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Merolla G - - 2010
Glenoid wear following shoulder hemiarthroplasty (HA) has been reported around 80% in long-term follow-up studies. Radiographic analysis is useful to depict glenoid erosion but does not evaluate accurately glenoid bone loss. Multichannel computed tomography (MCCT) allows scanning with submillimeter section thickness through dense areas of glenoid bone, despite the presence ...
Meuffels D E - - 2010
We present the long-term outcome, at a median of 18 years (12.8 to 23.5) of open posterior bone block stabilisation for recurrent posterior instability of the shoulder in a heterogenous group of 11 patients previously reported on in 2001 at a median follow-up of six years. We found that five ...
Garofalo Raffaele - - 2010
The study included 100 patients who underwent an arthroscopic rotator cuff repair. All patients suffered about a rotator cuff tear that was repaired arthroscopically with a suture anchor technique. Immediately postoperatively, patients were randomly allocated to one of two different postoperative physiotherapy regimens: passive self-assisted range of motion exercise (controls: ...
Waszczykowski MichaƂ - - 2010
BACKGROUND: The term frozen shoulder refers to an inflammatory condition characterized by pain and reduced range of passive and active motion of the shoulder. Initial management is mostly conservative. In some cases, however, invasive treatment is necessary. Given the dearth of available data on long-term operative outcomes, it appears interesting ...
Le Goff Benoit - - 2010
OBJECTIVE: Calcific tendonitis of rotator cuff is observed on plain radiographs in 10% of adults, but remains asymptomatic in half these cases. We looked for differences on ultrasound (US) and power Doppler findings between symptomatic and asymptomatic cases of shoulder calcific tendonitis. METHODS: US was performed in 62 patients (81 ...
Bitton Etty - - 2010
PURPOSE: Tear meniscus height (TMH) is an indirect measurement of tear film volume. This study investigated the temporal changes in the TMH during the blink interval in the morning (8-9 am) and at the end of the day (5-6 pm) in both soft contact lens (CL) and nonlens wearers (NLW). ...
Scapinelli Raffaele - - 2010
The author designed release and recession of the distal deltoid to decompress the subacromial space and possibly provide better shoulder function in patients with cuff-tear arthropathy. The indications include elderly low-demand patients in whom this condition was the cause of chronic unremitting and intractable pain with severe functional impairment of ...
Merolla Giovanni - - 2010
This study tested the hypothesis that infraspinatus strength in professional volleyball players can be assessed with the scapula free (infraspinatus strength test, IST) and with the scapula retracted (infraspinatus scapula retraction test, ISRT) before and after scapular musculature training. A prospective study was performed in 31 professional volleyball players. Isometric ...
Engelsma Y - - 2010
Posterior shoulder instability is a rare and challenging condition with a complex patho-anatomy. The role of arthroscopic repair in the treatment remains poorly defined. The purpose of this study is to evaluate the result of arthroscopic stabilization procedures in patients with posterior shoulder instability. In this case series, we treated ...
Riedel Barth B - - 2010
This purpose of this study was to quantify the surgical learning curve and provide guidelines to surgeons interested in teaching and performing reverse shoulder replacement. Sixty-two consecutive primary reverse shoulder replacements performed by a single surgeon were retrospectively reviewed. Using data from consecutive cases, surgical time was plotted against patient ...
Nseir Saad - - 2010
OBJECTIVE: To determine the impact of polyurethane (PU) on variations in cuff pressure (P (cuff)) in intubated critically ill patients. METHODS: Prospective observational before-after study performed in a ten-bed ICU. Cuff pressure was continuously recorded for 24 h in 76 intubated patients, including 26 with polyvinyl chloride (PVC), 22 with ...
Coffey Michael J - - 2010
We report our experience in treating infected shoulder arthroplasty and primary shoulder sepsis using a commercially produced antibiotic-impregnated cement spacer. We treated 16 shoulders in 15 patients for infected arthroplasty or osteomyelitis of the proximal humerus with irrigation and débridement, hardware removal, or humeral head resection, or both, and placement ...
