Journal of Shoulder and Elbow Surgery via MedWorm.com MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Shoulder and Elbow Surgery' source. Sun, 21 Mar 2010 15:49:37 +0100 Editorial Board http://www.medworm.com/index.php?rid=3304712&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827461000025X%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304712 Thu, 25 Feb 2010 15:05:50 +0100 3304712 Sponsoring Societies http://www.medworm.com/index.php?rid=3304711&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274610000248%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304711 Thu, 25 Feb 2010 15:05:50 +0100 3304711 Contents http://www.medworm.com/index.php?rid=3304710&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274610000662%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304710 Thu, 25 Feb 2010 15:05:50 +0100 3304710 Contents http://www.medworm.com/index.php?rid=3304709&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274610000649%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304709 Thu, 25 Feb 2010 15:05:50 +0100 3304709 Contents http://www.medworm.com/index.php?rid=3304708&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274610000236%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304708 Thu, 25 Feb 2010 15:05:50 +0100 3304708 Radiographic comparison of pegged and keeled glenoid components using modern cementing techniques: A prospective randomized study http://www.medworm.com/index.php?rid=3304684&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004625%2Fabstract%3Frss%3Dyes Conclusion: Even with modern cementing techniques, pegged glenoid components remain radiographically superior to keeled glenoid components. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304684 Thu, 25 Feb 2010 15:05:43 +0100 3304684 Levels of evidence and standardizing the reporting of research http://www.medworm.com/index.php?rid=3304657&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609005400%2Fabstract%3Frss%3Dyes Evidence-based medicine asks us to treat our patients as we always have, using our experience and the patient's individual needs to make treatment decisions, but we are also asked to understand that the literature that influences our decisions has different levels of evidence and we should use the best available evidence when making these decisions. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304657 Thu, 25 Feb 2010 15:05:37 +0100 3304657 Radiocapitellar joint contacts after bipolar radial head arthroplasty http://www.medworm.com/index.php?rid=3304678&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004352%2Fabstract%3Frss%3Dyes Conclusions: Because of intraprosthetic mobility, contact areas were not dependant on elbow position. This adaptability, however, also led to abnormal positioning of the prosthetic radial head with supination, subluxing over the trochlea lateral margin. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304678 Mon, 28 Dec 2009 00:00:00 +0100 3304678 Contents http://www.medworm.com/index.php?rid=3087467&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609005539%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087467 Tue, 15 Dec 2009 14:57:22 +0100 3087467 Editorial Board http://www.medworm.com/index.php?rid=3087466&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609005205%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087466 Tue, 15 Dec 2009 14:57:22 +0100 3087466 Contents http://www.medworm.com/index.php?rid=3087465&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609005187%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087465 Tue, 15 Dec 2009 14:57:22 +0100 3087465 Sponsoring Societies http://www.medworm.com/index.php?rid=3087464&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609005199%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087464 Tue, 15 Dec 2009 14:57:22 +0100 3087464 Note from the Editor-in-Chief http://www.medworm.com/index.php?rid=3087432&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004790%2Fabstract%3Frss%3Dyes In his novel A Dry White Season, André Brink described the protagonist: “He continued the sluggish motion that carried them forward step-by-step. Looking ahead, we tended to lose courage. But looking back it was impossible to deny the length of the road already travelled.” And so it is with the world of shoulder and elbow surgery. These thoughts came to me recently when we were interviewing fellow candidates and I was describing my own circuitous route to the world of shoulder surgery. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087432 Tue, 15 Dec 2009 14:57:18 +0100 3087432 Treatment of coracoid process fractures associated with acromioclavicular dislocation using clavicular hook plate and coracoid screws http://www.medworm.com/index.php?rid=3304707&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004236%2Fabstract%3Frss%3Dyes This study was approved by the Committee of Medical Section, Affiliated Hospital of North China Coal Medical College, Tangshan Hebei, China (study No. 206). (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304707 Mon, 14 Dec 2009 00:00:00 +0100 3304707 In vitro biomechanical comparison of three different types of single- and double-row arthroscopic rotator cuff repairs: Analysis of continuous bone-tendon contact pressure and surface during different simulated joint positions http://www.medworm.com/index.php?rid=3304680&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004261%2Fabstract%3Frss%3Dyes Conclusions: The DRCS technique seems to be superior to the DRBS and SRS techniques in terms of bone-tendon contact surface and pressure. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304680 Tue, 08 Dec 2009 00:00:00 +0100 3304680 Different scapular kinematics in healthy subjects during arm elevation and lowering: Glenohumeral and scapulothoracic patterns http://www.medworm.com/index.php?rid=3304673&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004273%2Fabstract%3Frss%3Dyes Discussion: These results indicate that there are 2 distinctly different scapulohumeral rhythms in healthy subjects but without a significant difference between dominant and nondominant arms. These findings should be referred to when one is interpreting kinematics in a variety of shoulder disorders. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304673 Tue, 08 Dec 2009 00:00:00 +0100 3304673 Subscapularis muscle metastases of duodenal adenocarcinoma: A case report http://www.medworm.com/index.php?rid=3304706&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004224%2Fabstract%3Frss%3Dyes In view of the rarity of metastases to the muscles from a gastrointestinal malignant tumor and the lack of any reports of metastases to the subscapularis muscle from the gastrointestinal tract in the literature, we report a very rare case of subscapularis muscle metastases of duodenal adenocarcinoma in an elderly female patient with nonspecific anterior shoulder pain. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304706 Mon, 07 Dec 2009 00:00:00 +0100 3304706 Complete rotator cuff tendon avulsion and glenohumeral joint incarceration in a young patient: A case report http://www.medworm.com/index.php?rid=3304702&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003048%2Fabstract%3Frss%3Dyes We report an unusual case of a complete rotator cuff tendon avulsion with glenohumeral joint incarceration after significant trauma to the shoulder. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304702 Mon, 07 Dec 2009 00:00:00 +0100 3304702 Interobserver and intraobserver reliability of the Walch classification in primary glenohumeral arthritis http://www.medworm.com/index.php?rid=3304663&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003929%2Fabstract%3Frss%3Dyes Discussion: We have shown that the interobserver reliability of the Walch classification is moderate while the intraobserver reliability is substantial. This is similar to or superior to the reliability of many commonly used orthopaedic classification systems. While the Walch classification system is not as reliable as initially suggested and improvement of this classification system would be of utility for future clinical studies, we have shown that this is an acceptable classification system and has good clinical and research applications. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304663 Mon, 07 Dec 2009 00:00:00 +0100 3304663 Identification and management of “floating” posterior inferior glenohumeral ligament lesions http://www.medworm.com/index.php?rid=3304697&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003917%2Fabstract%3Frss%3Dyes Recurrent posterior glenohumeral instability, although a less common clinical entity than anterior instability, must be recognized and appropriately treated for a successful outcome. Pathologic findings that may need to be addressed include posterior Bankart lesions, humeral avulsion of the posterior inferior glenohumeral ligament (PIGHL), intrasubstance ligament attenuation, and combined lesions. In this review, we present 2 patients with the same pathoanatomic findings of recurrent posterior shoulder instability secondary to posterior humeral avulsion of the glenohumeral ligament with an associated posterior Bankart lesion. This combination of pathology is referred to as a “floating PIGHL” lesion. We review both patient's preoperative clinical findings and imaging studies and detail ... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304697 Thu, 03 Dec 2009 00:00:00 +0100 3304697 Three-dimensional osseous micro-architecture of the distal humerus: Implications for internal fixation of osteoporotic fracture http://www.medworm.com/index.php?rid=3304682&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003942%2Fabstract%3Frss%3Dyes Conclusion: This study evaluated the differences in cortical and trabecular bone parameters in each different region of the distal humerus. We found a potential weakness of plate fixation in the posterolateral aspect of the distal condyle because of relative insufficient osseous micro-architecture, which may affect the treatment of osteoporotic distal humerus fractures especially in elderly patients. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304682 Thu, 03 Dec 2009 00:00:00 +0100 3304682 Restoring range of motion via stress relaxation and static progressive stretch in posttraumatic elbow contractures http://www.medworm.com/index.php?rid=3304669&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003966%2Fabstract%3Frss%3Dyes This study evaluated the result of a patient-directed, bidirectional orthosis that uses static progressive stretch and stress relaxation principles to improve elbow range of motion in patients who had posttraumatic elbow contractures. Treatment in 37 elbows consisted of a 30-minute stretching protocol performed in 1 to 3 sessions daily for a mean of 10 weeks (range, 2-22 weeks).Results: The mean gain in range of motion was 26° (range, 2°-60°). Gains of motion were noted in 35 of 37 elbows. Patients lowered their analgesic use and were highly satisfied with the device (mean satisfaction score of 8.5 of 10 points possible).Discussion: This device compared favorably with reports of other devices. Consistent improvements in restoring range of motion can be achieved with short treatment time... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304669 Thu, 03 Dec 2009 00:00:00 +0100 3304669 Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty http://www.medworm.com/index.php?rid=3304659&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900425X%2Fabstract%3Frss%3Dyes Conclusion: Error in measuring version and depth of maximum wear can substantially affect the determination of the degree of correction necessary in arthritic glenoids. Accurately measuring glenoid version and locating the direction of maximum wear requires a full 3D-CT reconstruction and analysis. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304659 Thu, 03 Dec 2009 00:00:00 +0100 3304659 Propionibacterium acnes infection after shoulder arthroplasty: A diagnostic challenge http://www.medworm.com/index.php?rid=3304695&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003711%2Fabstract%3Frss%3Dyes This study reviewed a series of patients diagnosed with Propionibacterium acnes infection after shoulder arthroplasty in order to describe its clinical presentation, the means of diagnosis, and provide options for treatment.Materials and methods: From 2002 to 2006, 11 patients diagnosed with P acnes infection after shoulder arthroplasty were retrospectively reviewed and analyzed for (1) clinical diagnosis; (2) laboratory data, including white blood cell count, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP); (3) fever; (4) number of days for laboratory growth of P acnes; (5) organism sensitivities; (6) antibiotic regimen and length of treatment; and (7) surgical management. Infection was diagnosed by 2 positive cultures.Results: Five patients had an initial diagnosis of ... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304695 Mon, 02 Nov 2009 00:00:00 +0100 3304695 Implications of revision total elbow arthroplasty on blood transfusion http://www.medworm.com/index.php?rid=3304667&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003735%2Fabstract%3Frss%3Dyes Hypothesis: We hypothesize that there is a greater rate of blood transfusions following revision total elbow arthroplasty (TEA) as compared with primary TEA, with lower preoperative hemoglobins and longer operative times being significant risk factors.Materials and methods: The results of 193 operations (172 patients) between January 2000 and December 2004 were retrospectively reviewed. Excluded were patients with primary impairment of platelet or coagulation function or with chronic liver impairment. Univariate and χ2 analyses were used to determine which risk factors were predictive of transfusion.Results: The transfusion rate was 7.8% for revision arthroplasties and 1.0% after primary procedures (P  (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304667 Mon, 02 Nov 2009 00:00:00 +0100 3304667 Transarticular shear fractures of the distal humerus http://www.medworm.com/index.php?rid=3087440&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900367X%2Fabstract%3Frss%3Dyes Conclusion: This series reflects the challenges in reconstructing precisely this cartilage-covered sphere, especially when there are multiple fragments. Modern techniques of fracture stabilization that concentrate on restoring a circular structure may require a different approach and engineering solutions.Level of evidence: Level 4; Case series, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087440 Mon, 02 Nov 2009 00:00:00 +0100 3087440 Radiocapitellar prosthetic arthroplasty for capitellar nonunion http://www.medworm.com/index.php?rid=3304704&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003693%2Fabstract%3Frss%3Dyes Elbow arthroplasty is complicated by the presence of 3 distinct articulations within the native elbow joint. Orthopedic surgeons have traditionally relied on a simple hinged prosthesis for elbow arthroplasty, despite obvious limitations compared with the complexity of movement in the native joint. This concept provides acceptable pain relief and function in the elderly and other lower-demand patient groups, such as those with rheumatoid arthritis; however, total elbow arthroplasty (TEA) is less appealing in younger patients because of activity limitations and concern about long-term implant survival. