Search Results
Results 451 - 500 of 1557
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Take Yasuhiro - - 2008
PURPOSE: Osteolysis around a biodegradable device has been warned of in several reports. We investigated variations of drill holes of polylactic acid (PLA) suture anchors in consecutive radiographs after arthroscopic capsulolabral repair to assess the influence of enlargement of the drill holes on clinical outcome. METHODS: Twenty patients who underwent ...
Franceschi F - - 2008
OBJECTIVE: To determine the plasma levels of substance P (SP) in patients with postoperative stiffness after arthroscopic rotator cuff repair. DESIGN: Plasma samples were obtained at 15 months from surgery from two groups of patients who underwent arthroscopic repair of a rotator cuff tear. In group 1, 30 subjects (14 ...
Monteiro Gustavo C - - 2008
The purpose of this study was to compare the functional results of arthroscopic treatment for traumatic anterior shoulder instability in 2 groups of athletes. Fifty patients were randomly assigned to 2 different groups with comparable patient demographics. Group A was treated with anchors loaded with absorbable sutures, and group B ...
Cheung Emilie V - - 2008
Although glenoid component loosening has been recognized as a common reason for failure after total shoulder arthroplasty, there are few studies on the outcome of revision surgery for this problem. The purpose of this study is to determine the outcome of patients who underwent revision for glenoid component loosening. Between ...
Churchill R Sean - - 2008
This study examined the outcome of elective shoulder arthroplasty for glenohumeral osteoarthritis or rotator cuff arthropathy in patients aged older than 90 years. The study included 7 shoulders in 6 patients with an average age of 93 years 5 months, (range, 91 years 0 months to 97 years 4 months). ...
Kerr Brian J - - 2008
Glenohumeral arthritis in the young patient presents a difficult problem with potentially devastating sequelae. Reports in the literature suggest a role for arthroscopic treatment in patients with symptomatic degenerative joint disease of the shoulder. However, no published study directly compares patients with unipolar versus bipolar cartilage lesions. We retrospectively reviewed ...
Gstettner C - - 2008
The best treatment for Rockwood type III injuries is still controversial. During a retrospective study, 24 patients who were treated surgically with a hook plate and 17 conservatively treated patients were examined with a mean follow-up of 34 months. The Oxford Shoulder Score, Simple Shoulder Test, and Constant score were ...
Weissinger M - - 2008
PURPOSE OF THE STUDY: The aim of our retrospective study is to show that in cases of very serious degenerative alteration of the shoulder as well as massive Cuff arthropathy, there is a valid reason for the indication of an inverse prosthesis of the total shoulder joint. We therefore describe ...
Fama Giuseppe - - 2008
AIM: To evaluate the safety and effectiveness of a particular subscapularis release in shoulder arthroplasty for primary glenohumeral arthritis. MATERIALS AND METHODS: Twenty-eight patients (19F, 9M) underwent shoulder arthroplasty for primary glenohumeral arthritis. Preoperative average Constant Score (CS) was 31.2 points (range 14-52), active anterior elevation (AAE) 92 degrees (30-100 ...
Castagna Alessandro - - 2008
Different clinical tests have been suggested in the literature as significant indicators of anterior shoulder instability. Sometimes patients with recurrent anterior shoulder instability may show some muscular guarding thus making the evaluation of specific clinical tests very difficult. These patients may also report a medical history with posterior shoulder pain ...
Falborg Bettina - - 2008
The functional and radiological outcome of cemented Neer II hemiarthroplasty performed within six weeks after a fracture-dislocation or a three/four-part humeral head fracture was evaluated in 48 patients with an average age of 73 years (range: 45 to 89), with an average follow-up period of 44 months (range: 6 to ...
Merolla Giovanni - - 2008
More than 32.8% of the over-60s suffer from shoulder osteoarthritis. For advanced osteoarthritis, arthroplasty is the treatment of choice. Current systems have moved on from the first shoulder prosthesis implanted by Neer in 1974, thanks to the use of adaptable modular systems. The aim of this study was to investigate ...
Elhassan Bassem - - 2008
Failed shoulder arthroplasty associated with glenoid bony deficiency is a difficult problem. Revision surgery is complex with unpredictable outcome. We asked whether revision shoulder arthroplasty with glenoid bone grafting could lead to good outcome. We retrospectively reviewed 21 patients who underwent glenoid bone grafting using corticocancellous bone grafting or impaction ...
