Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Shoulder 158 articles

Articles

Surgeon Volume is Associated With Cost and Variation in Surgical Treatment of Proximal Humeral Fractures

Nitin B. Jain MD, MSPH, Ifedayo Kuye BS, Laurence D. Higgins MD, Jon J. P. Warner MD

The issue of rising costs will likely dominate the healthcare debate in the forthcoming years.

Does Open Repair of Anterosuperior Rotator Cuff Tear Prevent Muscular Atrophy and Fatty Infiltration?

Marion Schino MD, Bernard Augereau MD, Christophe Nich MD, PhD

Repair of cuff tears involving rotator interval reportedly improves function. However, it is unclear whether successful repair prevents shoulder degenerative changes.

Does Augmentation with a Reinforced Fascia Patch Improve Rotator Cuff Repair Outcomes?

Andrew R. Baker MS, Jesse A. McCarron MD, Carmela D. Tan MD, Joseph P. Iannotti MD PhD, Kathleen A. Derwin PhD

Scaffold devices are used to augment rotator cuff repairs in humans. While the strength of a novel poly-L-lactic acid-reinforced (human) fascia patch has been documented, it is unclear whether such patches will enhance the strength or likelihood of healing of rotator cuff repairs.

Neer Modification of Open Bankart Procedure: What are the Rates of Recurrent Instability, Functional Outcome, and Arthritis?

Pascal Boileau MD, E. Fourati MD, Ryan Bicknell MD, MSc

Neer modified the Bankart procedure by combining a superoinferior capsular shift with the labral reattachment. The theoretical advantages of the modification were that such a procedure would restore the patient’s anatomy and also treat the repeated capsular stretching encountered in anteroinferior instability without limiting external rotation and, thereby reducing the risk of arthritis.

Return to Play After Type II Superior Labral Anterior-Posterior Lesion Repairs in Athletes: A Systematic Review

William M. Sayde MD, Steven B. Cohen MD, Michael G. Ciccotti MD, Christopher C. Dodson MD

Superior labral anterior-posterior (SLAP) lesions are a common cause of pain and disability in athletes. Individual studies have suggested low patient satisfaction with SLAP repairs in throwing athletes in particular and it is unclear how frequently athletes return to their previous level of competetion.

Surgical Technique Arthroscopic Posterior Glenoidplasty for Posterosuperior Glenoid Impingement in Throwing Athletes

Christophe Lévigne MD, Jérome Garret MD, Sophie Grosclaude MD, Florent Borel MD, Gilles Walch MD

Posterosuperior glenoid impingement (PSGI) is the repetitive impaction of the supraspinatus tendon insertion on the posterosuperior glenoid rim in abduction and external rotation. While we presume the pain is mainly caused by mechanical impingement, this explanation is controversial. If nonoperative treatment fails, arthroscopic débridement of tendinous and labral lesions has been proposed but reportedly does not allow a high rate of return to sports. In 1996, we proposed adding abrasion of the bony posterior rim, or glenoidplasty.

Subscapularis Release in Shoulder Replacement Determines Structural Muscular Changes

Lieven Franciscus Wilde MD, PhD, Tineke Coninck BSc, Francis Neve MD, Bart M. Berghs MD

Osteotomy of the lesser tuberosity in shoulder arthroplasty allows bony healing of the subscapularis tendon but does not prevent fatty degeneration in its muscle. Occurrence or increase in fatty degeneration may depend on the surgical technique.

Are Shoulders with A Reverse Shoulder Prosthesis Strong Enough? A Pilot Study

Tjarco D. W. Alta MD, H. E. J. Veeger PhD, Thomas W. J. Janssen PhD, W. Jaap Willems MD, PhD

It has been suggested that limited active ROM of reverse shoulder prostheses relates to lack of strength. However, the postoperative strength has not been quantified.

Passive Range of Motion Characteristics in the Overhead Baseball Pitcher and Their Implications for Rehabilitation

Kevin E. Wilk PT, DPT, Leonard C. Macrina MSPT, SCS, CSCS, Christopher Arrigo MS, PT

Repetitive overhead throwing motion causes motion adaptations at the glenohumeral joint that cause injury, decrease performance, and affect throwing mechanics. It is essential to define the typical range of motion (ROM) exhibited at the glenohumeral joint in the overhead thrower.

Arthroscopically Determined Degree of Injury After Shoulder Dislocation Relates to Recurrence Rate

Vicente Gutierrez MD, Juan Edo Monckeberg MD, PhD, Miguel Pinedo MD, Fernando Radice MD

The glenohumeral joint is the most mobile articulation in the body and the most commonly dislocated diarthrodial joint with peaks in the incidence of dislocation occurring during the second and sixth decades. Age at the time of the initial dislocation is inversely related to the recurrence rate. Traumatic anterior instability is often associated with intraarticular injuries. The frequency of injuries may increase with dislocation or subluxation episodes.