Clinics in Shoulder and Elbow最新文献_第4页

Arthroscopic treatment of chronic calcific tendinitis with intraosseous migration: a case report. 关节镜治疗伴有骨内移位的慢性钙化性腱鞘炎：病例报告。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-01-29 DOI: 10.5397/cise.2023.00654

Jung Uk Kim, Pei Wei Wang

引用次数: 0

Corrigendum to: The humeral suspension technique: a novel operation for deltoid paralysis. 更正：肱骨悬吊技术：治疗三角肌瘫痪的新手术。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-05-13 DOI: 10.5397/cise.2021.00563.e1

Stijn Gcj de Joode, Ralf Walbeehm, Martijn Gm Schotanus, Ferry A van Nie, Lodewijk W van Rhijn, Steven K Samijo

引用次数: 0

Clinics in Shoulder and Elbow achieves Scopus indexing: a milestone in our journey to excellence. 肩肘临床》被 Scopus 索引：这是我们追求卓越历程中的一个里程碑。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-05-13 DOI: 10.5397/cise.2024.00367

Hyung Bin Park

引用次数: 0

Latarjet operation carries three times the risk of failure in seizure versus non-seizure recurrent anterior dislocation of the shoulder joint: outcome of a systematic review with meta-analysis. Latarjet手术在肩关节复发性前脱位发作期与非发作期的失败风险是前者的三倍：系统回顾与荟萃分析的结果。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-04-04 DOI: 10.5397/cise.2023.00948

Alok Rai, Dushyant Chouhan, Sandeep Kumar Nema, Arkesh Madegowda, Rudra Narayan, Bikram K Kar

{"title":"Latarjet operation carries three times the risk of failure in seizure versus non-seizure recurrent anterior dislocation of the shoulder joint: outcome of a systematic review with meta-analysis.","authors":"Alok Rai, Dushyant Chouhan, Sandeep Kumar Nema, Arkesh Madegowda, Rudra Narayan, Bikram K Kar","doi":"10.5397/cise.2023.00948","DOIUrl":"10.5397/cise.2023.00948","url":null,"abstract":"Background: Recurrent anterior shoulder dislocation (RASD) in cases of seizure disorders (SDs) total 50%-80% of all SD-associated shoulder instabilities. Based on the extent of bone loss, treatment options include bony and soft-tissue reconstructions, arthroplasty, and arthrodesis. The primary objective of this paper was to review the treatment options for RASD in SDs.Methods: Several bibliographic databases were searched for RASD treatment options in SD patients. The demographic outcome measures, the failure rate (defined as the relative risk of recurrence of dislocation postoperation), and the postoperative seizure recurrence rate were recorded.Results: We pooled 171 cases (187 shoulders) from 11 studies. Of these, one, five, two, two, and one reports studied Bankart's operation with remplissage (27 cases/29 shoulders), the Latarjet procedure (106/118), bone block operation (21/23), arthroplasty (11/11), and arthrodesis (6/6), respectively, in treating SD-associated RASD. The relative risk of failure between SD and non-SD patients was 3.76 (1.3610.38) after the Latarjet operation. The failure rates were 17% and 13% for Bankart's operation with remplissage and the Latarjet procedure in SD patients, respectively, but 0% each for bone block operation, arthroplasty, and arthrodesis. The total rate of seizure recurrence after operation was 33% of the pooled cases.Conclusions: SD recurrence in the postoperative period, the size of the bone block, and the muscular attachments to a small coracoid autograft are the determinants of failure among various reconstructive operations in SD-associated RASD. Level of evidence: III.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rate of incidental findings on routine preoperative computed tomography for shoulder arthroplasty. 肩关节置换术术前常规计算机断层扫描的偶然发现率。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-03-22 DOI: 10.5397/cise.2023.00836

Daniel G Meeker, Maria F Bozoghlian, Taylor Den Hartog, Jill Corlette, James V Nepola, Brendan M Patterson

{"title":"Rate of incidental findings on routine preoperative computed tomography for shoulder arthroplasty.","authors":"Daniel G Meeker, Maria F Bozoghlian, Taylor Den Hartog, Jill Corlette, James V Nepola, Brendan M Patterson","doi":"10.5397/cise.2023.00836","DOIUrl":"10.5397/cise.2023.00836","url":null,"abstract":"Background: Incidental findings are commonly noted in advanced imaging studies. Few data exist regarding the rate of incidental findings on computed tomography (CT) for preoperative shoulder arthroplasty planning. This study aims to identify the incidence of these findings and the rate at which they warrant further work-up to help guide orthopedic surgeons in counseling patients.Methods: A retrospective review was performed to identify patients with available preoperative shoulder CT who subsequently underwent shoulder arthroplasty procedures at a single institution between 2015 and 2021. Data including age, sex, and smoking status were obtained. Radiology reports for CTs were reviewed for incidental findings and categorized based on location, tissue type, and/or body system. The rate of incidental findings and the rate at which further follow-up was recommended by the radiologist were determined.Results: A total of 617 patients was identified. There were 173 incidental findings noted in 146 of these patients (23.7%). Findings ranged from pulmonary (59%), skin/soft tissue (16%), thyroid (13%), vascular (9%), spinal (2%), and abdominal (1%) areas. Of the pulmonary findings, 50% were pulmonary nodules and 47% were granulomatous disease. Overall, the final radiology report recommended further follow-up for 50% of the patients with incidental findings.Conclusions: Incidental findings are relatively common in preoperative CTs obtained for shoulder arthroplasty, occurring in nearly one-quarter of patients. Most of these findings are pulmonary in nature. Overall, half of the patients with incidental findings were recommended for further follow-up. These results establish population data to guide orthopedic surgeons in patient counseling. Level of evidence: III.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"169-175"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-term clinical and radiographic outcomes of arthroscopic acromioclavicular stabilization for acute acromioclavicular joint dislocation. 关节镜下肩锁关节稳定术治疗急性肩锁关节脱位的长期临床和影像学效果。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-05-10 DOI: 10.5397/cise.2023.01060