Tejwani Nirmal C - - 2008
A prospective study was undertaken to determine if patients recover pre-injury level of shoulder function 1 year after 1 part proximal humeral fractures. Of the 67 patients enrolled, 43 were female and 24 male with an average age of 64.8 years (range, 25-90 years). All patients underwent a similar treatment ...
Goldhahn Jörg - - 2008
Cross-cultural adaptation and testing of reliability and validity were performed by use of a sample of 118 patients after shoulder arthroplasty. They completed a questionnaire booklet containing the American Shoulder and Elbow Surgeons (ASES) questionnaire, Shoulder Pain and Disability Index (SPADI), Short Form 36, and Disabilities of the Arm, Shoulder ...
Ellenbecker Todd S - - 2008
STUDY DESIGN: Case report. BACKGROUND: Management of glenohumeral joint osteoarthritis in young, active patients is challenging due to the significant functional limitations and progression of the disease, coupled with the limited lifespan of prosthetic implants presently in use. The purpose of this report is to present the detailed rehabilitation program ...
Antuña Samuel A - - 2008
Significant discrepancy in the functional outcome of hemiarthroplasty for proximal humerus fractures has been reported with short or mid-term follow-up. This study reports the long-term results and rate of complications of shoulder arthroplasty in the treatment of proximal humerus fractures. The review comprised 57 patients (44 women, 13 men) who ...
Rice Robert S - - 2008
Asymmetric posterior glenoid wear caused by degenerative glenohumeral arthritis can be addressed by several techniques during total shoulder arthroplasty. The purpose of this study was to evaluate the midterm outcome of a posterior augmented glenoid component to determine the clinical and radiographic outcome, including complications and the need for revision ...
Galano Gregory J - - 2008
Injuries to the long thoracic and spinal accessory nerves present challenges in diagnosis and treatment. Palsies of the serratus anterior and trapezius muscles lead to destabilization of the scapula with medial and lateral scapular winging, respectively. Although nonoperative treatment is successful in some patients, failures have led to the evolution ...
Sperling John
<b>Background:</b> The primary goal of total shoulder arthroplasty (TSA) has traditionally been pain relief and motion improvement. The literature contains multiple studies that have documented the restoration of motion and consistent pain relief following the procedure. However, there has been little attention placed on strength following TSA. Therefore, the purpose ...
Snow Martyn
<b>Objective:</b> To determine if microfracture is successful in treating chondral lesions of the shoulder. <b> Design: </b> Case series. <b> Setting:</b> Tertiary referral practice. <b> Patients:</b> From June 2005 to November 2006, eight patients underwent shoulder arthroscopy with arthroscopic microfracture to treat full-thickness chondral lesions of less than 4 cm<sup> ...
Bastian Johannes Dominik - - 2008
We evaluated the functional outcome and the occurrence of avascular necrosis in 51 consecutive patients (26 women) with intracapsular fractures of the proximal humerus treated with open reduction and internal fixation between February 1998 and December 2001. Mean age was 44 years (range, 21-60 years). Forty-one heads were initially perfused ...
Venkatramani Hari - - 2008
ABSTRACT: BACKGROUND: Purpose of this study was to evaluate the functional outcome of spinal accessory to suprascapular nerve transfer (XI-SSN) done for restoration of shoulder function and partial transfer of ulnar nerve to the motor branch to the biceps muscle for the recovery of elbow flexion (Oberlin transfer). METHODS: This ...
Norlin Rolf - - 2008
A consecutive series of 181 patients with clinical signs of subacromial impingement underwent arthroscopic subacromial decompression (ASD). All patients had the same surgical procedure, and all pathological findings at the arthroscopy were recorded. Ten to 13 years (mean, 11.2) after the procedure, 162 patients (91%) were available for follow-up consisting ...
Elhassan Bassem - - 2008
The management of massive, irreparable rotator cuff tears is challenging. Arthroscopic débridement has produced reasonable short-term outcomes in patients who experience good relief from pain and improved range of motion after a subacromial injection with local anesthetic. Arthroscopic débridement with partial repair also has resulted in good outcomes, especially in ...
