative procedure.

TL;DR: Improved biomechanical properties for the new experimental device over the T-plate are demonstrated in simulated fractures of the proximal humerus and it is extrapolate that these improved biomechanICAL properties may prove advantageous in future clinical investigation.

TL;DR: It was hypothesized that there would be an alteration in strain when macroscopically normal supraspinatus tendons were subjected to three patterns of surgically created tear and observed from joint to bursal sides during abduction.

TL;DR: The entire infraspinatus contributes to abduction torque generation and stabilizes the humeral head against superior subluxation and contributes abduction force generation across the glenohumeral joint.

TL;DR: High stress concentration on the articular side of the supraspinatus tendon near its insertion during arm elevation may explain the frequent occurrence of rotator cuff tears at this site.

TL;DR: It is demonstrated that glenoid inclination is an important factor in determining the force required for superior humeral head migration, which suggests that a more upward-facing glenoids increases the risk for inferior humeral translation and, in turn, may play a role in the development of rotator cuff disease.

TL;DR: 12 patients were treated with suture fixation of this fracture with absorbable suture material, resulting in union of all fractures, and there was a rapid return to function and no complications.

TL;DR: Complete resection of the extensor carpi radialis brevis-extensor digitorum communis common origin is achievable via standard arthroscopic techniques and the lateral ulnar collateral ligament remains intact and elbow stability is maintained.

TL;DR: Careful neurologic screening in all patients and electromyographic examination in clinically suspicious groups are recommended in patients with full-thickness cuff tears before surgical repair, as greater degrees of atrophy were significantly associated with the presence of neuropathy in patients.

TL;DR: In this article, the authors determined baseline scores on the American Shoulder and Elbow Surgeons (ASES) questionnaire in individuals who had no known shoulder condition and evaluated related factors that could influence the score.

TL;DR: The purpose of this study was to define the proximal ulna anatomy with respect to olecranon osteotomy and fracture fixation by dissecting cadaver elbows and determining the mean ulnar length and distance.

TL;DR: Although there are significant sex-related differences in the insertional distances of the CC ligaments, resection of less than 11.0 mm should not violate the trapezoid ligament in either sex in 98% of the general population.

TL;DR: A novel technique for repair of partial distal biceps tendon ruptures through a single posterior incision is described and the morbidity of the anterior exposure can be avoided and the tendon readily explored and reattached with excellent patient outcomes.