Eduard Van Eecke, Bernard Struelens, Stijn Muermans

{"title":"Long-term clinical and radiographic outcomes of arthroscopic acromioclavicular stabilization for acute acromioclavicular joint dislocation.","authors":"Eduard Van Eecke, Bernard Struelens, Stijn Muermans","doi":"10.5397/cise.2023.01060","DOIUrl":"10.5397/cise.2023.01060","url":null,"abstract":"Background: Standard open acromioclavicular (AC) stabilization is associated with increased postoperative complications including deltoid injury, infection, tunnel complications, loss of reduction, and wound/cosmetic concerns. Arthroscopy may offer superior visualization and advantages that limit these risks. The aim of this prospective non-randomized study is to evaluate advantages and long-term reliability of arthroscopic AC stabilization.Methods: Thirty-two patients with acute grade III, IV and V AC dislocations underwent arthroscopic AC reconstruction with long-term assessment by clinical AC examination, Simple Shoulder Test, American Shoulder and Elbow Surgeons scores, visual analog scale, Specific AC Score and Quick Disabilities of the Arm, Shoulder and Hand scores. Radiographs verified conservation of initial reduction and presence of coracoclavicular (CC) ossifications. Complications, revision rate, and satisfaction were assessed and compared to the literature.Results: Mean follow-up time was 67.6 months. All clinical outcome scores improved and differences were statistically significant (P<0.001). Initial postoperative radiographs consistently showed complete reduction. Two patients experienced relapse to grade II AC dislocation without clinical implications. In total, 71.8% showed CC ossifications without functional impairment, and in 31.3% concomitant injuries were observed. Reintervention rate was 9.4%, and 96.9% of patients were satisfied with procedure outcomes.Conclusions: Arthroscopic stabilization for acute AC joint dislocations offers satisfactory clinical and radiographic outcomes, and our results show that the arthroscopic technique is reliable in the long run. We report better reduction in maintenance, fewer complications, and similar reoperation rates compared to other techniques. Level of evidence: III.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"219-228"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Better short-term outcomes of mini-open rotator cuff repair compared to full arthroscopic repair. 小切口肩袖修复术的短期疗效优于全关节镜修复术。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-05-13 DOI: 10.5397/cise.2023.00745

Mehmet Akdemir, Ali İhsan Kılıç, Cengizhan Kurt, Sercan Çapkın

{"title":"Better short-term outcomes of mini-open rotator cuff repair compared to full arthroscopic repair.","authors":"Mehmet Akdemir, Ali İhsan Kılıç, Cengizhan Kurt, Sercan Çapkın","doi":"10.5397/cise.2023.00745","DOIUrl":"10.5397/cise.2023.00745","url":null,"abstract":"Background: Rotator cuff tears commonly cause shoulder pain and functional impairment, prompting surgical intervention such as miniopen and arthroscopic methods, each with distinct benefits. This study aimed to compare the clinical outcomes and complications of these two approaches.Methods: A retrospective analysis was conducted on 165 patients who underwent rotator cuff repair using either arthroscopic-assisted mini-open or full arthroscopic approaches. Patient demographics, tear characteristics, clinical outcomes, and complications were assessed, with statistical analyses conducted to discern differences between the groups.Results: Among the patients, 74 (53.2%) received the mini-open approach, while 65 (46.8%) underwent arthroscopic repair, with a mean follow-up of 19.91 months. The mini-open group exhibited significantly higher postoperative American Shoulder and Elbow Surgeons (ASES) scores compared to the arthroscopic group (P=0.002). Additionally, the mini-open group demonstrated a more significant improvement in ASES scores from preoperative to postoperative assessments (P=0.001). However, the arthroscopic method had a significantly longer operative time (P<0.001). Complications, including anchor placement issues, frozen shoulder, infection, and re-rupture, occurred in 17.3% of patients overall. Re-rupture rates were 13.5% for mini-open and 6.2% for full arthroscopic repair, with no significant difference between the two methods (P=0.317).Conclusions: Both the mini-open and arthroscopic methods yielded favorable clinical outcomes for rotator cuff tear treatment, but the mini-open group exhibited superior results. Surgeons should consider patient characteristics, tear attributes, and surgical expertise when selecting the appropriate technique. Level of evidence: III.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"212-218"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acromioclavicular joint dislocation and concomitant labral lesions: a systematic review. 肩锁关节脱位和伴随的唇囊病变：系统性综述。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2024-01-26 DOI: 10.5397/cise.2023.00640

