Latest journal articles about shoulder and elbow from Journal of Shoulder and Elbow Surgery, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics
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By Editor-in-Chief Your doctor may recommend surgery to take pressure off of the nerve if:
There are a few surgical procedures that will relieve pressure on the ulnar nerve at the elbow. Your orthopaedic surgeon will talk with you about the option that would be best for you.
These procedures are most often done on an outpatient basis, but some patients do best with an overnight stay at the hospital.
Cubital tunnel release. In this operation, the ligament "roof" of the cubital tunnel is cut and divided.
BACKGROUND: Increased length of hospital stay, hospital readmission, and revision surgery are adverse outcomes that increase the cost of elective orthopaedic procedures, such as shoulder arthroplasty. Awareness of the factors related to these adverse outcomes will help surgeons and medical centers design strategies for minimizing their occurrence and for managing their associated costs.
METHODS: We analyzed data from the New York Statewide Planning and Research Cooperative System on 17,311 primary shoulder arthroplasties performed from 1998 to 2011 to identify factors associated with extended lengths of hospitalization after surgery, readmission within ninety days, and surgical revision.
RESULTS: The factors associated with each of these three adverse outcomes were different.
BACKGROUND: Idiopathic adhesive capsulitis is defined as a frozen shoulder with severe and global range-of-motion loss of unknown etiology. The purpose of our study was to clarify the prevalence of rotator cuff lesions according to patterns and severity of range-of-motion loss in a large cohort of patients with stiff shoulders.
METHODS: Rotator cuff pathology was prospectively investigated with use of magnetic resonance imaging (MRI) or ultrasonography in a series of 379 stiff shoulders; patients with traumatic etiology, diabetes, or radiographic abnormalities were excluded. Eighty-nine shoulders demonstrated severe and global loss of passive motion (≤100° of forward flexion, ≤10° of external rotation with the arm at the side, and internal rotation not more cephalad than the L5 level) and were classified as having severe and global loss of motion (Group 1).
By PubMed 168 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:
These pubmed results were generated on 2013/11/30
By PubMed 56 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results:
These pubmed results were generated on 2013/09/22
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Radial head fractures.
J Bone Joint Surg Am. 2013 Jun 19;95(12):1136-43
Authors: Lapner M, King GJ
PMID: 23943926 [PubMed - indexed for MEDLINE]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23943926?dopt=Abstract
By PubMed | Related Articles |
AO X-shaped Midfoot Locking Plate to Treat Displaced Isolated Greater Tuberosity Fractures.
Orthopedics. 2013 Aug 1;36(8):e995-9
Authors: Chen YF, Zhang W, Chen Q, Wei HF, Wang L, Zhang CQ
Abstract
Although various implants exist for 3- and 4-part fractures, few implants are appropriate for isolated greater tuberosity fractures. This retrospective study evaluated the efficacy of AO X-shaped midfoot locking plates for greater tuberosity fractures. Between May 2008 and September 2009, nineteen patients with displaced greater tuberosity fractures were treated with open reduction and internal fixation using AO X-shaped midfoot locking plates. Postoperatively, radiographs, functional results, and complications were evaluated. All patients were followed up for a mean 33.2 months (range, 24-42 months). Mean healing time was 9.4 weeks (range, 8-14 weeks). Mean Constant score was 90.6±4.0 points (range, 77-95 points). Excellent results were obtained in 16 cases, good in 2 cases, moderate in 1 case, and poor in 0 cases. The excellent-good rate was 94.7%. No recurrence of dislocation occurred in the 11 cases with shoulder dislocation. All fractures healed without the complications of wound infection, skin numbness, subacromial impingement syndrome, nonunion, secondary displacement, and implant loosening. The described technique is an effective, simple, and inexpensive method with a short learning curve.
PMID: 23937765 [PubMed - in process]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23937765?dopt=Abstract
By PubMed | Related Articles |
Minimally Invasive Plating Osteosynthesis for Mid-distal Third Humeral Shaft Fractures.
Orthopedics. 2013 Aug 1;36(8):e1025-32
Authors: Lian K, Wang L, Lin D, Chen Z
Abstract
By PubMed 
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Prevention of nerve injury during arthroscopic capsulectomy of the elbow utilizing a safety-driven strategy.
J Bone Joint Surg Am. 2013 Aug 7;95(15):1373-81
Authors: Blonna D, Wolf JM, Fitzsimmons JS, O'Driscoll SW
Abstract
BACKGROUND: A major factor limiting the use of elbow arthroscopy for contracture release is concern regarding nerve injury. The purpose of this report is to document the risk of nerve injury in a large series of arthroscopic contracture releases utilizing a safety-driven strategy.
METHODS: A series of 502 arthroscopic elbow contracture releases (including 388 osteocapsular arthroplasties) performed in 464 patients by one surgeon was reviewed retrospectively. The safety-driven step-wise strategy had been carried out in a standardized sequence: (1) Get In and Establish a View, (2) Create a Space in Which to Work, (3) Bone Removal, and (4) Capsulectomy. Neurologic complications were assessed and were followed until resolution.
RESULTS: No patient had a permanent nerve injury. Twenty-four patients (5%) had a transient nerve injury, associated with prolonged tourniquet time, cutaneous dysesthesia attributed to open incisions, simultaneous ulnar nerve transposition, or retractor use. All nerve deficits resolved after one day to twenty-four months, with one patient lost to follow-up.
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