Shoulder and Elbow最新文献_第10页

Rockwood type III is the most common type of acromioclavicular joint dislocation: A prospective cohort study investigating the incidence and epidemiology of acute acromioclavicular joint dislocations in an urban population. Rockwood III型是最常见的肩锁关节脱位类型：一项前瞻性队列研究，调查城市人群中急性肩锁关节脱臼的发病率和流行病学。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-09-09 DOI: 10.1177/17585732221123314

Kristine Bramsen Haugaard, Klaus Bak, Kristoffer Seem, Per Hölmich, Kristoffer Weisskirchner Barfod

{"title":"Rockwood type III is the most common type of acromioclavicular joint dislocation: A prospective cohort study investigating the incidence and epidemiology of acute acromioclavicular joint dislocations in an urban population.","authors":"Kristine Bramsen Haugaard, Klaus Bak, Kristoffer Seem, Per Hölmich, Kristoffer Weisskirchner Barfod","doi":"10.1177/17585732221123314","DOIUrl":"10.1177/17585732221123314","url":null,"abstract":"Introduction: Acromioclavicular (AC) joint dislocations are common, but basic epidemiological features and sub-classification are not well investigated. The aim of the study was to investigate the incidence and epidemiology of acute AC joint dislocations in the capital region of Denmark.Methods: All patients with acute AC joint dislocation admitted to the emergency departments at 3 University Hospitals serving a population of 549,225 residents were prospectively registered from January to December 2019. Patients with trauma to the shoulder, pain from the AC joint and increased coracoclavicular distance on radiographs were included and classified according to Rockwood's classification. Data on age, sex and mechanism of injury were registered.Results: A total of 106 patients, male:female ratio 8.6:1, were included. Rockwood type III was most common accounting for 59/106(55.7%) of the injuries. The incidence was 19.3 per 100,000 person-years at risk (PYRS). The age distribution was bimodal peaking at the ages of 20-24 and 55-59 years. The most common mechanism of injury was sports, 80/106, with cycling accounting for 51/106.Discussion/conclusion: Rockwood type III was the most common type of AC joint dislocation constituting 55.7% of the injuries. The incidence was 19.3 per 100,000 PYRS. Young and middle-aged males were at highest risk and most injuries occurred during sports.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 5","pages":"505-512"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152261","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

Variability in quantifying the Hill-Sachs lesion: A scoping review. Hill Sachs病变量化的可变性：范围界定综述。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-09-13 DOI: 10.1177/17585732221123313

Shahrukh Khan, Ajaykumar Shanmugaraj, Haseeb Faisal, Carlos Prada, Sohaib Munir, Timothy Leroux, Moin Khan

{"title":"Variability in quantifying the Hill-Sachs lesion: A scoping review.","authors":"Shahrukh Khan, Ajaykumar Shanmugaraj, Haseeb Faisal, Carlos Prada, Sohaib Munir, Timothy Leroux, Moin Khan","doi":"10.1177/17585732221123313","DOIUrl":"10.1177/17585732221123313","url":null,"abstract":"Background: Currently, is there no consensus on a widely accepted measurement technique for calculating the Hill-Sachs lesion (HSL). The purpose of this review is to provide an overview of the techniques and imaging modalities to assess the HSL pre-operatively.Methods: Four online databases (PubMed, Embase, MEDLINE, and COCHRANE) were searched for literature on the various modalities and measurement techniques used for quantifying HSLs, from data inception to 20 November 2021. The Methodological Index for Non-Randomized Studies tool was used to assess study quality.Results: Forty-five studies encompassing 3413 patients were included in this review. MRA and MRI showed the highest sensitivity, specificity, and accuracy values. Intrarater and interrater agreement was shown to be the highest amongst MRA. The most common reference tests for measuring the HSL were arthroscopy, radiography, arthro-CT, and surgical techniques.Conclusion: MRA and MRI are reliable imaging modalities with good test diagnostic properties for assessment of HSLs. There is a wide variety of measurement techniques and imaging modalities for HSL assessment, however a lack of comparative studies exists. Thus, it is not possible to comment on the superiority of one technique over another. Future studies comparing imaging modalities and measurement techniques are needed that incorporate a cost-benefit analysis.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 5","pages":"465-483"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111853","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

BESS 2023 Prize winners. BESS 2023奖获得者。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1177/17585732231193623

引用次数: 0

Surgical management of the spastic elbow. 痉挛性肘关节的外科治疗。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-05-20 DOI: 10.1177/17585732221102399

Weisang Luo, Matthew Nixon

{"title":"Surgical management of the spastic elbow.","authors":"Weisang Luo, Matthew Nixon","doi":"10.1177/17585732221102399","DOIUrl":"10.1177/17585732221102399","url":null,"abstract":"Background: We performed a retrospective review of patients undergoing surgery for elbow spasticity. We present our findings and expected outcomes according to degree of elbow fixed flexion contracture.Methods: Data collected included age, Modified Ashworth Score, pre and post-operative range of motion, indications for surgery and the Goal Attainment Score. Contracture severity was classified into five groups based on goniometric measurements. Surgical procedures were categorised into three groups.Results: A total of 114 elbows underwent surgical release. The mean age at surgery was 18.5 years and the mean follow-up was 20 months. Preoperatively, the median Modified Ashworth Score was 2 and the mean contracture was 68° (35° fixed and 33° dynamic). The median number of structures released was 3 (range: 1-6). Surgical procedures were classified as biceps sparing (27%), biceps lengthening (53%) and extended releases (18%). Mean improvement in extension was 59°, and the mean improvement in Goal Attainment Score was 36 (mean attainment score 62). The mean residual contracture was 9°. Patient satisfaction was high with over 90% of surgical indications met.Discussion: Contracture severity of the spastic elbow can be categorised by degree of fixed flexion deformity and therefore treatment can be allocated accordingly.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 5","pages":"534-543"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41149052","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