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304704 Mon, 19 Oct 2009 00:00:00 +0100 3304704 Conservative management of proximal humeral fractures: Can poor functional outcome be related to standard transscapular radiographic evaluation? http://www.medworm.com/index.php?rid=3304689&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003723%2Fabstract%3Frss%3Dyes Conclusion: This study indicated that radiographic evaluation in patients with minimally displaced proximal humeral fractures is helpful in prediction functional outcome during conservative treatment. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304689 Mon, 19 Oct 2009 00:00:00 +0100 3304689 The outcome of examination (manipulation) under anesthesia on the stiff elbow after surgical contracture release http://www.medworm.com/index.php?rid=3304671&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003668%2Fabstract%3Frss%3Dyes Hypothesis: We have used a technique of elbow examination under anesthesia in select patients after surgical release to assess the smoothness of the articulation, evaluate stability, and to stretch the flexion and rotation arcs.Materials and methods: The study comprised 51 consecutive patients who underwent an examination under anesthesia between January of 1996 and December of 2001.Results: The examination occurred a mean of 40 days after surgery. Forty-four patients with a minimum of 12 months follow-up revealed a mean pre-examination arc of 33°, which improved to 73° at the final assessment. Three patients had no appreciable change ( (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304671 Mon, 19 Oct 2009 00:00:00 +0100 3304671 Editorial Board http://www.medworm.com/index.php?rid=2892704&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004030%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892704 Thu, 15 Oct 2009 13:59:01 +0100 2892704 Contents http://www.medworm.com/index.php?rid=2892703&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004017%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892703 Thu, 15 Oct 2009 13:59:01 +0100 2892703 Sponsoring Societies http://www.medworm.com/index.php?rid=2892702&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609004029%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892702 Thu, 15 Oct 2009 13:59:01 +0100 2892702 Double-row vs single-row rotator cuff repair: A review of the biomechanical evidence http://www.medworm.com/index.php?rid=2892686&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002894%2Fabstract%3Frss%3Dyes Conclusions: The current literature reveals that the biomechanical properties of a double-row rotator cuff repair are superior to a single-row repair.Level of evidence: Basic Science Study, SRH = Single vs. Double Row RCR (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892686 Thu, 15 Oct 2009 13:58:59 +0100 2892686 Note from the Editor-in-Chief http://www.medworm.com/index.php?rid=2892671&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900398X%2Fabstract%3Frss%3Dyes Welcome back, my friends, to the show that never ends. We're so glad you could attend – come inside, come inside. - Emerson, Lake, and Palmer In the summer of 2008, I met with Roger Emery at JFK Airport in New York, while both of us were between flights, to discuss my forthcoming role as the new Editor of this Journal. At the time Roger was one of the European Associate Editors of JSES. I outlined my plans for the Journal to him, including my concern that it was important that we keep the Journal as internationally based as possible, something which Roger and the European editors also felt was important. To that end, I had planned to begin a new editorial position, that of Deputy International Editor. While we dined in a sort of style at the Au Bon Pain downstairs in the international t... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892671 Thu, 15 Oct 2009 13:58:57 +0100 2892671 Radiologic course of the calcific deposits in calcific tendinitis of the shoulder: Does the initial radiologic aspect affect the final results? http://www.medworm.com/index.php?rid=3304688&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002985%2Fabstract%3Frss%3Dyes Conclusion: Conservative treatment for calcific tendinitis of the shoulder showed clinically significant improvement, with 72% of excellent or good results regardless of the location, radiologic type and size, and initial symptoms of calcific deposits. By radiologic type, 46% of the calcific deposits had a tendency to become more cloudy and inhomogeneous than initial findings, and 62% presented complete resolution or decrease in the size. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304688 Mon, 05 Oct 2009 00:00:00 +0100 3304688 Nonoperative management of adhesive capsulitis of the shoulder: Oral cortisone application versus intra-articular cortisone injections http://www.medworm.com/index.php?rid=3304661&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900305X%2Fabstract%3Frss%3Dyes Discussion: The use of cortisone in the treatment of idiopathic shoulder adhesive capsulitis leads to fast pain relief and improves range of motion. Intra-articular injections of glucocorticoids showed superior results in objective shoulder scores, range of motion, and patient satisfaction compared with a short course of oral corticosteroids. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304661 Mon, 05 Oct 2009 00:00:00 +0100 3304661 Hemilateral resurfacing arthroplasty in posttraumatic degenerative elbow resulting from humeral capitellum malunion http://www.medworm.com/index.php?rid=3087461&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003036%2Fabstract%3Frss%3Dyes Secondary osteoarthritis, malunion, or nonunion associated with stiffness are common conditions in elbows after trauma. These conditions may be treated by various surgical methods when the elbow joint is severely compromised. In young, active patients with extensive joint destruction, interposition or distraction arthroplasty may be considered, whereas in the presence of malunited or ununited intra-articular fractures, open reduction and internal fixation can restore joint congruity. In the elderly with limited functional demand, these conditions may be treated by total elbow arthroplasty. When the lesion is only or essentially represented by malunion or nonunion of the capitellum, reconstruction can be performed as an alternative to excision of the bone fragment. (Source: Journal of Shoul... