Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Shoulder 160 articles


To What Degree do Shoulder Outcome Instruments Reflect Patients’ Psychologic Distress?

Young Hak Roh MD, Jung Ho Noh MD, Joo Han Oh MD, Goo Hyun Baek MD, Hyun Sik Gong MD

Psychologic distress contributes to symptom severity in patients with several musculoskeletal disorders. While numerous shoulder outcome instruments are used it is unclear whether and to what degree psychologic distress contributes to the scores.

Rotator Cuff Integrity Correlates With Clinical and Functional Results at a Minimum 16 Years After Open Repair

Martti Vastamäki MD, PhD, Martina Lohman MD, PhD, Niclas Borgmästars MD

Recurrent or persistent defects in the rotator cuff after its repair are common. Short- and medium-term surveys have revealed, after open repair, patients with an intact rotator cuff have increased function and ROM. However, no long-term studies have verified cuff integrity on MR arthrography or correlated it with clinical and functional outcomes.

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.