Clinics in Shoulder and Elbow最新文献

{"title":"Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty.","authors":"Troy Li,&nbsp;Akiro H Duey,&nbsp;Christopher A White,&nbsp;Amit Pujari,&nbsp;Akshar V Patel,&nbsp;Bashar Zaidat,&nbsp;Christine S Williams,&nbsp;Alexis Williams,&nbsp;Carl M Cirino,&nbsp;Dave Shukla,&nbsp;Bradford O Parsons,&nbsp;Evan L Flatow,&nbsp;Paul J Cagle","doi":"10.5397/cise.2023.00409","DOIUrl":"https://doi.org/10.5397/cise.2023.00409","url":null,"abstract":"<p><strong>Background: </strong>In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA.</p><p><strong>Methods: </strong>Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival.</p><p><strong>Results: </strong>At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure.</p><p><strong>Conclusions: </strong>When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/6c/cise-2023-00409.PMC10497918.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10236518","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}

{"title":"Risk factors for unexpected readmission and reoperation following open procedures for shoulder instability: a national database study of 1,942 cases.","authors":"John M Tarazi,&nbsp;Matthew J Partan,&nbsp;Alton Daley,&nbsp;Brandon Klein,&nbsp;Luke Bartlett,&nbsp;Randy M Cohn","doi":"10.5397/cise.2023.00178","DOIUrl":"https://doi.org/10.5397/cise.2023.00178","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to identify demographics and risk factors associated with unplanned 30-day readmission and reoperation following open procedures for shoulder instability and examine recent trends in open shoulder instability procedures.</p><p><strong>Methods: </strong>The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried using current procedural terminology (CPT) codes 23455, 23460, and 23462 to find patients who underwent shoulder instability surgery from 2015 to 2019. Independent sample Student t-tests and chi-square tests were used in univariate analyses to identify demographic, lifestyle, and perioperative variables related to 30-day readmission following repair for shoulder instability. Multivariate logistic regression modeling was subsequently performed.</p><p><strong>Results: </strong>In total, 1,942 cases of open surgical procedures for shoulder instability were identified. Within our study sample, 1.27% of patients were readmitted within 30 days of surgery, and 0.85% required reoperation. Multivariate logistic regression modeling confirmed that the following patient variables were associated with a statistically significant increase in the odds of readmission: open anterior bone block/Latarjet-Bristow procedure, being a current smoker, and a long hospital stay (all P<0.05). Multivariate logistic regression modeling confirmed statistically significant increased odds of reoperation with an open anterior bone block or Latarjet-Bristow procedure (P<0.05).</p><p><strong>Conclusions: </strong>Unplanned 30-day readmission and reoperation after open shoulder instability surgery is infrequent. Patients who are current smokers, have an open anterior bone block or Latarjet-Bristow procedure, or a longer than average hospital stay have higher odds of readmission than others. Patients who undergo an open anterior bone block or Latarjet-Bristow procedure have higher odds of reoperation than those who undergo an open soft-tissue procedure. Level of evidence: III.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/5f/cise-2023-00178.PMC10497916.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241781","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}