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087461 Mon, 05 Oct 2009 00:00:00 +0100 3087461 Range of motion limitation after rotator cuff repair http://www.medworm.com/index.php?rid=3304692&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002997%2Fabstract%3Frss%3Dyes Conclusion: Early postoperative limitation of motion after RCR is associated with restricted preoperative motion. Other factors, including diabetes mellitus and worker's compensation claim, are also associated with range of motion loss. Most shoulders with early motion loss recover motion and rarely require capsular release. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304692 Tue, 29 Sep 2009 00:00:00 +0100 3304692 Voluntary activation of the infraspinatus muscle in nonfatigued and fatigued states http://www.medworm.com/index.php?rid=3304676&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002961%2Fabstract%3Frss%3Dyes Conclusion: A measure of voluntary activation for the infraspinatus varied with the percent maximum force in a predictable manner that is consistent with the literature. The infraspinatus may be more susceptible to failure of voluntary activation during fatigue than other muscles. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304676 Tue, 29 Sep 2009 00:00:00 +0100 3304676 The proximal ulna dorsal angulation: A radiographic study http://www.medworm.com/index.php?rid=3087437&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900295X%2Fabstract%3Frss%3Dyes Conclusion: Contralateral PUDA measurements are reliable in determining the angle in patients with comminution or distorted anatomy. Recognition of the PUDA may be helpful in anatomic plating of the ulna. Recognition of the PUDA may be helpful in anatomic plating of the ulna for fractures, nonunions or malunions.Level of evidence: Radiographic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087437 Tue, 29 Sep 2009 00:00:00 +0100 3087437 Long-term results with Bankart procedure: A 26-year follow-up study of 50 cases http://www.medworm.com/index.php?rid=3304698&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002924%2Fabstract%3Frss%3Dyes Conclusion: At long-term follow-up, patients undergoing an open Bankart procedure for recurrent shoulder instability obtained a high percentage of shoulder stability, and reliably returned to high-level sports activities. However, 69% did show radiographic signs of osteoarthritis. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304698 Tue, 22 Sep 2009 00:00:00 +0100 3304698 Anchor fracture leading to supraspinatus failure http://www.medworm.com/index.php?rid=3087463&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002912%2Fabstract%3Frss%3Dyes We present a case describing a novel failure method of a bioabsorbable anchor that resulted in a failed rotator cuff repair. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087463 Tue, 22 Sep 2009 00:00:00 +0100 3087463 Alternative humeral tubercle fixation in shoulder hemiarthroplasty for fractures of the proximal humerus http://www.medworm.com/index.php?rid=3304690&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002857%2Fabstract%3Frss%3Dyes Conclusion and Discussion: The sling technique for tuberosity fixation seems to provide solid fixation. In this study, anatomic HTD fixation was associated with significantly better functional outcome, patient satisfaction, and pain scores. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304690 Mon, 14 Sep 2009 00:00:00 +0100 3304690 The origin of the long head of the triceps: A cadaveric study http://www.medworm.com/index.php?rid=3087444&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002869%2Fabstract%3Frss%3Dyes Conclusion: The anatomic origin of the long head of the triceps gives a capsular contribution to the inferior glenohumeral capsule. The triceps may be affected by open and arthroscopic procedures that release or shift the posterior inferior glenohumeral capsule.Level of evidence: Cadaveric study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087444 Mon, 14 Sep 2009 00:00:00 +0100 3087444 Treatment of proximal humerus fractures with locking plates: A systematic review http://www.medworm.com/index.php?rid=2892672&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900281X%2Fabstract%3Frss%3Dyes Discussion: The high incidence of cut-out may be secondary to the rigidity of the implant in combination with medial inadequate support, in cases compromised by severe underlying osteoporotic bone. Definition of indications for the use of locking plates and attention on technical aspects of applying them would help optimization of the results.Level of evidence: Systematic Review. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892672 Sun, 13 Sep 2009 23:00:00 +0100 2892672 Fibrous dysplasia around the elbow http://www.medworm.com/index.php?rid=3087460&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002833%2Fabstract%3Frss%3Dyes First named by Lichtenstein in 1938, fibrous dysplasia is a noninherited, skeletal developmental abnormality that commonly presents in adolescents and young adults. Normal marrow and cancellous bone are replaced and weakened by immature woven bone and a dense fibrotic stroma containing a disorganized matrix of bony trabecular spicules. Fibrous dysplasia accounts approximately for 5% to 7% of benign bone tumors. It may be monostotic, accounting for 70% to 80% of cases, or polyostotic. Fibrous dysplasia frequently occurs in the ribs, femur, tibia, skull, pelvis, spine and shoulder. Within the long bones, the lesions are predominately diaphyseal, with an epiphyseal lesion rarely occurring. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087460 Thu, 10 Sep 2009 00:00:00 +0100 3087460 Isolated tuberculous biceps tenosynovitis bicipitoradial bursitis: A case report http://www.medworm.com/index.php?rid=2892700&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002870%2Fabstract%3Frss%3Dyes We report an unusual case of isolated tubercular tenosynovitis and bicipitoradial bursitis of the biceps tendon, along with a review of the literature. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892700 Wed, 09 Sep 2009 23:00:00 +0100 2892700 Ulnar artery pseudoaneurysm after tension band wiring of an olecranon fracture resulting in Volkmann's ischemic contracture: A case report http://www.medworm.com/index.php?rid=3304700&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002845%2Fabstract%3Frss%3Dyes We report a patient with an ulnar artery pseudoaneurysm that resulted from unintended injury of the ulnar artery by prominent Kirschner (K) wire used for TBW. This led to chronic compartment syndrome and Volkmann's ischemic contracture (VIC) of the dominant hand and severe disability. To our knowledge, this complication has not been previously reported in the English literature. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304700 Wed, 09 Sep 2009 00:00:00 +0100 3304700 Anterior instability after total shoulder replacement: Salvage with modified Latarjet procedure. A report of 2 cases http://www.medworm.com/index.php?rid=3304699&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002717%2Fabstract%3Frss%3Dyes Anterior instability after total shoulder replacement is a rare but potentially devastating complication. The reported incidence ranges from 0-29%, with an average incidence of 2.8%. Cuomo and Checroun reported that instability represented 38% of all complications related to total shoulder arthroplasty (TSA). Anterior instability is the most common type, and determining the cause can be difficult. When evaluating a patient with an unstable TSA, the surgeon must take into account soft-tissue deficiencies, bone loss, and component positioning. Often, the problem is multi-factorial in nature. If the patient has pain and/or poor function as a result of instability, revision surgery may be indicated. However, the results of revision surgery for this problem are less than ideal, and instability ... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304699 Mon, 07 Sep 2009 00:00:00 +0100 3304699 Shoulder kinematics during the wall push-up plus exercise http://www.medworm.com/index.php?rid=3304674&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002808%2Fabstract%3Frss%3Dyes Conclusion: We found that during a wall push-up plus exercise in healthy volunteers, the scapula was placed in a position potentially associated with shoulder impingement. Because of the shoulder kinematics of the wall push-up plus exercise, utilization of this exercise without modification early on in shoulder rehabilitation, especially in patients with subacromial impingement, should be considered cautiously. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304674 Mon, 07 Sep 2009 00:00:00 +0100 3304674 Iatrogenic thoracic outlet syndrome caused by revision surgery for multiple subacute fixation failures of a clavicle fracture: A case report http://www.medworm.com/index.php?rid=3087462&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002675%2Fabstract%3Frss%3Dyes In this report, we describe the case of a manual laborer who had iatrogenic compression of the thoracic outlet of his dominant arm by fracture callus during revision surgery after multiple subacute fixation failures. The surgeon initially failed to recognize that the anatomic alignment of the clavicle fracture during osteosynthesis had resulted in thoracic outlet syndrome (TOS), as definitively established by venogram 14 days postoperatively. This case illustrates how the constellation of signs and symptoms can be misleading when this problem occurs in a subacute setting. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087462 Mon, 07 Sep 2009 00:00:00 +0100 3087462 Radial head fractures: Loss of cortical contact is associated with concomitant fracture or dislocation http://www.medworm.com/index.php?rid=3087436&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002687%2Fabstract%3Frss%3Dyes Conclusions: Among Mason type 2 fractures, complete loss of cortical contact of at least one fracture fragment is strongly predictive of a complex injury pattern.Level of evidence: 4, Retrospective case series, Treatment study (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087436 Mon, 07 Sep 2009 00:00:00 +0100 3087436 Revision shoulder arthroplasty: An analysis of indications and outcomes http://www.medworm.com/index.php?rid=3304696&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002699%2Fabstract%3Frss%3Dyes Conclusion: Our data suggest that patients whose revisions are because of glenoid erosion or component loosening can expect to have better outcomes than those whose revisions are performed for infection, instability, or other soft-tissue problems. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304696 Fri, 04 Sep 2009 00:00:00 +0100 3304696 Erratum to “Commercially available extracellular matrix materials for rotator cuff repairs: State of the art and future trends” [J Shoulder Elbow Surg 2007;16(suppl):171S-178S] http://www.medworm.com/index.php?rid=2892701&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003887%2Fabstract%3Frss%3Dyes The authors of the above-mentioned article have indicated that a statement made on page 174S requires clarification. The statement reads: “The host response to TissueMend and Permacol was consistent with the classical response to nonresorbable foreign materials, namely, low-grade chronic inflammation, minimal scaffold degradation, and fibrous encapsulation. Such a response may negate any potential benefit obtained by enhancing the mechanical properties through chemical cross-linking of these devices.” (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892701 Thu, 27 Aug 2009 23:00:00 +0100 2892701 Sponsoring Societies http://www.medworm.com/index.php?rid=2722203&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900353X%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722203 Sat, 22 Aug 2009 10:48:29 +0100 2722203 Editorial Board http://www.medworm.com/index.php?rid=2722202&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003541%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722202 Sat, 22 Aug 2009 10:48:29 +0100 2722202 Contents http://www.medworm.com/index.php?rid=2722201&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609003528%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722201 Sat, 22 Aug 2009 10:48:29 +0100 2722201 Erratum to: “Alterations in function after rotator cuff tears in an animal model” [J Shoulder Elbow Surg 2009 Mar-Apr;18(2):296-304.] http://www.medworm.com/index.php?rid=2722200&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002973%2Fabstract%3Frss%3Dyes This study examined the effect of multiple rotator cuff tendon tears on shoulder function in an animal model. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722200 Sat, 22 Aug 2009 10:48:29 +0100 2722200 Treatment of proximal humeral fracture with a proximal humeral nail http://www.medworm.com/index.php?rid=3304694&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002651%2Fabstract%3Frss%3Dyes Conclusion: Closed reduction and internal fixation with a PHN can be an effective method for the treatment of 2-part surgical neck fractures. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304694 Fri, 07 Aug 2009 00:00:00 +0100 3304694 Elbow strength and endurance in patients with a ruptured distal biceps tendon http://www.medworm.com/index.php?rid=3304665&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002663%2Fabstract%3Frss%3Dyes Conclusion: A ruptured distal biceps tendon results in a substantial decrease in flexion and supination strength. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304665 Fri, 07 Aug 2009 00:00:00 +0100 3304665 Arthroscopic treatment of internal rotation contracture and glenohumeral dysplasia in children with brachial plexus birth palsy http://www.medworm.com/index.php?rid=3087450&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002365%2Fabstract%3Frss%3Dyes Conclusions: Our results after arthroscopic release +/- tendon transfers are encouraging with improvements in joint alignment and clinical evaluations following surgery. The clinical improvements paralleled the MRI corrections. Importantly, superior outcomes were associated with better preoperative clinical and MRI status. This indicates that early recognition of glenohumeral dysplasia and timely intervention results in better shoulder motion and improved joint alignment.Level of Evidence: 4. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087450 Fri, 07 Aug 2009 00:00:00 +0100 3087450 Predicting transfusion in shoulder arthroplasty http://www.medworm.com/index.php?rid=3087448&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002250%2Fabstract%3Frss%3Dyes Conclusion: Preoperative hemoglobin level, age, and number of comorbid conditions are all predictive of transfusion in shoulder arthroplasty. Tailoring blood ordering based on a preoperative hemoglobin level of 12.5 g/dL is safe and effective.Level of evidence: Prognostic study, level 2. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087448 Fri, 07 Aug 2009 00:00:00 +0100 3087448 Large coronal shear fractures of the capitellum and trochlea treated with headless compression screws http://www.medworm.com/index.php?rid=3087439&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002377%2Fabstract%3Frss%3Dyes Conclusion: Headless compression screw fixation allows for stable fixation in patients with large coronal shear fractures of the distal humerus without posterior comminution.Level of Evidence: 4 (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087439 Fri, 07 Aug 2009 00:00:00 +0100 3087439 Heterotopic ossification—A complication of elbow arthroscopy: A case report http://www.medworm.com/index.php?rid=3087459&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002286%2Fabstract%3Frss%3Dyes The occurrence of heterotopic ossification (HO) is a well described manifestation following trauma, surgical intervention, neurological insults, in diffuse idiopathic skeletal hyperostosis (DISH) and genetic conditions with abnormalities in bone morphogenetic protein (BMP) metabolism. HO is the formation of bone in anatomic locations foreign to regular bone growth. HO usually presents itself clinically as joint pain and decreased range of motion. Occasionally joint erythema and effusions are noted. There is substantial evidence to suggest that HO is a common complication following total hip arthroplasty. Reigler (1976) concluded that 2-7% of patients suffer extensive HO following total hip arthroplasty. Further, a more recent study using a similar patient population has suggested that up t... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087459 Mon, 03 Aug 2009 00:00:00 +0100 3087459 The cortical ring sign: A reliable radiographic landmark for percutaneous coracoclavicular fixation http://www.medworm.com/index.php?rid=3087453&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001955%2Fabstract%3Frss%3Dyes Conclusion: The cortical ring sign view targets the coracoid base and, as such, allows reliable, safe, percutaneous fixation in the center of the coracoid base.Level of Evidence: Basic Science. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087453 Tue, 21 Jul 2009 00:00:00 +0100 3087453 Tumors masked as frozen shoulders: A retrospective analysis http://www.medworm.com/index.php?rid=3304687&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002353%2Fabstract%3Frss%3Dyes Conclusion: Physicians should carefully re-examine the frozen shoulder patients with repeated plain radiographs followed by further imaging studies, if the conservative therapy fails. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304687 Thu, 02 Jul 2009 00:00:00 +0100 3304687 Cost-effectiveness of open versus arthroscopic rotator cuff repair http://www.medworm.com/index.php?rid=3304685&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002298%2Fabstract%3Frss%3Dyes Conclusion: Open cuff repair is more cost-effective than arthroscopic repair and is likely to have lower cost-utility ratio. In addition, the tariff for the arthroscopic procedure in some health care systems is same as open repair. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3304685 Thu, 02 Jul 2009 00:00:00 +0100 3304685 Computer simulation of humeral shaft fracture in throwing http://www.medworm.com/index.php?rid=3087447&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002316%2Fabstract%3Frss%3Dyes Conclusion: These results indicate that thickness of the humerus represents one factor contributing to fractures that occur while throwing.Level of evidence: Basic science study (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087447 Thu, 02 Jul 2009 00:00:00 +0100 3087447 Morphometry of the human bicipital groove (sulcus intertubercularis) http://www.medworm.com/index.php?rid=3087443&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002304%2Fabstract%3Frss%3Dyes Conclusion: This study confirmed the variability of the measurements presented by the groove in relation to all the aspects considered.Level of Evidence: Basic Science. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087443 Thu, 02 Jul 2009 00:00:00 +0100 3087443 Biomechanical evaluation of distal biceps reconstruction with cortical button and interference screw fixation http://www.medworm.com/index.php?rid=3087441&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002328%2Fabstract%3Frss%3Dyes Conclusion: This TST maintains the strength of the standard cortical button repair, but significantly reduces gap formation and motion at the repair site.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087441 Thu, 02 Jul 2009 00:00:00 +0100 3087441 A clinical comparison of two different double plating methods for intraarticular distal humerus fractures http://www.medworm.com/index.php?rid=3087433&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002274%2Fabstract%3Frss%3Dyes Conclusion: Although more patients failed to achieve bony union in the perpendicular plating group, both parallel and orthogonal plates positioning can provide adequate stability and anatomic reconstruction of the distal humerus fractures.Level of Evidence: 2. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087433 Thu, 02 Jul 2009 00:00:00 +0100 3087433 The glenoid in shoulder arthroplasty http://www.medworm.com/index.php?rid=2722191&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900233X%2Fabstract%3Frss%3Dyes This article reviews the current state of knowledge about the glenoid in total shoulder arthroplasty, summarizing the anatomic parameters of the intact glenoid, variations in component design and fixation, the mechanisms of glenoid loosening, the outcomes of revision surgery in the treatment of glenoid component failure, and alternative treatments for younger patients.Level of evidence: Review Article. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722191 Wed, 01 Jul 2009 23:00:00 +0100 2722191 Custom-made prosthesis replacement for reconstruction of elbow after tumor resection http://www.medworm.com/index.php?rid=2722188&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000895%2Fabstract%3Frss%3Dyes Conclusions: In most patients, local tumor resection and prosthetic reconstruction of the elbow can be done with oncologic safety, and provides good function with low rates of complications.Level of evidence: Level 4. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722188 Wed, 01 Jul 2009 23:00:00 +0100 2722188 Suture anchor loading after rotator cuff repair: Effects of an additional lateral row http://www.medworm.com/index.php?rid=3087446&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002262%2Fabstract%3Frss%3Dyes Conclusion: The magnitude and distribution of anchor suture tensions could have important implications for lateral row fixation devices and post-operative positioning and activity.Level of Evidence: Basic Science. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087446 Mon, 29 Jun 2009 00:00:00 +0100 3087446 Masthead/Editorial Board http://www.medworm.com/index.php?rid=2519464&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002420%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519464 Fri, 26 Jun 2009 14:42:19 +0100 2519464 Contents http://www.medworm.com/index.php?rid=2519463&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002407%2Fabstract%3Frss%3Dyes (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519463 Fri, 26 Jun 2009 14:42:19 +0100 2519463 Reply: http://www.medworm.com/index.php?rid=2519462&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001918%2Fabstract%3Frss%3Dyes The comments by Østerås and Aamodt are helpful. They emphasize the need for data to show the effectiveness for the things we prescribe and demonstrate the need for standardization of rehabilitation and treatment to further our research efforts. The literature is clearly limited; however, my systematic review allowed me to identify and review the few level I and level II studies that have been published and conclude that exercise is effective in treating impingement syndrome. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519462 Fri, 26 Jun 2009 14:42:19 +0100 2519462 Alveolar rhabdomyosarcoma arising from the infraspinatus muscle in a child treated with subtotal scapulectomy and chemoradiotherapy: A case study http://www.medworm.com/index.php?rid=2519456&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001335%2Fabstract%3Frss%3Dyes We describe a rare case of a child with alveolar-type rhabdomyosarcoma emanating from the infraspinatus muscle who underwent wide excision (2.5-cm-wide margin) involving part of the scapula after neoadjuvant chemotherapy, based on the regimen recommended by the Intergroup Rhabdomyosarcoma Study (IRS)-IV. We also discuss the terms of management of rhabdomyosarcoma around the scapula. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519456 Fri, 26 Jun 2009 14:42:19 +0100 2519456 Functional outcomes after nonoperative management of fractures of the proximal humerus http://www.medworm.com/index.php?rid=2519442&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002067%2Fabstract%3Frss%3Dyes Conclusion: This study may provide reference values for future investigations and stresses ceiling effects that will make it difficult to demonstrate a significant advantage of surgical over nonoperative treatment in patients with proximal humeral fractures.Level of evidence: Level 4; Prospective case series without a control group. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519442 Fri, 26 Jun 2009 14:42:19 +0100 2519442 Fatty infiltration of the supraspinatus: A reliability study http://www.medworm.com/index.php?rid=2519437&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000706%2Fabstract%3Frss%3Dyes Conclusion: The tangent sign is acceptable for determining the presence of muscle atrophy and clinical decision making. A positive tangent sign is an indicator of advanced fatty infiltration. The axial computed tomography plane should be used when evaluating fatty infiltration.Level of evidence: Level 3; Diagnostic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519437 Fri, 26 Jun 2009 14:42:19 +0100 2519437 Variations of the intra-articular portion of the long head of the biceps tendon: A classification of embryologically explained variations http://www.medworm.com/index.php?rid=2519433&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001451%2Fabstract%3Frss%3Dyes Conclusion: By offering this new classification and a physiopathologic hypothesis, we try to explain why some of these anatomic variants may also acquire a pathologic significance. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519433 Fri, 26 Jun 2009 14:42:19 +0100 2519433 The three-dimensional anatomy of proximal humeral fractures http://www.medworm.com/index.php?rid=2519430&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001402%2Fabstract%3Frss%3Dyes Conclusions: This study led to a modification of the Neer classification system. The frequency of each type of injury in this new classification is presented and a technique for viewing 3D images is suggested which maximizes their usefulness.Level of evidence: Level 2; Clinical, observational, and prospective. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519430 Fri, 26 Jun 2009 14:42:19 +0100 2519430 Improved accuracy of glenoid positioning in total shoulder arthroplasty with intraoperative navigation: A prospective-randomized clinical study http://www.medworm.com/index.php?rid=2519427&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900189X%2Fabstract%3Frss%3Dyes Conclusion: We found an improved accuracy in glenoid positioning in the transverse plane using intraoperative navigation. The validity of the study is limited by the small number, which advocates continuation with more patients and longer follow-up.Level of evidence: Level 2; Therapeutic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519427 Fri, 26 Jun 2009 14:42:19 +0100 2519427 Not all Rowe scores are the same! Which Rowe score do you use? http://www.medworm.com/index.php?rid=2519426&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001189%2Fabstract%3Frss%3Dyes Conclusion: Not all Rowe scores are the same! Therefore, the used Rowe score should always be indicated. It would be desirable to establish one single Rowe score.Level of evidence: Level 3; Diagnostic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519426 Fri, 26 Jun 2009 14:42:19 +0100 2519426 Note from the Editor-in-Chief http://www.medworm.com/index.php?rid=2519424&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002341%2Fabstract%3Frss%3Dyes At the 2007 American and Shoulder Elbow Surgeons meeting, I had the pleasure to sit down to lunch with Christian Gerber, the esteemed Swiss shoulder specialist. Christian remarked how unique it was that the shoulder and elbow world had such international representation, and what a strength it was for our organization. When Charles Neer helped establish the American Shoulder and Elbow Surgeons in 1982 and the Journal of Shoulder and Elbow Surgery (JSES) in 1991, he insisted on both having a global presence. The second Chairman of the Board of Trustees of JSES was a Dane, Otto Sneppen. And since its existence, JSES has had an international Editorial Board and solicited articles from around the world. This is something we will continue to do and continue to emphasize. We in North America lear... