Showing papers in "Journal of Shoulder and Elbow Surgery in 2009"

TL;DR: The MCID and PASS estimates provide the basis to determine if statistically significant changes in VAS pain scores after treatment are clinically important and if the treatment allowed patients to achieve a satisfactory state.

TL;DR: The NPRS and QuickDASH exhibit good test-retest reliability and responsiveness in patients with shoulder pain.

TL;DR: TEA is a preferred alternative for ORIF in elderly patients with complex distal humeral fractures that are not amenable to stable fixation and resulted in more predictable and improved 2-year functional outcomes compared with ORIF, based on the MEPS.

TL;DR: The data demonstrate that exercise has statistically and clinically significant effects on pain reduction and improving function, but not on range of motion or strength.

TL;DR: A systematic review of the literature on the efficacy and early to medium term functional results of locking plates for stabilization of proximal humeral fractures found the high incidence of cut-out may be secondary to the rigidity of the implant in combination with medial inadequate support.

TL;DR: RSA can improve function in patients with cuff deficient shoulders after failure of previous cuff surgery, however, results are inferior to primary RSA.

TL;DR: Age at primary dislocation, recurrence, high-energy sports, and alcohol abuse were factors associated with the development of arthropathy.

TL;DR: It is documents that an irreparable subscapularis tendon at the time of reverse total shoulder arthroplasty using a deltopectoral approach results in a statistically significant risk for postoperative dislocation.

TL;DR: Propionibacterium acnes colonizes the shoulder at increased rates compared to the knee and hip, and men have a higher bacterial burden than females, consistent with clinical observations of postoperative shoulder infections.

TL;DR: Earlier surgical intervention for isolated, single-tendon rotator cuff tears could optimize the likelihood of ultrasound healing and an excellent functional outcome.

TL;DR: Male gender and the operative diagnoses of posttraumatic arthritis or avascular necrosis are associated with an increased risk of failure and revision of cemented all-polyethylene glenoid components may be lessened with the use of pegged components in early follow-up.

TL;DR: This study may provide reference values for future investigations and stresses ceiling effects that will make it difficult to demonstrate a significant advantage of surgical over nonoperative treatment in patients with proximal humeral fractures.

TL;DR: Glenoid morphology of the rotator cuff deficient shoulder can be reliably classified using this classification system consisting of normal and abnormal, which included 4 subgroups of posterior, superior, global, and anterior erosions.

TL;DR: There is no evidence from the available RCTs for differences in outcome in pain and shoulder function between conservatively and surgically treated patients with SIS, according to the best-evidence synthesis.

TL;DR: A technique to preoperatively plan adequate deltoid tensioning using radiographs of the contralateral arm is described, critical in challenging cases and postoperatively in cases of complication to assess the del toid length.

TL;DR: Understanding the importance of humeral and glenoid bone deficiencies may help guide the treatment of recurrent anterior glenohumeral instability.

TL;DR: The purpose of this study was to test the hypothesis that operative correction of glenoid version during shoulder arthroplasty re-centers the glenohumeral joint; therefore, glenoids replacement may be considered even in cases of osteoarthritis associated with posterior humeral head subluxation.

TL;DR: Computer-aided surgical simulation shows that glenoid retroverted components allow for greater version correction and less residual postsimulation retroversion when an in-line pegged component is used and is a critical factor in determining successful glenoids implantation.

TL;DR: Preoperative acromia lesions are not a contraindication to reverse shoulder arthroplasty and postoperative fracture of the acromial spine has a significant effect on results and treatment is uncertain.

TL;DR: The analysis showed that delay in rehabilitation because of comorbidities and decreased head-neck shaft angle induced by lack of medial support were the primary prognostic factors that led to poor outcomes.

TL;DR: The initial tendon-to-bone remodeling of repaired supraspinatus tendon in rats subjected to bilateral detachment was accelerated by a local application of FGF-2, indicating a clinically important improvement in rotator cuff repair.

TL;DR: An improved accuracy in glenoid positioning in the transverse plane using intraoperative navigation is found, which is limited by the small number of patients and longer follow-up.

TL;DR: Complete removal of load was detrimental to rotator cuff healing, especially when combined with immobilization, and free range of motion resulted in modest improvements in biomechanical properties but did not obviate the effect of paralysis.

TL;DR: The current state of knowledge about the glenoid in total shoulder arthroplasty is reviewed, summarizing the anatomic parameters of the intactglenoid, variations in component design and fixation, the mechanisms of glenoids loosening, the outcomes of revision surgery in the treatment of glanoid component failure, and alternative treatments for younger patients.

TL;DR: The use of tendon transfers in younger patients to reconstruct rotator cuff function and restore shoulder kinematics can be useful in salvaging this difficult problem.

TL;DR: Chondrolysis is a devastating complication of arthroscopic shoulder surgery that can result in long-term disabling consequences and is strongly advised against the use of large doses of intra-articular placement of local anesthetics.

TL;DR: Good results in terms of prosthesis survival were obtained with total elbowArthroplasty, although results were worse than for knee- and hip arthroplasties, and the best results were achieved in patients with inflammatory arthritis.

TL;DR: In the sheep, continuous elongation can lead to restoration of normal muscle architecture, to partial reversal of muscle atrophy, and to arrest of the progression of fatty infiltration.

TL;DR: This study shows that a distal biceps tendon can be safely reattached to the radius by using the endobutton technique, yielding excellent and reproducible results.

TL;DR: Computer assisted navigation results in a more accurate glenoid component placement relative to traditional techniques.