{"title":"Arthroscopic transosseous anchorless rotator cuff repair reduces bone defects related to peri-implant cyst formation: a comparison with conventional suture anchors using propensity score matching.","authors":"Hyeon Jang Jeong,&nbsp;Ji Soo Lee,&nbsp;Young Kyu Kim,&nbsp;Sung-Min Rhee,&nbsp;Joo Han Oh","doi":"10.5397/cise.2023.00052","DOIUrl":"https://doi.org/10.5397/cise.2023.00052","url":null,"abstract":"<p><strong>Background: </strong>The transosseous anchorless repair (ToR) technique was recently introduced to avoid suture anchor-related problems. While favorable outcomes of the ToR technique have been reported, no previous studies on peri-implant cyst formation with the ToR technique exist. Therefore, this study compared the clinical outcomes and prevalence of peri-implant cyst formation between the ToR technique and the conventional transosseous equivalent technique using suture anchors (SA).</p><p><strong>Methods: </strong>Cases with arthroscopic rotator cuff repair (ARCR) between 2016 and 2018 treated with the double-row suture bridge technique were retrospectively reviewed. Patients were divided into ToR and SA groups. To compare clinical outcomes, 19 ToR and 57 SA cases without intraoperative implant failure were selected using propensity score matching (PSM). While intraoperative implant failure rate was analyzed before PSM, retear rate, peri-implant cyst formation rate, and functional outcomes were compared after PSM.</p><p><strong>Results: </strong>The intraoperative implant failure rate (ToR, 8% vs. SA, 15.3%) and retear rate (ToR, 5.3% vs. SA, 19.3%) did not differ between the two groups (all P>0.05). However, peri-implant cysts were not observed in the ToR group, while they were observed in 16.7% of the SA group (P=0.008). Postoperative functional outcomes were not significantly different between the two groups (all P>0.05).</p><p><strong>Conclusions: </strong>The ToR technique produced comparable clinical outcomes to conventional techniques. Considering the prospect of potential additional surgeries, the absence of peri-implant cyst formation might be an advantage of ToR. Furthermore, ToR might reduce the medical costs related to suture anchors and, thereby, could be a useful option for ARCR. Level of evidence: III.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/3d/cise-2023-00052.PMC10497926.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10292006","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}

{"title":"Variability in physical therapy protocols following total shoulder arthroplasty.","authors":"Samuel Schick,&nbsp;Alex Dombrowsky,&nbsp;Jamal Egbaria,&nbsp;Kyle D Paul,&nbsp;Eugene Brabston,&nbsp;Amit Momaya,&nbsp;Brent Ponce","doi":"10.5397/cise.2023.00115","DOIUrl":"https://doi.org/10.5397/cise.2023.00115","url":null,"abstract":"<p><strong>Background: </strong>Physical therapy (PT) plays an important role in the recovery of function following anatomic total shoulder arthroplasty (aTSA). While several PT protocols have been published for these patients, there is no standardized protocol for aTSA rehabilitation. This lack of standardization may lead to confusion between patients and physicians, possibly resulting in suboptimal outcomes. This study examines how PT protocols provided by academic orthopedic surgery programs vary regarding therapeutic goals and activities following aTSA.</p><p><strong>Methods: </strong>PT protocols for aTSA available online from the Accreditation Council for Graduate Medical Education accredited orthopedic surgery programs were included for review. Each protocol was analyzed to evaluate it for differences in recommendation of length of immobilization, range of motion (ROM) goals, start time for and progression of therapeutic exercises, and timing for return to functional activity.</p><p><strong>Results: </strong>Of 175 accredited programs, 25 (14.2%) had protocols publicly available, programs (92%) recommended sling immobilization outside of therapy for an average of 4.4±2.0 weeks. Most protocols gave recommendations on starting active forward flexion (24 protocols, range 1-7 weeks), external rotation (22 protocols, range 1-7 weeks), and internal rotation (18 protocols, range 4-7 weeks). Full passive ROM was recommended at 10.8±5.7 weeks, and active ROM was 13.3±3.9 weeks, on average. ROM goals were inconsistent among protocols, with significant variations in recommended ROM and resistance exercise start times. Only 13 protocols (52%) gave recommendations on resuming recreational activities (mean, 17.4±4.4 weeks).</p><p><strong>Conclusions: </strong>Publicly available PT protocols for aTSA rehabilitation are highly variable. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8a/9a/cise-2023-00115.PMC10497930.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10586095","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}

{"title":"Normal ossification of the glenoid mimicking a glenoid fracture in an adolescent patient: a case report.","authors":"María Galán-Olleros,&nbsp;Rosa M Egea-Gámez,&nbsp;Ángel Palazón-Quevedo,&nbsp;Sergio Martínez-Álvarez,&nbsp;Olga M Suárez Traba,&nbsp;Marta Escribano Pérez","doi":"10.5397/cise.2022.01151","DOIUrl":"https://doi.org/10.5397/cise.2022.01151","url":null,"abstract":"<p><p>A 13-year-old male was diagnosed with a glenoid fracture following direct shoulder trauma, for which surgical treatment was considered. After referral to a center for pediatric orthopedic care, physical examination, contralateral shoulder X-ray, and detailed computed tomography examination ruled out the presence of fracture; these findings were later confirmed by magnetic resonance imaging. Normal ossification patterns in the adolescent shoulder may simulate a fracture in traumatic settings. To accurately diagnose and manage pediatric shoulder pathology, orthopedic surgeons must be aware of the normal anatomy of the growing shoulder, its secondary ossification centers, and growth plates.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/73/cise-2022-01151.PMC10497921.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583483","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}

