Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Shoulder 160 articles


Patient and Procedure-specific Risk Factors for Deep Infection After Primary Shoulder Arthroplasty

Jason Richards MD, Maria C. S. Inacio PhD, Michael Beckett MD, Ronald A. Navarro MD, Anshuman Singh MD, Mark T. Dillon MD, Jeff F. Sodl MD, Edward H. Yian MD

Deep infection after shoulder arthroplasty is a diagnostic and therapeutic challenge. The current literature on this topic is from single institutions or Medicare samples, lacking generalizability to the larger shoulder arthroplasty population.

Arthroscopic Bristow-Latarjet Combined With Bankart Repair Restores Shoulder Stability in Patients With Glenoid Bone Loss

Pascal Boileau MD, Charles-Édouard Thélu MD, Numa Mercier MD, Xavier Ohl MD, Robert Houghton-Clemmey FRCS, Michel Carles MD, PhD, Christophe Trojani MD, PhD

Arthroscopic Bankart repair alone cannot restore shoulder stability in patients with glenoid bone loss involving more than 20% of the glenoid surface. Coracoid transposition to prevent recurrent shoulder dislocation according to Bristow-Latarjet is an efficient but controversial procedure.

High-energy Versus Low-energy Extracorporeal Shock Wave Therapy for Calcifying Tendinitis of the Shoulder: Which is Superior? A Meta-analysis

F. U. Verstraelen MD, N. J. H. M. Kleef MD, L. Jansen PhD, J. W. Morrenhof PhD, MD

There are several treatment options for calcifying tendinitis of the shoulder. The next step treatment after conservative treatment fails is still a matter of dispute. Extracorporeal shock wave therapy (ESWT) has been shown to be a good alternative to surgery, but the best treatment intensity remains unknown. High-energy ESWT is much more painful, more expensive, and usually is done in an inpatient setting, whereas low-energy ESWT can be performed in an outpatient setting by a physical therapist.

Hospital Readmissions After Surgical Treatment of Proximal Humerus Fractures: Is Arthroplasty Safer Than Open Reduction Internal Fixation?

Alan L. Zhang MD, William W. Schairer MD, Brian T. Feeley MD

With technologic advances such as locked periarticular plating, hemiarthroplasty of the humeral head, and more recently reverse total shoulder replacement, surgical treatment of proximal humerus fractures has become more commonplace. However, there is insufficient information regarding patient outcomes after surgery, such as the frequency of unplanned hospital readmissions and factors contributing to readmission.

Shoulder Instability in the Setting of Bipolar (Glenoid and Humeral Head) Bone Loss: The Glenoid Track Concept

Suraj Trivedi MD, Michael L. Pomerantz MD, Daniel Gross MD, Petar Golijanan BS, Matthew T. Provencher MD

An assortment of variables has been used in predicting anterior shoulder instability resulting from pathologic engagement of Hill-Sachs lesions on the glenoid. The glenoid track is a unique biomechanical model that relates both Hill–Sachs and bony Bankart lesions to predict shoulder engagement. We examined the glenoid track concept to determine if it provides a model that unifies glenoid rim and humeral head bone loss in predicting engagement.

Effectiveness of Sustained Stretching of the Inferior Capsule in the Management of a Frozen Shoulder

Antony Paul MPT, Joshua Samuel Rajkumar MPT, Smita Peter MPT, Litson Lambert BPT

Physiotherapy treatment of frozen shoulder is varied, but most lack specific focus on the underlying disorder, which is the adhered shoulder capsule. Although positive effects were found after physiotherapy, the recurrence and prolonged disability of a frozen shoulder are major factors to focus on to provide the appropriate treatment.

What Is the Prevalence of Senior-athlete Rotator Cuff Injuries and Are They Associated With Pain and Dysfunction?

Patrick J. McMahon MD, Amitesh Prasad MD, Kimberly A. Francis MS, MPA

Older individuals with rotator cuff injuries may have difficulties not only with activities of daily living, but also with sports activities.

The Open Latarjet Procedure Is More Reliable in Terms of Shoulder Stability Than Arthroscopic Bankart Repair

Charles Bessière MD, Christophe Trojani MD, PhD, Michel Carles MD, PhD, Saurabh S. Mehta MS, FRCS (Ed) (Tr & Orth), Pascal Boileau MD

Arthroscopic Bankart repair and open Latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. The choice between these procedures depends mainly on surgeon preference or training rather than published evidence.

Optimization of the Racking Hitch Knot: How Many Half Hitches and Which Suture Material Provide the Greatest Security?

James D. Kelly MD, Suketu Vaishnav MD, Bradley M. Saunders MD, Mark A. Schrumpf MD

Reliable methods of fixation of soft tissue and bone are of utmost importance in reconstructive shoulder surgery and in many orthopaedic applications. Current methods of securing lesser tuberosity osteotomies performed during shoulder arthroplasty and tuberosity fixation performed during repair of proximal humeral fractures often rely on alternating half hitches or surgeon’s knots regardless of the suture configuration used passing through the tissue (eg, Mason-Allen, Krackow). The racking hitch knot in contrast to half hitches allows sequential tightening, even under tension, with minimal risk of knot slippage or premature locking. These knot characteristics allow the surgeon to stepwise improve their reduction before committing and locking a construct, preventing hanging knots or under-tensioned repairs. However, little data exist to support the use the racking hitch knot to guide decision making regarding how to back up the knot or to explain the effect of suture material on security and strength.