Shoulder and Elbow

Latest journal articles about shoulder and elbow from Journal of Shoulder and Elbow Surgery, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics

Related Articles Modified McLaughlin Technique for Neglected Locked Posterior Dislocation of the Shoulder. Orthopedics. 2013 Jul 1;36(7):e912-6 Authors: Kokkalis ZT, Mavrogenis AF, Ballas EG, Papanastasiou J, Papagelopoulos PJ Abstract Several surgical techniques have been described for the treatment of posterior shoulder dislocation depending on the time elapsed between injury and surgery and the size of the humeral head impression fracture. When the bone defect is between 25% and 50% of the articular surface of the head, the procedures of choice are autologous bone graft or allograft or subscapularis tendon or lesser tuberosity transfer. In neglected cases in which patients undergo surgery more than 3 weeks after injury, no standard accepted treatment for this injury exists. This article presents a modification of the McLaughlin technique for patients with neglected locked posterior dislocation of the shoulder. Using this technique, the shape of the humeral head was nearly restored with impaction of morselized bone allograft; two suture anchors were inserted into the defect, and the lesser tuberosity with the attached sub-scapularis tendon was transferred into the defect and secured with sutures. Postoperative rehabilitation included immobilization of the shoulder with an external rotation brace for 6 weeks followed by progressive passive, active-assisted, and active range of motion and rotator cuff strengthening exercises for another 6 weeks. This technique resulted in pain-free range of motion, a stable shoulder, and good joint congruency. PMID: 23823049 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23823049?dopt=Abstract

Related Articles Hemiarthroplasty for Head-split Fractures of the Proximal Humerus. Orthopedics. 2013 Jul 1;36(7):e905-11 Authors: Greiwe RM, Vargas-Ariza R, Bigliani LU, Levine WN, Ahmad CS Abstract

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Related Articles Superior versus anteroinferior plating of clavicle fractures. Orthopedics. 2013 Jul 1;36(7):e898-904 Authors: Formaini N, Taylor BC, Backes J, Bramwell TJ Abstract

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Related Articles Prolonged incubation time does not increase sensitivity for the diagnosis of implant-related infection using samples prepared by sonication of the implants. Bone Joint J. 2013 Jul;95-B(7):1001-6 Authors: Esteban J, Alvarez-Alvarez B, Blanco A, Fernández-Roblas R, Gadea I, Garcia-Cañete J, Sandoval E, Valdazo M Abstract We have designed a prospective study to evaluate the usefulness of prolonged incubation of cultures from sonicated orthopaedic implants. During the study period 124 implants from 113 patients were processed (22 osteosynthetic implants, 46 hip prostheses, 54 knee prostheses, and two shoulder prostheses). Of these, 70 patients had clinical infection; 32 had received antibiotics at least seven days before removal of the implant. A total of 54 patients had sonicated samples that produced positive cultures (including four patients without infection). All of them were positive in the first seven days of incubation. No differences were found regarding previous antibiotic treatment when analysing colony counts or days of incubation in the case of a positive result. In our experience, extending incubation of the samples to 14 days does not add more positive results for sonicated orthopaedic implants (hip and knee prosthesis and osteosynthesis implants) compared with a conventional seven-day incubation period. Cite this article: Bone Joint J 2013;95-B:1001-6. PMID: 23814257 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23814257?dopt=Abstract

Related Articles Under-coracoid-around-clavicle (UCAC) loop in type II distal clavicle fractures. Bone Joint J. 2013 Jul;95-B(7):983-7 Authors: Soliman O, Koptan W, Zarad A Abstract

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Related Articles A systematic review of the non-operative treatment of nightstick fractures of the ulna. Bone Joint J. 2013 Jul;95-B(7):952-9 Authors: Cai XZ, Yan SG, Giddins G Abstract

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Related Articles Endoscopic versus open release in patients with de Quervain's tenosynovitis: A randomised trial. Bone Joint J. 2013 Jul;95-B(7):947-51 Authors: Kang HJ, Koh IH, Jang JW, Choi YR Abstract

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Related Articles Improvement in quality of life after arthroscopic capsular release for contracture of the shoulder. Bone Joint J. 2013 Jul;95-B(7):942-6 Authors: Dattani R, Ramasamy V, Parker R, Patel VR Abstract

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Related Articles Is there an association between the individual anatomy of the scapula and the development of rotator cuff tears or osteoarthritis of the glenohumeral joint?: A radiological study of the critical shoulder angle. Bone Joint J. 2013 Jul;95-B(7):935-41 Authors: Moor BK, Bouaicha S, Rothenfluh DA, Sukthankar A, Gerber C Abstract

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Related Articles Regarding "Percutaneous balloon humeroplasty for Hill-Sachs lesions: a novel technique". J Shoulder Elbow Surg. 2013 Aug;22(8):e18-9 Authors: Freude T, Kraus TM, Stöckle U, Ahrens P, Siebenlist S, Neumaier M, Sandmann GH, Martetschläger F PMID: 23810492 [PubMed - in process]Read more... http://www.ncbi.nlm.nih.gov/pubmed/23810492?dopt=Abstract