{"title":"Celebrating Clinics in Shoulder and Elbow milestones: a journey toward excellence in shoulder and elbow surgery.","authors":"Hyung Bin Park","doi":"10.5397/cise.2023.00717","DOIUrl":"https://doi.org/10.5397/cise.2023.00717","url":null,"abstract":"","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/8f/cise-2023-00717.PMC10497925.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229943","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}

{"title":"Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report.","authors":"Samuel Baek,&nbsp;Geum-Ho Lee,&nbsp;Myung Ho Shin,&nbsp;Tae Min Kim,&nbsp;Kyung-Soo Oh,&nbsp;Seok Won Chung","doi":"10.5397/cise.2022.00794","DOIUrl":"https://doi.org/10.5397/cise.2022.00794","url":null,"abstract":"<p><p>The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Despite a successful closed reduction, two more dislocations occurred in 3 weeks. Magnetic resonance imaging revealed an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion, an engaging Hill-Sachs lesion, and large tears of the supraspinatus and infraspinatus tendons. The patient underwent arthroscopic rotator cuff repair and ALPSA repair with a remplissage procedure. Intraoperatively, no tendency for instability was found; however, a widened glenohumeral joint space and inferior subluxation of the humeral head without functional compromise was observed on the day after surgery and disappeared spontaneously on radiographs 2 weeks later. To the authors' knowledge, this is the first report documenting the occurrence of transient postoperative inferior subluxation of the shoulder in a patient with MG.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/93/cise-2022-00794.PMC10497917.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237709","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}

{"title":"Now, we all know about the Osborne-Cotterill lesions, but we still don't know how to treat them.","authors":"Jong Heon Lee,&nbsp;Tae Kang Lim","doi":"10.5397/cise.2023.00696","DOIUrl":"https://doi.org/10.5397/cise.2023.00696","url":null,"abstract":"Received: August 9, 2023 Revised: August 10, 2023 Accepted: August 10, 2023 Correspondence to: Tae Kang Lim Department of Orthopedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, 68 Hangeulbiseong-ro, Nowon-gu, Seoul 01830, Korea Tel: +82-2-970-8036, Fax: +82-2-970-2773, E-mail: shouldertk@gmail.com, ORCID: https://orcid.org/0000-0001-8752-3987 In 1966, Osborne and Cotterill [1] described a posterior capitellum defect associated with recurrent elbow instability. The eponymous term “Osborne-Cotterill lesion” was later coined by Jeon et al. [2] in 20081). Since then, it has been used to describe capitellar bony defects or loose fragments detached from the posterolateral margin of the capitellum associated with posterolateral rotatory instability of the elbow [3-6]. Identifying this bony lesion on simple radiographs helps the surgeon recognize the associated posterolateral rotatory instability, which is mainly caused by injury to soft tissue such as the lateral ulnar collateral ligament (LUCL). However, the optimal treatment of Osborne-Cotterill lesions has not been established. According to previous reports on the surgical treatment of this injury, reconstruction of the LUCL was the most common approach, but how the bony lesion was addressed varied, including bony fragment removal [3], bone graft [7], osteochondral autograft, osteochondral allograft transfer [8] or no treatment [3,9]. Thus, I read with great interest the recent paper entitled “Prosthetic resurfacing of engaging posterior capitellar defects in recurrent posterolateral rotatory (PLRI) of the elbow,” by Rotman et al. [10]. The authors reported five patients with PLRI and associated Osborne-Cotterill lesions that were surgically treated with repair/reconstruction of the lateral collateral ligament and reconstruction of the capitellar defect with a metal prosthesis. The implant was originally designed for metatarsal head resurfacing (HemiCAP Toe Classic, Arthrosurface), and so this was an off-label use in the elbow joint, as acknowledged by the authors. Midterm follow-up (median, 4.5 years postoperatively; range, 1–6 years) showed excellent results with no instability, prothesis loosening or reoperation, except for mild arthritis in one patient. This study has several strengths. Given that LUCL reconstruction without addressing the bony lesion can cause recurrent instability [2], resurfacing of the engaging posterior capitellar defect shown in this study can be a useful option as a concomitant procedure in LUCL reconstruction. This study also reminds the treating surgeons of the importance of Osborne-Cotterill lesions in elbow instability. Off-label use of a metatarsal prosthesis is a limitation of this study, which may not be allowed elsewhere. Metatarsal resurfacing prostheses also may not be available or familiar to all elbow surgeons. Future studies related to Osborne-Cotterill lesions are needed. First, a well-organized randomized clinical trial comparin","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/d8/cise-2023-00696.PMC10497928.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10238556","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}

