{"title":"Osteochondritis dissecans on the medial aspect of the humeral head.","authors":"Yuichiro Mima, Noboru Matsumura, Kiyohisa Ogawa, Takuji Iwamoto, Kensuke Ochi, Kazuki Sato, Yoshiaki Toyama","doi":"10.4103/0973-6042.180722","DOIUrl":"https://doi.org/10.4103/0973-6042.180722","url":null,"abstract":"<p><p>The case of a 29-year-old man who had osteochondritis dissecans on the medial aspect of the humeral head is reported. Repetitive micro-trauma at a low elevated arm position was thought to have induced the osteochondral lesion. </p>","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 2","pages":"89-91"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/78/IJSS-10-89.PMC4857537.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34553460","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":"Reconstruction of the elbow and forearm for Ewing sarcoma of ulna: A new biological technique.","authors":"Ajay Puri, Ashish Gulia, Suman Byregowda, Vishnu Ramanujan","doi":"10.4103/0973-6042.180721","DOIUrl":"https://doi.org/10.4103/0973-6042.180721","url":null,"abstract":"<p><p>Primary bone tumors around the elbow represent <1% of all the skeletal tumors. Surgery with or without adjuvant therapy (radiotherapy, chemotherapy) is the treatment of choice for malignant tumors. Reconstruction of the elbow and forearm in malignant tumors is challenging as it involves a complex interplay between multiple joints which need to be stabilized for the optimal functional outcome. We describe a new technique for the reconstruction of the elbow after resection of a proximal ulna tumor with articular radio-ulnar synostosis with the creation of a single bone forearm. We attempted to achieve a mobile elbow and stable wrist joint with the radio-ulnar union at the proximal articular surface of the ulna resulting in a single bone forearm. The procedure involves an oblique osteotomy preserving the olecranon process (after taking adequate margins based on oncological principles) and its articular cartilage along with the attachment of the triceps tendon. Then the radial head was partially denuded of its cartilage using a burr, leaving cartilage only on the volar side, and then fused to the remnant olecranon. Osteosynthesis was done using compression screw and tension band wiring. The advantages of this procedure are that the mobility at wrist and elbow are retained, it requires minimal hardware and allows for primary closure of the wound. </p>","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 2","pages":"85-8"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/1d/IJSS-10-85.PMC4857536.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34553458","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}
David M Levy, Geoffrey D Abrams, Joshua D Harris, Bernard R Bach, Gregory P Nicholson, Anthony A Romeo
{"title":"Rotator cuff tears after total shoulder arthroplasty in primary osteoarthritis: A systematic review.","authors":"David M Levy, Geoffrey D Abrams, Joshua D Harris, Bernard R Bach, Gregory P Nicholson, Anthony A Romeo","doi":"10.4103/0973-6042.180720","DOIUrl":"https://doi.org/10.4103/0973-6042.180720","url":null,"abstract":"<p><p>Rotator cuff tears have been reported to be uncommon following total shoulder arthroplasty (TSA). Postoperative rotator cuff tears can lead to pain, proximal humeral migration, and glenoid component loosening. The purpose of this paper was to evaluate the incidence of post-TSA rotator cuff tears or dysfunction in osteoarthritic patients. A systematic review of multiple databases was performed using preferred reporting items for systematic reviews and meta-analyses guidelines. Levels I-IV evidence clinical studies of patients with primary osteoarthritis with a minimum 2-year follow-up were included. Fifteen studies with 1259 patients (1338 shoulders) were selected. Student's t-tests were used with a significant alpha value of 0.05. All patients demonstrated significant improvements in motion and validated clinical outcome scores (P < 0.001). Radiographic humeral head migration was the most commonly reported data point for extrapolation of rotator cuff integrity. After 6.6 ± 3.1 years, 29.9 ± 20.7% of shoulders demonstrated superior humeral head migration and 17.9 ± 14.3% migrated a distance more than 25% of the head. This was associated with an 11.3 ± 7.9% incidence of postoperative superior cuff tears. The incidence of radiographic anterior humeral head migration was 11.9 ± 15.9%, corresponding to a 3.0 ± 13.6% rate of subscapularis tears. We found an overall 1.2 ± 4.5% rate of reoperation for cuff injury. Nearly all studies reported indirect markers of rotator cuff dysfunction, such as radiographic humeral head migration and clinical exam findings. This systematic review suggests that rotator cuff dysfunction following TSA may be more common than previously reported. IV, systematic review of Levels I-IV studies. </p>","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 2","pages":"78-84"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/7f/IJSS-10-78.PMC4857535.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34553461","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":"Case report of bisphosphonate-associated atypical scapular fracture and brief literature review.","authors":"Syed Haque, Radhakant Pandey","doi":"10.4103/0973-6042.180723","DOIUrl":"https://doi.org/10.4103/0973-6042.180723","url":null,"abstract":"Sir, Osteoporosis results in millions of fractures.[1] It is common among postmenopausal women, and the disease process is characterized by increased bone turnover, progressive loss of bone mass, microarchitectural deterioration, and increased fracture risk. Bisphosphonates, which are antiresorptive drugs, are the most commonly used pharmacologic treatments for postmenopausal osteoporosis. Alendronate, a potent bisphosphonate, decreases bone turnover, increases bone mineral density, and decreases vertebral, nonspine, and hip fracture risk in women with osteoporosis.[2] Atypical stress fractures also known as insufficiency fractures of the proximal femoral shaft have been reported as a side effect in patients taking a long‐term bisphosphonate. We report a case of bisphosphonate‐associated atypical fracture of nonweight bearing bone scapula in a female patient.","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 2","pages":"92-3"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/17/46/IJSS-10-92.PMC4857538.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34553462","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}
