JSES reviews, reports, and techniques最新文献_第5页

Management of greater tuberosity fracture dislocations of the shoulder 肩大结节性骨折脱位的治疗

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2023.07.007

{"title":"Management of greater tuberosity fracture dislocations of the shoulder","authors":"","doi":"10.1016/j.xrrt.2023.07.007","DOIUrl":"10.1016/j.xrrt.2023.07.007","url":null,"abstract":"<div><h3>Background</h3><p>Despite extensive literature dedicated to determining the optimal treatment of isolated greater tuberosity (GT) fractures, there have been few studies to guide the management of GT fracture dislocations. The purpose of this review was to highlight the relevant literature pertaining to all aspects of GT fracture dislocation evaluation and treatment.</p></div><div><h3>Methods</h3><p>A narrative review of the literature was performed.</p></div><div><h3>Results</h3><p>During glenohumeral reduction, an iatrogenic humeral neck fracture may occur due to the presence of an occult neck fracture or forceful reduction attempts with inadequate muscle relaxation. Minimally displaced GT fragments after shoulder reduction can be successfully treated nonoperatively, but close follow-up is needed to monitor for secondary displacement of the fracture. Surgery is indicated for fractures with >5 mm displacement to minimize the risk of subacromial impingement and altered rotator cuff biomechanics. Multiple surgical techniques have been described and include both open and arthroscopic approaches. Strategies for repair include the use of transosseous sutures, suture anchors, tension bands, screws, and plates. Good-to-excellent radiographic and clinical outcomes can be achieved with appropriate treatment.</p></div><div><h3>Conclusions</h3><p>GT fracture dislocations of the proximal humerus represent a separate entity from their isolated fracture counterparts in their evaluation and treatment. The decision to employ a certain strategy should depend on fracture morphology and comminution, bone quality, and displacement.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 3","pages":"Pages 578-587"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123000755/pdfft?md5=0dd61808d681bf5940daea3eff5567c8&pid=1-s2.0-S2666639123000755-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49345902","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

Reverse total shoulder arthroplasty for proximal humerus fracture: tuberosity repair technique 肱骨近端骨折反向全肩关节置换术：结节修复技术

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2023.09.006

引用次数: 0

Osteochondral allograft transplantation for articular humeral head defect from ballistic trauma 骨软骨异体移植治疗弹道创伤造成的关节肱骨头缺损

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.008

引用次数: 0

Transulnar basal coronoid fractures – Surgical tips and tricks 经骨基底冠状面骨折 - 手术技巧和窍门

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.05.003

引用次数: 0

Open reduction and internal fixation using suture anchors for an isolated lesser tuberosity fracture: description of technique and a case report 使用缝合锚对孤立的小关节突骨折进行切开复位和内固定术：技术描述和病例报告

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.003

引用次数: 0

Single-stage bilateral uncemented reverse shoulder arthroplasty for traumatic proximal humerus fractures: a case report 单段双侧非骨水泥反向肩关节置换术治疗创伤性肱骨近端骨折：病例报告

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.009

引用次数: 0

Arthroscopic suprapectoral biceps tenodesis utilizing the subacromial locking stitch anchor (SALSA) technique 利用 SALSA 技术进行关节镜下胸上二头肌腱鞘切除术

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.02.006

引用次数: 0

Open reduction and internal fixation of the proximal humerus with femoral head allograft augmentation “the French fry technique” 肱骨近端开放复位内固定加股骨头同种异体移植物增强 "薯条技术"

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2023.11.003

{"title":"Open reduction and internal fixation of the proximal humerus with femoral head allograft augmentation “the French fry technique”","authors":"","doi":"10.1016/j.xrrt.2023.11.003","DOIUrl":"10.1016/j.xrrt.2023.11.003","url":null,"abstract":"<div><p>Fractures of the proximal humerus account for 4%-8% of injuries to the appendicular skeleton. Most are stable, minimally displaced osteoporotic fractures in the elderly, and are the result of low-energy falls. A large majority of these patients regain adequate shoulder function without operative intervention. Surgery is considered in approximately 20% of patients because they require improved shoulder function for their activities of daily living or because of the significant deformity of their fracture and the need to restore functional alignment, length, and rotation in active, higher demand individuals. However, fixation of these fractures can pose a challenge due to poor bone quality and displacing forces of the rotator cuff. This is especially true in 3-part and 4-part fractures. These factors lead to the high failure rates seen with early attempts at osteosynthesis. In the last 2 decades, locking plate technology has been an innovation in treating these complex fractures. Despite the improvements in torsional strength and rigidity, outcome studies on locking plate technology demonstrate equivocal results with complication rates as high as 20%-30% and a revision rate of 10%. Specifically, these complications include avascular necrosis, varus collapse, intra-articular screw penetration, and postoperative stiffness. Varus collapse occurs when the weak osteoporotic bone fails around the implant. In turn, fibular strut endosteal augmentation was introduced to provide additional support and decrease implant failure rates in displaced fractures with varus coronal malalignment and significant metaphyseal bone loss. Although clinically successful and biomechanically superior to plate-only constructs, a few concerns remain. In turn, we introduce a novel technique of creating individual cancellous femoral head allograft struts or “French fries” that provides structural support for the humeral head but does not have the potential problems of a cortical fibular strut.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 3","pages":"Pages 438-448"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123001116/pdfft?md5=a6d028fb7decebc9dba1d6cdbb5161b7&pid=1-s2.0-S2666639123001116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139026242","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