Arciero Robert A - - 2008
Arthroscopic treatment of anterior glenohumeral instability has become increasingly common. As longer-term follow-up studies become available, certain trends dictating the success or failure of arthroscopic stabilization are becoming more evident. Bone defects are important predictors of clinical failure, and the recognition of bone loss and other pathoanatomic variables can help ...
Hsu Chin-Jung - - 2008
We prospectively studied extracorporeal shock wave therapy (ESWT) for calcific tendinitis of the shoulder in 46 consecutive patients. All patients were randomly divided into 2 groups: treatment and control. The 33 patients in the treatment group received 2 courses of ESWT at the energy density of 0.55 mJ/mm(2) (1000 impulses). ...
Bailie David S - - 2008
BACKGROUND: Cementless humeral resurfacing arthroplasty is a bone-conserving arthroplasty option for patients with glenohumeral arthritis. It has been successful in the older patient population. However, data regarding the results of arthroplasty in younger, more active patients are lacking. We report the two-year results of this procedure in active patients who ...
Scalise Jason J - - 2008
BACKGROUND: While there have been numerous reports concerning glenohumeral arthrodesis for many indications, there is little available information specific to glenohumeral arthrodesis performed after failed prosthetic shoulder arthroplasty. The purpose of this study was to report the outcomes of glenohumeral arthrodesis in the setting of severe glenohumeral bone loss and ...
Reeve Julie C - - 2008
BACKGROUND: Postoperative pulmonary and shoulder complications are important causes of postoperative morbidity following thoracotomy. While physiotherapy aims to prevent or minimise these complications, currently there are no randomised controlled trials to support or refute effectiveness of physiotherapy in this setting. METHODS/DESIGN: This single blind randomised controlled trial aims to recruit ...
Badhe Sachin P - - 2008
Porcine dermal collagen (Zimmer Patch, formerly known as Permacol; Tissue Science Laboratories plc, Aldershot, Hampshire, UK) has been used for reinforcement of several human body tissues with success and has been shown to act as a durable, permanent tissue scaffold that assists healing. The purpose of this study was to ...
Selcuk Adin - - 2008
AIMS AND BACKGROUND: The aim of this study is to determine the effects of two different types of nerve-sparing neck dissection on shoulder function. Even if the spinal accessory nerve is spared in functional neck dissection, some degree of shoulder syndrome may occur. The role of the cervical plexus in ...
Clark Jonathan R - - 2008
BACKGROUND: Maxillary reconstruction continues to challenge in terms of optimal aesthetic and functional outcomes. The aim of this study was to describe the utility of the scapular angle osteomyogenous flap in a series of maxillectomy patients and to examine the donor site morbidity. METHODS: This is a retrospective series of ...
Burns Joseph P - - 2008
Thirty-seven patients (41 shoulders) younger than 50 years of age (mean age, 43.7 years) underwent all-arthroscopic repairs of rotator cuff tears between 1994 and 2002. With a minimum 3-year follow-up (average 69 months, range 37-161 months), postoperative function was assessed by means of a UCLA scoring system, range of motion ...
Kirchhoff Chlodwig - - 2008
BACKGROUND: Concerning surgical management experience with locking plates for proximal humeral fractures has been described with promising results. Though, distinct hardware related complaints after fracture union are reported. Information concerning the outcome after removal of hardware from the proximal humerus is lacking and most studies on hardware removal are focused ...
Meningaud Jean-Paul - - 2008
A bicentric, prospective cohort study was performed to assess the outcome of rhinoplasties from the patient's perspective. Fifty-eight patients scheduled for rhinoplasty from two different hospitals (public and private) were examined before and after surgery using the Rhinoplasty Outcomes Evaluation, a specific validated assessment scale. For statistical analysis, paired Student's ...
Jain N P M - - 2008
Admission following day-case surgery can be problematic for both the patient and the health service. The purpose of this study was to identify any factors predictive of admission following arthroscopic sub-acromial decompression (ASAD) of the shoulder planned as day-case procedures. A postal questionnaire provided data for 27 patients undergoing ASAD ...
Chuang Tai-Yuan - - 2008
PURPOSE: The purpose of this study was to determine if three-dimensional computed tomography (3-D CT) scans of the glenoid can be used to accurately quantify, by means of a glenoid index, bone loss in patients with anterior glenohumeral instability, and to compare the results with arthroscopic measurements to determine if ...