Jad Mansour, Joseph E Nassar, Michel Estephan, Karl Boulos, Mohammad Daher

{"title":"Acromioclavicular joint dislocation and concomitant labral lesions: a systematic review.","authors":"Jad Mansour, Joseph E Nassar, Michel Estephan, Karl Boulos, Mohammad Daher","doi":"10.5397/cise.2023.00640","DOIUrl":"10.5397/cise.2023.00640","url":null,"abstract":"Acromioclavicular (AC) joint dislocations frequently co-occur with intra-articular glenohumeral pathologies. Few comprehensive studies have focused on labral tears specifically associated with AC joint trauma. This systematic review will address this gap. A comprehensive electronic search was conducted across PubMed, Cochrane Library, and Google Scholar (pages 1-20) spanning from 1976 to May 19, 2023. Seven studies met the inclusion criteria for this systematic review, consisting of three retrospective studies and four case series. These studies collectively involved 1,044 patients, of whom 282 had concomitant labral lesions. The pooled prevalence of intra-articular labral injuries associated with acute AC joint dislocation was 27%. The prevalence of these labral lesions varied significantly between studies, ranging from 13.9% to 84.0% of patients, depending on the study and the grade of AC joint dislocation. Various types of labral tears were reported, with superior labrum anterior to posterior (SLAP) lesions being the most common. The prevalence of SLAP lesions ranged from 7.2% to 77.4%, with higher grades of AC joint dislocations often associated with a higher prevalence of SLAP tears. Moreover, grade V dislocations exhibited a complete correlation with SLAP tears. The studies yielded contradictory findings regarding older age and higher grades of AC joint dislocation as risk factors for concurrent labral lesions. This review underscores the frequent association between labral lesions and AC joint dislocations, particularly in cases of lower-grade injuries. Notably, SLAP lesions emerged as the predominant type of labral tear.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"247-253"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139672848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bilateral reverse shoulder arthroplasty versus bilateral anatomic shoulder arthroplasty: a meta-analysis and systematic review. 双侧反向肩关节置换术与双侧解剖肩关节置换术：荟萃分析与系统综述。

Clinics in Shoulder and Elbow Pub Date : 2024-06-01 Epub Date: 2023-12-19 DOI: 10.5397/cise.2023.00332

Mohammad Daher, Mohamad Y Fares, Jonathan Koa, Jaspal Singh, Joseph Abboud

{"title":"Bilateral reverse shoulder arthroplasty versus bilateral anatomic shoulder arthroplasty: a meta-analysis and systematic review.","authors":"Mohammad Daher, Mohamad Y Fares, Jonathan Koa, Jaspal Singh, Joseph Abboud","doi":"10.5397/cise.2023.00332","DOIUrl":"10.5397/cise.2023.00332","url":null,"abstract":"Background: As the population is aging and indications are expanding, shoulder arthroplasty is becoming more frequent, especially bilateral staged replacement. However, surgeons are hesitant to use bilateral reverse prostheses due to potential limitations on activities of daily living.Methods: This meta-analysis was conducted to compare bilateral anatomic to bilateral reverse shoulder implants. PubMed, Cochrane, and Google Scholar (pages 1-20) were searched until April 2023. The clinical outcomes consisted of postoperative functional scores (American Shoulder and Elbow Surgeons [ASES], Single Assessment Numeric Evaluation [SANE], Physical Component Score [PCS], Mental Component Score, and Simple Shoulder Test), pain, and range of motion (external rotation and forward elevation). Three studies were included in this meta-analysis.Results: Bilateral anatomic implants had better postoperative functional outcomes and range of motion, but no significant difference was seen in postoperative pain when compared to the reverse prosthesis. Better ASES score, SANE score, and PCS as well as better external rotation and forward elevation were seen in the bilateral anatomic shoulder replacement group, but no significant difference in pain levels was seen between the two groups.Conclusions: The results may be explained by the lower baseline seen in the reverse prosthesis group, which may be due to an older population and different indications. Nevertheless, more randomized controlled studies are needed to confirm these findings. Level of evidence: III.","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":" ","pages":"196-202"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epithelioid hemangioma of the acromion causing shoulder pain: a case report. 肩峰上皮样血管瘤导致肩痛：病例报告。

Clinics in Shoulder and Elbow Pub Date : 2024-05-08 DOI: 10.5397/cise.2023.00941

Whanyong Jung, Suil Jung, Seung-Yong Sung

引用次数: 0