Ultrasound and patient-reported outcomes of rotator cuff repair with new acellular human allograft at 6 months and 1 year post surgery 使用新型无细胞人同种异体移植物进行肩袖修复术后 6 个月和 1 年的超声检查结果和患者报告结果

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.012

{"title":"Ultrasound and patient-reported outcomes of rotator cuff repair with new acellular human allograft at 6 months and 1 year post surgery","authors":"","doi":"10.1016/j.xrrt.2024.03.012","DOIUrl":"10.1016/j.xrrt.2024.03.012","url":null,"abstract":"<div><h3>Background</h3><p>Determine the effect of a novel acellular cannulated dermal allograft on tendon-to-bone healing, retear rates, and clinical outcomes over a 12-month period.</p></div><div><h3>Methods</h3><p>This was a single surgeon prospective nonrandomized case series. Patients with medium sized full-thickness superior and posterosuperior rotator cuff tears, as confirmed by magnetic resonance imaging, were consented. Patients were excluded if they had fatty atrophy indicative of Goutallier grade III or IV. The allograft is a cannulated rectangular prism that has a 5-year shelf life, does not require prehydration, and does not need to be trimmed to size. Outcome metrics included ultrasound assessment at 1-year as well as 6-month patient-reported outcomes (PROs) scores.</p></div><div><h3>Results</h3><p>31 patients consented and enrolled in this consecutive cohort series. 9 patients were excluded, and statistical analysis was performed on the remaining 22 patients. There were 9 females and 13 males. The average age was 59.27 ± 7.48 year old. The average supraspinatus short axis measurement in males was 0.56 ± 0.12 cm and 0.52 ± 0.09 cm in females (<em>P</em> = .44). The average supraspinatus long axis measurement in males was 0.61 ± 0.18 cm and 0.55 ± 0.14 cm in females (<em>P</em> = .46). The average infraspinatus short axis measurement in males was 0.48 ± 0.10 cm and 0.50 ± 0.13 in females (<em>P</em> = .74). The average infraspinatus long axis measurement in males was 0.44 ± 0.12 cm and 0.43 ± 0.08 cm in females (<em>P</em> = .84). Of the 19 patients who completed baseline and 6-month PRO’s, 17 achieved the minimal clinical important difference for American Shoulder and Elbow Surgeons and Patient-Reported Outcomes Measurement Information SystemUE 7a. Retear occurred in 2 cases. The remaining 20 cases have all demonstrated healing or fully healed repairs at their most recent clinical visits with no additional cases of retears.</p></div><div><h3>Conclusion</h3><p>This study is the first to report the results of a novel acellular dermal allograft for rotator cuff repair augmentation. Satisfactory PRO measures and robust tendon healing at 1 year, as measured by ultrasound, demonstrate the utility of a cannulated human acellular dermal allograft as a viable biologic augmentation device for rotator cuff repair.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 3","pages":"Pages 413-418"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S266663912400052X/pdfft?md5=e52f7e05ec9c1fc6d7315dc6bdc832ff&pid=1-s2.0-S266663912400052X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767603","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

Tendon transfers in the setting of shoulder arthroplasty 肩关节置换术中的肌腱移植手术

JSES reviews, reports, and techniques Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.007

{"title":"Tendon transfers in the setting of shoulder arthroplasty","authors":"","doi":"10.1016/j.xrrt.2024.03.007","DOIUrl":"10.1016/j.xrrt.2024.03.007","url":null,"abstract":"<div><h3>Background</h3><p>Tendon transfers in conjunction with reverse total shoulder arthroplasty can significantly improve functional outcomes in patients with glenohumeral arthritis and irreparable rotator cuff deficiency. There have been multiple promising new techniques described within the last 20 years that shoulder surgeons should become familiar with.</p></div><div><h3>Methods</h3><p>The authors reviewed the literature on tendon transfers in the setting of reverse total shoulder arthroplasty. Procedures to restore various shoulder functions were described including surgical anatomy, techniques, pearls and pitfalls, and photos.</p></div><div><h3>Results</h3><p>Subscapularis insufficiency can be reconstructed with a pectoralis major transfer or latissimus dorsi transfer, with the latter having better clinical outcomes and a more anatomic line of pull. Posterosuperior rotator cuff deficiency can be reconstructed with a latissimus transfer (L’Episcopo transfer) or lower trapezius transfer, with the latter proving superior in biomechanical and short-term studies. Deltoid deficiency can be reconstructed with a pedicled upper pectoralis major transfer. Massive proximal humerus bone loss can be reconstructed with an allograft-prosthetic composite, and any of the aforementioned transfers can be utilized in this setting as well.</p></div><div><h3>Conclusion</h3><p>Tendon transfers in conjunction with reverse shoulder arthroplasty can significantly improve functional outcomes in patients with glenohumeral arthritis and irreparable rotator cuff deficiency. There have been multiple promising new techniques described within the last 20 years that shoulder surgeons should become familiar with.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 3","pages":"Pages 607-614"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639124000476/pdfft?md5=00071c8981fe583a6c28a8ea20d8f843&pid=1-s2.0-S2666639124000476-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140776454","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