Ohl X - - 2010
Humeral head replacement is used for glenohumeral osteoarthritis in young or active patients, for conditions sparing glenoid cartilage or when glenoid implantation does not appear feasible. These surgical procedures usually give satisfactory results but there is a risk of glenoid erosion and a possible deterioration of long-term outcomes. There is ...
Holcomb Jason O - - 2010
The purpose of this study was to describe the pathoanatomy of patients diagnosed with rheumatoid arthritis and rotator cuff deficiency and report their outcomes following reverse shoulder arthroplasty. Twenty-one shoulders were evaluated prospectively. Nine had no prior surgery, 9 had a failed rotator cuff repair, and 3 had a failed ...
Boone Julienne L - - 2010
The traditional treatment of a first-time anterior shoulder dislocation of reduction and a period of immobilisation should be challenged. The purpose of this review is to assimilate and present the current literature on acute anterior shoulder instability. This involves consideration of the pathoanatomy, natural history and the more recent evaluation ...
Anderson S Lance - - 2010
To report on our experience of patients who received infusion of bupivacaine with epinephrine after arthroscopic glenoid labral repair surgery and in whom glenohumeral joint chondrolysis subsequently developed, as well as to determine the incidence of such chondrolysis in our surgeons' patient populations. A retrospective chart review of 18 patients ...
Koo Samuel S - - 2010
The postoperative rehabilitation program is critical for the successful arthroscopic treatment of rotator cuff injury. The authors' experience has confirmed that the best clinical results (restoration of strength, motion, and relief of pain) following rotator cuff repair are achieved after a durable repair of tendon to bone that heals in ...
Groh Gordon I - - 2010
HYPOTHESIS: Traumatic inferior shoulder dislocation (luxatio erecta) injuries are rare, comprising less than 0.5% of all shoulder dislocations. Few cases have been reported, and the outcome of treatment has been ill defined. MATERIALS AND METHODS: Between 1968 and 2000, 18 patients (20 shoulders) with luxatio erecta were evaluated at our ...
de Oliveira Riza Rute - - 2010
Immediate breast reconstruction, depending on the surgical strategy, can result in anatomic modifications that may affect the shoulder apparatus. This study compares the recovery of shoulder range of motion (ROM), after mastectomy, in women with and without immediate breast reconstruction with latissimus dorsi flap (LDF). This was a prospective study ...
Chen Jiwu - - 2010
PURPOSE: The aims of our study were to assess effects of the extent of capsular release and to define the benefit of additional release of the inferior glenohumeral ligament (IGHL) from inferior to posterior in frozen shoulder. METHODS: Seventy-four consecutive patients with refractory frozen shoulder underwent arthroscopic capsular release and ...
Nho Shane J - - 2010
BACKGROUND: Arthroscopic repair of anterior Bankart lesions is typically done with single-loaded suture anchors tied with simple stitch configuration. HYPOTHESIS: The knotless suture anchor will have similar biomechanical properties compared with two types of conventional suture anchors. STUDY DESIGN: Controlled laboratory study. METHODS: Fresh-frozen shoulders were dissected and an anteroinferior ...
Cooke Stephen - - 2010
Traumatic anterior dislocation of the shoulder is a common occurrence increasingly being treated arthroscopically. This study aims to determine the outcome of arthroscopic anterior stabilization using bioknotless anchors and analyze the motion in a subset of these patients. The outcome of 20 patients who underwent arthroscopic anterior stabilization using the ...
Valenti P - - 2010
This study intends to evaluate latissimus dorsi tendon transfer outcomes inpatients with irreparable rotator cuff tears, irrespective of the fact that this procedure had been used primarily in 17 patients (Group I) or as a revision of a previously shoulder surgery in eight patients (Group II). Twenty-five patients (14 males ...
Flinkkilä Tapio - - 2010
The purpose of this study was to discover the recurrence rate of instability after arthroscopic Bankart repair and to assess risk factors for recurrence, with special interest in bone defects seen on preoperative plain radiographs. Consecutive unselected patients (182; 186 shoulders) with recurrent instability (redislocation or subluxation) after initial traumatic ...
