Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Shoulder 154 articles


The Natural History of Idiopathic Frozen Shoulder: A 2- to 27-year Followup Study

Heidi Vastamäki MD, Jyrki Kettunen PT, PhD, Martti Vastamäki MD, PhD

The natural history of spontaneous idiopathic frozen shoulder is controversial. Many studies claim that complete resolution is not inevitable. Based on the 40-year clinical experience of the senior author, we believed most patients with idiopathic frozen shoulder might have a higher rate of resolution than earlier thought.

Case Report: Bilateral Proximal Epiphyseal Clavicular Stress-related Lesions in a Male Gymnast

James T. Carson MPH, Teri M. McCambridge MD, John A. Carrino MD, MPH, Edward G. McFarland MD

Stress lesions of the upper extremity are relatively uncommon, and physeal stress lesions of the clavicle are rare. We present a case of bilateral physeal stress-related lesions of the proximal clavicular growth plate near the sternoclavicular joint in an adolescent male gymnast.

Accuracy of Measuring Tape and Vertebral-level Methods to Determine Shoulder Internal Rotation

Seung-Hwan Han MD, Kyung-Soo Oh MD, Kyeong-Jin Han MD, Joon Jo MD, Doo-Hyung Lee MD

Goniometers can be used to assess shoulder ROM with reasonable accuracy, but not internal rotation. Vertebral level, as determined by the hand-behind-the-back method, is used frequently but its reproducibility is questionable. We therefore devised a new measuring tape-based method for determining vertebral level.

Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures

Gerhard Konrad MD, Laurent Audigé PhD, Simon Lambert MD, Ralph Hertel MD, Norbert P. Südkamp MD

There is a lack of consensus regarding optimal surgical management of displaced and unstable three-part proximal humeral fractures.

Is Reverse Shoulder Arthroplasty Appropriate for the Treatment of Fractures in the Older Patient?: Early Observations

Christopher Lenarz MD, Yousef Shishani MD, Christopher McCrum, Robert J. Nowinski DO, T. Bradley Edwards MD, Reuben Gobezie MD

The treatment of comminuted proximal humerus fractures in older patients is challenging. Variable values of functional outcomes scores, ROMs, patient satisfaction, and bony healing have been reported with conventional techniques, including open reduction and internal fixation, percutaneous pinning, and hemiarthroplasty. Another alternative is reverse total shoulder arthroplasty, although it is unclear whether this provides better ROM or function.

Case Report: Floating-clavicle from the 17th Century: The Oldest Case?

Josep Liria MD, Susana Carrascal MS, Mariano Fernández-Fairén PhD, Assumpció Malgosa PhD, Albert Isidro PhD

Dislocation of both ends of the clavicle is a rare traumatic lesion and the mechanism of the lesion is usually related to major trauma. The first case was described in 1831.

Analysis of Operative versus Nonoperative Treatment of Displaced Scapular Fractures

Clifford B. Jones MD, FACS, Debra L. Sietsema PhD

Operative indications for displaced scapular fractures have been controversial and inconsistent. Surgeons have been dissuaded to operate on these uncommon fractures because of the complex anatomy, approaches, and fracture patterns. It is unclear whether return to work, pain, or complications differ in patients with scapular fractures treated nonoperatively or operatively.

Precontoured Superior Locked Plating of Distal Clavicle Fractures: A New Strategy

Jaron R. Andersen MD, Matt P. Willis MD, Ryan Nelson DO, Mark A. Mighell MD

The ideal management of fractures of the distal third of the clavicle remains a topic of debate. Locked plating is a new treatment method but is not yet widely studied.

Is Selective Arthroscopic Revision Beneficial for Treating Recurrent Anterior Shoulder Instability?

Guillermo Arce MD, Francisco Arcuri MD, Diego Ferro MD, Enrique Pereira MD

Surgeons have traditionally treated recurrent shoulder dislocation by open methods. With the advent of arthroscopic repair techniques some surgeons reported higher recurrence rates than with open methods but some of those reports included patients with a variety of problems, including bone loss and those continuing in contact sports. It is unclear whether recurrence rates would be higher in patients without bone loss and those willing to forego contact sports.

Do Patients With Traumatic Recurrent Anterior Shoulder Instability Have Generalized Joint Laxity?

Maximiliano Ranalletta MD, Santiago Bongiovanni MD, Federico Suarez MD, Juan Manuel Lopez Ovenza MD, Gaston Maignon MD

A number of studies suggest a relationship between generalized joint laxity (GJL) and increased risk of some musculoskeletal injuries. However, there are conflicting data on the association between GJL and traumatic recurrent shoulder instability (RSI).