{"title":"A review of chronic pectoralis major tears: what options are available?","authors":"Joshua R Giordano,&nbsp;Brandon Klein,&nbsp;Benjamin Hershfeld,&nbsp;Joshua Gruber,&nbsp;Robert Trasolini,&nbsp;Randy M Cohn","doi":"10.5397/cise.2023.00129","DOIUrl":"https://doi.org/10.5397/cise.2023.00129","url":null,"abstract":"<p><p>Rupture of the pectoralis major muscle typically occurs in the young, active male. Acute management of these injuries is recommended; however, what if the patient presents with a chronic tear of the pectoralis major? Physical exams and magnetic resonance imaging can help identify the injury and guide the physician with a plan for management. Nonoperative management is feasible, but is recommended for elderly, low-demand patients whose functional goals are minimal. Repair of chronic tears should be reserved for younger, healthier patients with high functional demands. Although operative management provides better functional outcomes, operative treatment of chronic pectoralis tears can be challenging. Tendon retraction, poor tendinous substance and quality of tissue, muscle atrophy, scar formation, and altered anatomy make direct repairs complicated, often necessitating auto- or allograft use. We review the various graft options and fixation methods that can be used when treating patients with chronic pectoralis major tears.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/be/cise-2023-00129.PMC10497927.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10241789","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}

{"title":"Prosthetic resurfacing of engaging posterior capitellar defects in recurrent posterolateral rotatory instability of the elbow.","authors":"Dani Rotman,&nbsp;Jorge Rojas Lievano,&nbsp;Shawn W O'Driscoll","doi":"10.5397/cise.2022.01424","DOIUrl":"https://doi.org/10.5397/cise.2022.01424","url":null,"abstract":"<p><strong>Background: </strong>Posterolateral rotatory instability (PLRI) is a common mechanism of recurrent elbow instability. While the essential lesion is a deficiency in the lateral ulnar collateral ligament (LUCL), there are often associated concomitant bony lesions, such as an Osborne-Cotterill lesions (posterior capitellar fractures) and marginal radial head fractures, that compromise stability. Currently, there is no standard treatment for posterior capitellar deficiency associated with recurrent PLRI.</p><p><strong>Methods: </strong>We conducted a retrospective review of five patients with recurrent PLRI of the elbow associated with a posterior capitellar impaction fracture engaging with the radial head during normal range of motion. The patients were treated surgically with LUCL reconstruction or repair and off-label reconstruction of the capitellar joint surface using a small metal prosthesis designed for metatarsal head resurfacing (HemiCAP toe classic).</p><p><strong>Results: </strong>Five patients (three adolescent males, two adult females) were treated between 2007 and 2018. At a median follow-up of 5 years, all patients had complete relief of their symptomatic instability. No patients had pain at rest, but two patients had mild pain (visual analog scale 1-3) during physical activity. Three patients rated their elbow as normal, one as almost normal, and one as greatly improved. On short-term radiographic follow-up there were no signs of implant loosening. None of the patients needed reoperation.</p><p><strong>Conclusions: </strong>Recurrent PLRI of the elbow associated with an engaging posterior capitellar lesion can be treated successfully by LUCL reconstruction and repair and filling of the capitellar defect with a metal prosthesis. This treatment option has excellent clinical results in the short-medium term. Level of evidence: IV.</p>","PeriodicalId":33981,"journal":{"name":"Clinics in Shoulder and Elbow","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/50/cise-2022-01424.PMC10497932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10238553","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}