Aydin Nuri - - 2010
HYPOTHESIS: Double-row rotator cuff repair leads to superior cuff integrity and clinical results compared with single-row repair. MATERIALS AND METHODS: The study enrolled 68 patients with a full-thickness rotator cuff tear who were divided into 2 groups of 34 patients according to repair technique. The patients were followed-up for at ...
Petrera M - - 2010
Purpose of this study is to conduct a meta-analysis comparing the results of open and arthroscopic Bankart repair using suture anchors in recurrent traumatic anterior shoulder instability. Using Medline Pubmed, Cochrane and Embase databases we performed a search of all published articles. We included only studies that compared open and ...
Flury Matthias P - - 2011
Our goal was to evaluate the objective and subjective midterm outcome after revision of a failed shoulder arthroplasty with a reverse design prosthesis. Twenty consecutive patients with 21 revisions of a primary shoulder arthroplasty using reverse shoulder prosthesis Delta III(®) were followed up postoperatively for a mean of 46 months including ...
Safran Ori - - 2010
BACKGROUND: The treatment options for a first traumatic shoulder dislocation in a young patient are either nonoperative care or primary surgery. It would be valuable to find patient-specific assessments that could predict the risk for redislocation in these patients and thereby identify those who would benefit from primary surgery. HYPOTHESIS: ...
Kwak Hyun J - - 2010
PURPOSE: This study investigated the effect of intermittent compression by a sequential compression device (SCD) on the incidence of hypotension and other hemodynamic variables in the beach-chair position. METHODS: Fifty healthy patients undergoing elective shoulder arthroscopy under general anesthesia were randomly assigned to either the control group (n = 25) ...
Clement Nicholas David - - 2010
HYPOTHESIS: We believe the variable reported survivorship of the metal-backed glenoid is related to the design of the component. This study reports the outcome and survivorship of the uncemented glenoid in rheumatoid patients with an intact or repairable rotator cuff at surgery, and considers the key design features that may ...
Yamamoto Nobuyuki - - 2010
Nonoperative treatment of traumatic first-time shoulder dislocation has remained the same for a long time. The recurrence rate of nonoperative treatment is unacceptably high, especially in young and active patients. In an earlier study, we demonstrated the superiority of immobilization in external rotation over conventional treatment. Arthroscopic stabilization is being ...
Boileau Pascal - - 2010
HYPOTHESIS: In patients with a rotator cuff-deficient shoulder, a combined loss of active elevation and external rotation (CLEER) can occur when both the infraspinatus and teres minor muscles are absent. A reverse shoulder arthroplasty (RSA) can restore active elevation in these patients but cannot restore active external rotation because there ...
Wong Ivan - - 2010
HYPOTHESIS: Management of massive, degenerative, and irreparable rotator cuff tears is challenging. Excessive re-tear rates and poor clinical outcome after standard repair have led to alternative methods of treatment. Tendon transfers and shoulder arthroplasty have had mixed results; both are invasive procedures with high potential morbidity. We began performing rotator ...
Pijls B G - - 2010
BACKGROUND: The purpose of this study was to evaluate the inter- and intra-observer reliability and accuracy of sonographic (US) acromiohumeral distance (AHD) measurement for both experienced and novice operators in US in patients suffering from subacromial impingement syndrome. METHOD: A total of 43 patients (50 shoulders) diagnosed with subacromial impingement ...
Kasten P - - 2010
We have investigated the mid-term outcome of total shoulder replacement using a keeled cemented glenoid component and a modern cementing technique with regard to the causes of failure and loosening of the components. Between 1997 and 2003 we performed 96 total shoulder replacements on 88 patients, 24 men and 64 ...
Tracy Michael R - - 2010
OBJECTIVE: Coracoid impingement has been recognized as an etiology for anterior shoulder pain; however, no imaging reference standard exists. We used sonography to compare the coracohumeral interval (CHI) in asymptomatic volunteers with the CHI in patients with coracoid impingement. METHODS: Bilateral shoulder sonography was performed in 19 asymptomatic volunteers (10 ...
Kozin Scott H - - 2010
BACKGROUND: Incomplete recovery after brachial plexus birth palsy often results in decreased movement and muscle imbalance about the shoulder, as rotator cuff and deltoid innervation are incomplete. Tendon transfers redistribute the forces about the joint and were thought to promote glenohumeral joint remodeling. Early reports, however, indicate limited ability to ...