Klinger Hans-Michael - - 2008
BACKGROUND: The optimal method for rotator cuff repair of the shoulder is not yet known. The aim of this study was to compare the time-dependent biomechanical properties of the traditional open transosseous suture technique and modified Mason-Allen stitches (group 1) versus the double-loaded suture anchors technique and so-called arthroscopic Mason-Allen ...
Simmen B R - - 2008
OBJECTIVE: To Estimate the probability of treatment success 1 year after a total shoulder arthroplasty by developing a model based on preoperative clinical factors. METHOD: Between June 2003 and December 2006, 140 patients undergoing shoulder operations were assessed for age, gender, current rheumatoid arthritis, Short Form (SF) 36 physical and ...
Hirschmann Michael Tobias - - 2007
BACKGROUND: We evaluated the outcome after internal fixation of unstable or displaced proximal humerus fractures with a new fixed-angle implant. METHODS: Prospective consecutive study with a 1-year clinical follow-up in 119 of 137 patients (87%; mean 68 +/- 15 years; 31 two-, 47 three-, and 41 four-part fractures). RESULTS: One ...
Dimmen Sigbjorn - - 2007
BACKGROUND AND PURPOSE: There have been few reports on the long-term function after shoulder arthrodesis. We report the outcome after shoulder arthrodesis with plate fixation in 18 patients who were followed for 3-15 years. METHODS: 25 patients with a median age of 64 (19-75) years were operated with a shoulder ...
Cheung Emilie V - - 2008
This study reports long-term experience with anterior shoulder capsule stabilization by performing the Bankart repair when labral tearing was present with a laterally based T-capsule repair in both primary and revision surgery. Between 1979 and 1983, 34 patients underwent this procedure. They were categorized into a primary group of 22 ...
Charousset Christophe - - 2008
PURPOSE: We investigated how soon postoperative functional recovery became significant after arthroscopic rotator cuff repair and the influence of tendon healing. METHODS: We conducted a prospective study on 114 cases of full-thickness rotator cuff tears arthroscopically repaired from January 2001 to December 2003. All patients were evaluated by the Constant ...
Dasgupta Bhaskar - - 2008
OBJECTIVE: This report summarizes the findings from a consensus process to identify potential classification criteria for polymyalgia rheumatica (PMR). METHODS: A 3-stage hybrid consensus approach was used to develop potential PMR classification criteria. The first stage consisted of a facilitated meeting of 27 international experts who anonymously rated the importance ...
Everts P A - - 2008
BACKGROUND: Platelet-leukocyte gel (PLG) is being used during various surgical procedures in an attempt to enhance the healing process. We studied the effects of PLG on postoperative recovery of patients undergoing open subacromial decompression (OSD). METHODS: PLG was produced from platelet-leukocyte-rich plasma (P-LRP), prepared from a unit of whole blood. ...
Hand Campbell - - 2008
Two-hundred and sixty-nine shoulders in 223 patients with a diagnosis of primary frozen shoulder were studied. The main outcome measure was the Oxford shoulder score. The mean follow-up from symptom onset was 4.4 years (range, 2-20 years). The mean age at symptom onset was 53.4 years; with women affected more ...
Stähelin Lisca - - 2008
PURPOSE: The purpose of this study was to determine the accuracy of arthroscopic restoration of femoral offset as well as the early clinical outcome of arthroscopic debridement and femoral offset restoration and whether there is a correlation between accuracy and outcome. METHODS: Twenty-two patients with symptomatic femoroacetabular cam impingement underwent ...
Lu Yan - - 2008
PURPOSE: The purpose of this study was to evaluate the histologic morphology of human shoulder joint capsule after thermal capsulorrhaphy with monopolar radiofrequency energy (mRFE) during short- to long-term follow-up. METHODS: This study comprised 27 patients who received an arthroscopic mRFE thermal capsulorrhaphy and 10 patients without mRFE treatment serving ...
Boileau Pascal - - 2007
Definitive loss of active external rotation of the shoulder impacts an individual's ability to perform ADL's, creating severe disability. To restore active external rotation, we modified the L'Episcopo procedure by transferring both the latissimus dorsi and teres major (LD/TM) through a single delto-pectoral approach. The two tendons were rerouted and ...
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