Shannon Hill, C. Chapman, S. Adeeb, K. Duke, L. Beaupre, M. Bouliane
{"title":"Biomechanical evaluation of the Nice knot","authors":"Shannon Hill, C. Chapman, S. Adeeb, K. Duke, L. Beaupre, M. Bouliane","doi":"10.4103/0973-6042.174513","DOIUrl":"https://doi.org/10.4103/0973-6042.174513","url":null,"abstract":"Background: The Nice knot is a bulky double-stranded knot. Biomechanical data supporting its use as well as the number of half hitches required to ensure knot security is lacking. Materials and Methods: Nice knots with, one, two, or three half-hitches were compared with the surgeon's and Tennessee slider knots with three half hitches. Each knot was tied 10 times around a fixed diameter using four different sutures: FiberWire (Arthrex, Naples, FL), Ultrabraid (Smith and Nephew, Andover, MA), Hi-Fi (ConMed Linvatec, Largo, FL) and Force Fiber (Teleflex Medical OEM, Gurnee, IL). Cyclic testing was performed for 10 min between 10N and 45N, resulting in approximately 1000 cycles. Displacement from an initial 10N load was recorded. Knots surviving cyclic testing were subjected to a load to failure test at a rate of 60 mm/min. Load at clinical failure: 3 mm slippage or opening of the suture loop was recorded. Bulk, mode of ultimate failure, opening of the loop past clinical failure, was also recorded. Results: During cyclic testing, the Nice knots with one or more half-hitches performed the best, slipping significantly less than the surgeon's and Tennessee Slider (P < 0.002). After one half-hitch, the addition of half-hitches did not significantly improve Nice knot performance during cyclic testing (P > 0.06). The addition of half-hitches improved the strength of the Nice knot during the force to failure test, however after two half-hitches, increase of strength was not significant (P = 0.59). While FiberWire was the most bulky of the sutures tested, it also performed the best, slipping the least. Conclusion: The Nice knot, especially using FiberWire, is biomechanically superior to the surgeon's and Tennessee slider knots. Two half hitches are recommended to ensure adequate knot security.","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 1","pages":"15 - 20"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum: Posterior shoulder instability following anatomic total shoulder arthroplasty: A case report and review of management","authors":"","doi":"10.4103/0973-6042.169803","DOIUrl":"https://doi.org/10.4103/0973-6042.169803","url":null,"abstract":"[This corrects the article on p. 131 in vol. 9, PMID: 26622130.].","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 1","pages":"52 - 52"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shoulder, elbow, and wrist: Broadening the scope, and the editorial board","authors":"Deepak N. Bhatia, J. D. de Beer","doi":"10.4103/0973-6042.174510","DOIUrl":"https://doi.org/10.4103/0973-6042.174510","url":null,"abstract":"","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"15 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tomoya Takasago, K. Yukata, Toshihiko Nishisho, N. Yasui
{"title":"Snapping shoulder caused by glenoid labral bone apposition: A case report","authors":"Tomoya Takasago, K. Yukata, Toshihiko Nishisho, N. Yasui","doi":"10.4103/0973-6042.174522","DOIUrl":"https://doi.org/10.4103/0973-6042.174522","url":null,"abstract":"An 84-year-old right hand-dominant woman presented with right shoulder pain since 5 years and snapping during shoulder elevation and reduced range of motion. In particular, she complained of the right shoulder pain while getting up from the bed using her hand (push-up motion at the shoulder abduction). There was no history of trauma. The patient had been conservatively treated, but symptoms worsened during few months before the consultation. Physical examination revealed some tenderness over the coracoid process. Snapping occurred frequently during abduction at 45° or 70° or external rotation during abduction.","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 1","pages":"48 - 49"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Type IV acromioclavicular joint dislocation associated with a mid-shaft clavicle malunion","authors":"K. Mohammed, D. Stachiw, A. Malone","doi":"10.4103/0973-6042.174518","DOIUrl":"https://doi.org/10.4103/0973-6042.174518","url":null,"abstract":"This reports presents the case of a combined clavicle fracture malunion and chronic Type IV acromioclavicular (AC) joint dislocation. The patient was seen acutely in the emergency department following a mountain bike accident at which time the clavicle fracture was identified and managed conservatively however the AC dislocation was not diagnosed. The patient presented 25 months following the injury with persistent pain and disability and was treated with clavicle osteotomy and AC stabilization. We document the clinical details, surgical treatment and outcome.","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 1","pages":"37 - 40"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum: The accuracy of “subacromial grind test” in diagnosis of supraspinatus rotator cuff tears","authors":"","doi":"10.4103/0973-6042.169805","DOIUrl":"https://doi.org/10.4103/0973-6042.169805","url":null,"abstract":"[This corrects the article on p. 43 in vol. 9, PMID: 25937713.].","PeriodicalId":51295,"journal":{"name":"International Journal of Shoulder Surgery","volume":"10 1","pages":"53 - 53"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70302088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}