Clinical and radiological outcome of all-suture anchors in shoulder and elbow surgery. 肩部和肘部手术中所有缝合锚的临床和放射学结果。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-09-21 DOI: 10.1177/17585732221127433

Nick Ideler, Annelien De Mesel, Loïc Vercruysse, Geert Declercq, Roger van Riet, Olivier Verborgt

{"title":"Clinical and radiological outcome of all-suture anchors in shoulder and elbow surgery.","authors":"Nick Ideler, Annelien De Mesel, Loïc Vercruysse, Geert Declercq, Roger van Riet, Olivier Verborgt","doi":"10.1177/17585732221127433","DOIUrl":"10.1177/17585732221127433","url":null,"abstract":"Background: All-suture anchors (ASAs) are noted to cause various bone reactions when used in upper limb surgery but clinical implications are unknown.Methods: 88 shoulders and 151 elbows with a mean follow-up of 47.1 ± 17.7 months were invited for follow-up including clinical examination, questionnaires and radiographs. The anchor drill holes were radiographically assessed.Results: At final follow up, mean DASH was 12.9 ± 13.8 and mean VAS 2.2 ± 2.4 in the shoulder population. In the elbow group mean MEPS was 91.8 ± 12.7 and mean VAS 1.5 ± 1.9. Implant-specific complications were seen in 10 elbow cases but none in the shoulder group. The mean diameter of the 1.4 mm all-suture anchor drill hole was enlarged to 2.5 ± 1.4 mm in the shoulder group and to 2.9 ± 1.0 mm in the elbow group. 50% of the 1.4 mm anchor drill holes showed abnormal morphology but these morphologic changes did not correlate with clinical outcome, complications or reoperation rate.Discussion: Satisfying clinical outcomes are found in upper limb surgery using ASAs. Various bone changes are seen after implantation of an ASA, but these are not clinically relevant. Long-term consecutive follow-up data is required.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 5","pages":"544-553"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41131813","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

Infected haematoma in non-immuno-compromised patients following conservatively managed glenohumeral fractures - case reports. 保守治疗的肩关节骨折后非免疫受损患者的感染性血肿——病例报告。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-03-21 DOI: 10.1177/17585732221088519

Zakir Haider, Peter Domos

引用次数: 0

BESS 2023 abstracts - Podium. BESS 2023摘要-讲台。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1177/17585732231193621

引用次数: 0

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study. 肩部不稳定手术和非手术治疗后患者的认知：一项定性焦点小组研究。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-08-24 DOI: 10.1177/17585732221122363

Theodore P van Iersel, Eric D Tutuhatunewa, Ithri Kaman, Bas A Twigt, Sigrid Nw Vorrink, Michel Pj van den Bekerom, Derek Fp van Deurzen

{"title":"Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study.","authors":"Theodore P van Iersel, Eric D Tutuhatunewa, Ithri Kaman, Bas A Twigt, Sigrid Nw Vorrink, Michel Pj van den Bekerom, Derek Fp van Deurzen","doi":"10.1177/17585732221122363","DOIUrl":"10.1177/17585732221122363","url":null,"abstract":"Background: Little evidence is available regarding patient perceptions of the treatment of shoulder instability. The aim of this study is to investigate patient perceptions regarding the operative and nonoperative treatment of anterior shoulder instability.Methods: Patients who presented to the emergency department or outpatient clinic between 2016 and 2020 were retrospectively selected using diagnosis and procedure codes. Online focus groups and semistructured interviews were conducted, systematically recorded and subsequently transcribed to MaxQDA 2007 for qualitative analysis. Coded transcripts of all focus groups were subjected to a grounded theory-based analysis.Results: Six focus groups and two semistructured interviews were hosted with 35 included patients. The mean age of included patients was 34.1 years (±11.5). Eight patients were female (23%), and 27 patients were male (77%). Fear of (recurrent) dislocation, preoperative counseling, communication between surgeon and physiotherapists and need for a consistent postoperative rehab protocol turned out to be important patient perceptions. The most crucial factor for discontent was a lack of communication from the surgeon.Discussion: This patient-centered focus group study revealed that fear of (recurrent) dislocation, preoperative counseling, communication between surgeons and physiotherapists and the need for a consistent postoperative rehabilitation protocol was the most frequently discussed themes.","PeriodicalId":36705,"journal":{"name":"Shoulder and Elbow","volume":"15 5","pages":"497-504"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142607","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

Arthroscopic debridement for acute hemorrhagic subacromial bursitis following COVID-19 vaccine administration: A case report. 新冠肺炎疫苗接种后急性出血性肩峰下滑囊炎的关节镜清创术：一例病例报告。

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2022-03-31 DOI: 10.1177/17585732221090821

Erik N Mayer, Christopher R Gajewski, Nicholas M Bernthal, Andrew R Jensen

引用次数: 0

BESS 2023 abstracts - Posters. BESS 2023摘要-海报。

IF 1.5

Shoulder and Elbow Pub Date : 2023-10-01 Epub Date: 2023-09-20 DOI: 10.1177/17585732231193622

引用次数: 0