Keener Jay D - - 2010
BACKGROUND: Literature regarding the outcomes of revision rotator cuff repair is limited. The purposes of the present study were to report the tendon repair integrity and clinical outcomes for a cohort of patients following revision arthroscopic rotator cuff repair and to examine factors related to tendon healing and the influence ...
Saridakis Paul - - 2010
BACKGROUND: Arthroscopic rotator cuff repair is a common procedure that is gaining wide acceptance among orthopaedic surgeons because it is less invasive than open repair techniques. However, there is little consensus on whether to employ single-row or double-row fixation. The purpose of the present study was to systematically review the ...
Gaunt Bryce W - - 2010
This manuscript describes the consensus rehabilitation guideline developed by the American Society of Shoulder and Elbow Therapists. The purpose of this guideline is to facilitate clinical decision making during the rehabilitation of patients following arthroscopic anterior capsulolabral repair of the shoulder. This guideline is centered on the principle of the ...
Berth Alexander - - 2010
The surgical treatment of massive rotator cuff tears (RCT) is still controversial and can be based on a variety of different surgical repair methods. This study investigated the effectiveness of arthroscopic debridement or arthroscopic partial repair in patients with massive RCT. This prospective, randomized study involved forty-two patients with massive ...
Osti Leonardo - - 2010
We compared the outcomes of arthroscopically repaired rotator cuff tears in 28 patients older than 65 years (the over 65 group: median age 70 years) with a control group of 28 patients younger than 65 years (the under 65 group: median age 57 years). The groups were similar in regard ...
Weening Alexander A - - 2010
Massive rotator cuff tendon ruptures are not uncommon in older patients. We propose the transfer of the latissimus dorsi muscle for treatment of irreparable ruptures associated with functional impairment and chronic pain. Five women and 11 men were so treated and reviewed with an average follow-up of 26 months. The ...
Yoo Jae Chul - - 2010
Relatively large calcific materials on radiographs of shoulders with persistent symptoms after extended periods of conservative treatment are candidates for operative treatment. But complete removal of calcific materials sometimes leaves a large defect in the rotator cuff tendon, and tendon repair might be essential if defects are large. We evaluated ...
Nath Rahul K - - 2010
AIM: The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. METHODS: We retrospectively studied long-term outcomes both functionally and anatomically in 61 patients ...
Camargo Paula Rezende - - 2010
Peak torque (PT), total work (TW) and acceleration time (AT) were measured during isokinetic concentric and eccentric abduction of the shoulder in subjects with subacromial impingement syndrome (SIS) and healthy subjects. The SIS group consisted of 27 subjects (33.48 +/- 9.94 years) with unilateral SIS and it was divided into ...
Kasten Philip - - 2010
HYPOTHESIS: There are limited data how total shoulder arthroplasty (TSA) improves shoulder function during activities of daily living (ADL). The hypothesis of this study was that the range of motion (ROM) in ADL gets back to normal after TSA. MATERIALS AND METHOD: We examined 13 patients before they received TSA ...
Nawata Kan - - 2010
A 38-year-old woman suffering from dilated cardiomyopathy underwent successful removal of a Toyobo left ventricular assist device after 11 months of support. Four months later, discharge of pus from the skin resulted from the contaminated residual apical cuff. The purulence stopped spontaneously 16 months later, but halitosis then developed. Two ...
Oskay Deran - - 2010
OBJECTIVE: The aim of this case series is to describe the effect of nerve mobilization techniques in the standard conservative management of cubital tunnel syndrome (CTS). METHODS: Seven patients with CTS participated in this study. Inclusion criteria were having grade 1 and grade 2 entrapment neuropathy according to the McGowan ...
Reuther Falk - - 2010
In this multicentre study, data on 102 shoulder hemiarthroplasties for the treatment of fractures were analysed retrospectively with regard to tuberosity healing and functional outcome. METHODS: Clinical outcome was assessed using the constant score (CS) and the American Shoulder and Elbow Score (ASES). The mean follow-up time was 28.1 months. ...
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