Showing papers in "Journal of Shoulder and Elbow Surgery in 2016"

TL;DR: Improved interobserver and intraobserver reliabilities are obtained when 3-dimensional glenoid reconstructions and the modified Walch classification described herein are used.

TL;DR: It is demonstrated that the Latarjet procedure is a viable and possibly superior alternative to the Bankart repair, offering greater stability with no significant increase in complication rate.

TL;DR: Transfer of the lower trapezius prolonged with Achilles tendon allograft to reconstruct massive irreparable posterior-superior rotator cuff tear may lead to good outcome in most patients, specifically for those who have preoperative flexion of >60°.

TL;DR: This statement describes a rehabilitation framework that includes a 2-week period of strict immobilization and a staged introduction of protected, passive range of motion during weeks 2-6 postoperatively, followed by restoration of activerange of motion, and then progressive strengthening beginning at postoperative week 12.

TL;DR: If an arthroscopic Latarjet guiding system improves accuracy of bone block positioning and if suture button fixation could be an alternative to screw fixation in allowing bone block healing and avoiding complications is evaluated.

TL;DR: It is suggested that single-stage revision can be as effective as 2-stage or resection treatments; however, the retrospective nature of these data precluded the ability to control for confounding variables.

TL;DR: Patients with a history of preoperative opioids use can achieve significant improvements in patient-reported outcome measurements and patient satisfaction after anatomic TSA for primary glenohumeral joint arthritis, however, patients with preoperative opioid use have a significantly lower preoperative baseline and achieve significantly lower final outcome scores after TSA.

TL;DR: The midterm clinical results are predictably good, with low complication rates and a rapid postoperative recovery of painfree everyday function, and if secondary displacement of the greater tuberosity occurs, revision surgery may warrant consideration in view of potential improvement of ultimate outcome.

TL;DR: RTSA is an effective treatment option for PHF as both a primary and a revision procedure and outcomes of revision RTSA for failed PHF hemiarthroplasty and ORIF are more promising than previously published.

TL;DR: A meta-analysis of studies with at least Level IV evidence suggests that reverse shoulder arthroplasty performed to address complex proximal humeral fractures might result in more favorable clinical outcomes than hemiarthropl surgery performed for the same indication.

TL;DR: Current clinical surgical treatments, new repair strategies under clinical and preclinical development, and different animal models available for rotator cuff research with degeneration of tendons, muscular atrophy, and fatty infiltration similar to humans are reviewed.

TL;DR: Application of moderately concentrated PRP improves clinical and structural outcome in large cuff tears and enhances vascularity around the repair site in the early phase.

TL;DR: Larger CSAs are associated with increased risk of symptomatic cuff tears, larger cuff Tears, and the severity of eccentric osteoarthritis.

TL;DR: The results suggest that implant stem length is 1 variable that can be modified in an attempt to better mimic intact bone stresses during humeral component insertion, provided stem fixation is adequate.

TL;DR: The number of UCLRs performed between 2003 and 2014 increased by 343%, and a disproportionate trend in average annual incidence for patients between 15 and 19 years old was observed, suggesting that incidence in 15- to 19-year-olds and 20- to 24- year-olds will continue to rapidly increase while rates for other age groups will remain relatively stable.

TL;DR: The clinical and radiologic results of the short-stem shoulder arthroplasty are comparable to those with the third and fourth generations of standard stem arthroPLasty.

TL;DR: A patient's decision to undergo surgery is influenced more by low expectations regarding the effectiveness of physical therapy than by patient symptoms or anatomic features of the chronic rotator cuff tear, which may not be the best features to use when deciding on surgical intervention.

TL;DR: In the appropriately selected patient, outpatient TSA is safe and cost-effective and there are no significant differences in the 30-day adverse event and readmission rates between outpatient and inpatient TSA.

TL;DR: RTSA patients had significantly higher complication rates compared with TSA patients, with identifiable risk factors for all-cause complications postoperatively and equivalent accepted implant failure at 2 years.

TL;DR: This study showed that accurate positioning of the bone block onto the anterior aspect of the glenoid is possible, safe, and reproducible with the arthroscopic Latarjet procedure without additional complications compared with open surgery.

TL;DR: Inferior and medial positioning of the glenosphere serves to decrease acromial stress, thought to be primarily due to increased deltoid mechanical advantage.

TL;DR: In this article, the authors determined threshold values that predict clinically meaningful improvement after shoulder arthroplasty using pre-operative patient-reported outcome measures and multivariate logistic regression analysis was performed to determine preoperative measures that were indicative of achieving the minimum clinically important difference.

TL;DR: For the treatment of LHBT lesions with rotator cuff tear, patients with tenotomy and tenodesis both showed significant improvements in functional scores, and the incidence of Popeye deformity was about 3-times higher in tenotomy group.

TL;DR: The use of bulk structural grafts is a promising treatment option for shoulder arthroplasty and may yield equally acceptable results compared with autografts.

TL;DR: 3D preoperative surgical planning and PSI guidance reduce variability in glenoid component inclination and avoid extreme inclination errors for TSA and RSA.

TL;DR: It is suggested that incising the skin is likely to lead to deep seeding of the surgical wound, which has implications for the pathogenesis and prevention of postsurgical shoulder infections.

TL;DR: Recent trends show that in the elderly population, nonoperative management remains the most common treatment for PHFs, and within the surgically treated cohort, there has been an increase in treatment with arthroplasty including RTSA, with a low rate of early revisions.

TL;DR: This longitudinal study evaluated the relationship between symptomatic degenerative cuff tears and different radiographic acromial characteristics, including acromion shape, indices, and critical shoulder angle, to find the presence of an acromia spur strongly associated with full-thickness cuff tear.

TL;DR: It is suggested that LB provides similar overall pain relief as INB, with no increase in complications or length of stay and a decrease in narcotic requirements on the day of surgery.

TL;DR: Male gender and presence of hair were significant risk factors for P. acnes colonization in patients undergoing primary shoulder arthroplasty, and perioperative local topical antisepsis and cefazolin administration were not effective in eliminating the bacterium.