Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Shoulder 154 articles


Is Premorbid Glenoid Anatomy Altered in Patients with Glenohumeral Osteoarthritis?

Eric T. Ricchetti MD, Michael D. Hendel MD, PhD, David N. Collins MD, Joseph P. Iannotti MD, PhD

Restoration of native, premorbid glenoid anatomy may be a goal in component placement during total shoulder arthroplasty. However, if patients with unilateral glenohumeral osteoarthritis are predisposed to the development of arthritis owing to abnormal native glenoid anatomy, this recommendation may be inappropriate.

Weber Osteotomy for Large Hill-Sachs Defects: Clinical and CT Assessments

Alexandra L. Brooks-Hill BPHE, MD, DipSportMed, Bruce B. Forster MD, Case Wyngaarden BSc, MD, Robert Hawkins MD, William D. Regan MD

The Weber derotation osteotomy is an uncommon procedure that typically is reserved for patients with engaging Hill-Sachs defects who have had other surgical treatments for shoulder instability fail. It is unknown whether the desired humeral derotation actually is achieved with the Weber osteotomy.

Cerebral Desaturation During Shoulder Arthroscopy: A Prospective Observational Study

Dane Salazar MD, Benjamin W. Sears MD, John Andre BS, Pietro Tonino MD, Guido Marra MD

Patients undergoing arthroscopic shoulder surgery in the beach chair position may be at increased risk for serious neurocognitive complications as a result of cerebral ischemia.

Foreign Body Reaction to Acellular Dermal Matrix Allograft in Biologic Glenoid Resurfacing

Surena Namdari MD, MSc, Christopher Melnic MD, G. Russell Huffman MD, MPH

Biologic glenoid resurfacing is a treatment option for young patients with glenohumeral arthritis. An optimal synthetic graft for glenoid resurfacing should allow repopulation with host cells, be durable enough to tolerate suture fixation and forces across the joint, and present no host inflammatory response. We report two cases of giant cell reaction to GraftJacketafter biologic glenoid resurfacing.

Surgical Technique: Results of Stabilization of Sternoclavicular Joint Luxations Using a Polydioxanone Envelope Plasty

Jean W. M. Gardeniers MD, PhD, Jan Burgemeester MD, Jaap Luttjeboer MD, Wim H. C. Rijnen MD, PhD

Surgical treatment options for sternoclavicular joint luxations described in the literature are numerous, although all have limitations. Therefore, there is no favorable surgical treatment for sternoclavicular luxations when nonoperative treatment has failed.

Case Report: Thoracic Outlet Syndrome in an Elite Archer in Full-draw Position

Jin Young Park MD, PhD, Kyung Soo Oh MD, Hyun Yul Yoo MD, Jun Gyu Lee MD

One possible pathomechanism of thoracic outlet syndrome (TOS) is shoulder abduction and extension inducing backward motion of the clavicle which causes compression on the brachial plexus. This position occurs during the full-draw stage of archery, by drawing and holding the bowstring.

Risk of Thromboembolism in Shoulder Arthroplasty: Effect of Implant Type and Traumatic Indication

Ronald A. Navarro MD, Maria C. S. Inacio MS, Mary F. Burke MPH, John G. Costouros MD, Edward H. Yian MD

Prior research about symptomatic venous thromboembolism (VTE) after shoulder arthroplasty has not determined whether procedure type (hemiarthroplasty, total shoulder arthroplasty, or reverse shoulder arthroplasty) or surgical indication (traumatic or elective) represent risk factors for VTE after shoulder replacement.

Surgical Technique: Simple Technique for Removing a Locking Recon Plate With Damaged Screw Heads

Nirmal Raj Gopinathan (MS)Ortho, Mandeep Singh Dhillon (MS)Ortho, Rajesh Kumar (MS)Ortho

The introduction of locking plates in the treatment of periarticular fractures was a major breakthrough in orthopaedic evolution. Removal of these implants is extremely difficult as a result of cold welding and stripping of screw heads.

The Natural Course of Serratus Palsy at 2 to 31 Years

Veera Pikkarainen MD, Jyrki Kettunen PT, PhD, Martti Vastamäki MD, PhD

The natural course of isolated serratus palsy is obscure. Residual winging, muscle weakness, and fatigability reportedly occur in half of the patients. Because we believed isolated serratus palsy might have a better natural course than earlier thought, we evaluated our long-term records.

Lateralized Reverse Shoulder Arthroplasty Maintains Rotational Function of the Remaining Rotator Cuff

Stefan Greiner MD, Christan Schmidt, Christian König Dr Ing, Carsten Perka MD, Sebastian Herrmann MD

Humeral rotation often remains compromised after nonlateralized reverse shoulder arthroplasty (RSA). Reduced rotational moment arms and muscle slackening have been identified as possible reasons for this impairment. Although several clinical studies suggest lateralized RSA may increase rotation, it is unclear whether this is attributable to preservation of rotational moment arms and muscle pretension of the remaining rotator cuff.