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519424 Fri, 26 Jun 2009 14:42:19 +0100 2519424 A systematic review of the psychometric properties of the Constant-Murley score http://www.medworm.com/index.php?rid=3087458&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002079%2Fabstract%3Frss%3Dyes Conclusion: Given the widespread acceptance for usage of the Constant-Murley score in clinical studies and early indications that the measure is responsive, studies defining more rigid standardization of the tools/procedures are needed.Level of evidence: Level 1 (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087458 Fri, 26 Jun 2009 00:00:00 +0100 3087458 Infectious and thromboembolic complications of arthroscopic shoulder surgery http://www.medworm.com/index.php?rid=3087449&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002080%2Fabstract%3Frss%3Dyes Conclusion: The association between infection and antibiotic prophylaxis was significant (P=0.01); however, the risk of DVTs was not decreased with heparin prophylaxis.Level of evidence: Level 3. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087449 Fri, 26 Jun 2009 00:00:00 +0100 3087449 Loss of the sclerotic line of the glenoid on anteroposterior radiographs of the shoulder: A diagnostic sign for an osseous defect of the anterior glenoid rim http://www.medworm.com/index.php?rid=3087457&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002237%2Fabstract%3Frss%3Dyes Conclusion: The LSGL on anteroposterior radiographs is a moderately sensitive but highly specific finding for anterior glenoid rim defects.Level of evidence: Level 4; Diagnostic study, case control study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087457 Thu, 25 Jun 2009 00:00:00 +0100 3087457 Survivorship of the humeral component in shoulder arthroplasty http://www.medworm.com/index.php?rid=3087456&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002213%2Fabstract%3Frss%3Dyes Conclusions: The need for revision of the humeral component is commonly related to glenoid or glenoid component issues. Patient and diagnostic factors play a role in implant survival; implant type and method of fixation are less important.Level of evidence: Level 4; Case series, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087456 Thu, 25 Jun 2009 00:00:00 +0100 3087456 Fewer rotator cuff tears fifteen years after arthroscopic subacromial decompression http://www.medworm.com/index.php?rid=3087451&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002249%2Fabstract%3Frss%3Dyes Conclusion: Arthroscopic subacromial decompression seems to reduce the prevalence of rotator cuff tears in impingement patients. This appears attributable to elimination of extrinsic factors such as mechanical wear and bursitis. The potential effect of surgery on intrinsic cuff degeneration is unknown, but intrinsic factors may explain tears still developing despite decompression.Level of evidence: Level III, therapeutic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087451 Thu, 25 Jun 2009 00:00:00 +0100 3087451 Surgical treatment for osteochondritis dissecans of the humeral capitellum http://www.medworm.com/index.php?rid=3087438&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002055%2Fabstract%3Frss%3Dyes Conclusion: Surgical treatments were useful to restore advanced OCD lesions. Our results suggest that reconstruction of the lateral margin of the capitellum is important for achieving good clinical results.Level of evidence: Level 4. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087438 Thu, 25 Jun 2009 00:00:00 +0100 3087438 Effectiveness of multidetector computed tomography arthrography for the diagnosis of shoulder pathology: Comparison with magnetic resonance imaging with arthroscopic correlation http://www.medworm.com/index.php?rid=3087435&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002225%2Fabstract%3Frss%3Dyes Conclusions: Our data suggest that CTA is a cost-effective, useful method in the preoperative evaluation of labral abnormalities, such as Bankart and SLAP lesions. It may also be useful for the detection of full-thickness rotator cuff tears.Level of evidence: Level I; Diagnostic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087435 Thu, 25 Jun 2009 00:00:00 +0100 3087435 Measurement of the acromiohumeral interval on standardized anteroposterior radiographs: A prospective study of observer variability http://www.medworm.com/index.php?rid=3087434&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002201%2Fabstract%3Frss%3Dyes Conclusion: The assessment of the acromiohumeral interval using standardized anteroposterior radiographs is a reliable and reproducible method of measurement.Level of evidence: Level 1; Investigating a diagnostic test. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087434 Thu, 25 Jun 2009 00:00:00 +0100 3087434 Prevalence and risk factors of a rotator cuff tear in the general population http://www.medworm.com/index.php?rid=3087452&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002043%2Fabstract%3Frss%3Dyes Conclusion: 20.7% of 1,366 shoulders had full-thickness rotator cuff tears in the general population. The risk factors for rotator cuff tear included a history of trauma, dominant arm and age.Level of evidence: Level 3. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087452 Mon, 22 Jun 2009 00:00:00 +0100 3087452 Evaluation of glenoid capsulolabral complex insertional anatomy and restoration with single- and double-row capsulolabral repairs http://www.medworm.com/index.php?rid=2892688&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002018%2Fabstract%3Frss%3Dyes Conclusion: Double-row repair of the capsulolabral complex reestablishes the native insertional footprint on the anterior inferior glenoid better than a single-row repair.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892688 Sun, 21 Jun 2009 23:00:00 +0100 2892688 Primary total shoulder arthroplasty performed entirely thru the rotator interval: Technique and minimum two-year outcomes http://www.medworm.com/index.php?rid=2892676&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900192X%2Fabstract%3Frss%3Dyes Conclusions: The patients had favorable clinical outcomes. This technique for TSR demonstrates that in the postoperative period, patients can immediately partake in unrestricted physical therapy. This study reports the clinical outcomes of this technique for TSR with a minimum of 2 years of follow-up.Level of evidence: Level 4; Case series, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892676 Sun, 21 Jun 2009 23:00:00 +0100 2892676 Bifid insertion of the distal biceps brachii tendon with isolated rupture: Magnetic resonance findings http://www.medworm.com/index.php?rid=2892698&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001931%2Fabstract%3Frss%3Dyes Rupture of the distal biceps brachii tendon is greatly outnumbered by rupture of the proximal attachment of the long head from the bicipitolabral anchor at the superior glenoid, with rupture of the origin of the proximal tendon of the short head of biceps an exceedingly uncommon injury. A recent case of a bifurcated distal biceps tendon demonstrating selective disruption of a single tendon bundle has been reported that was surgically confirmed and subsequently underwent successful primary repair. If the clinical scenario demands surgical restoration due to functional disability, then accurate preoperative detection is paramount because this injury may be confused with a partial thickness tear of a nonbifurcated distal biceps tendon or a distal musculotendinous junction strain, both which a... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892698 Wed, 17 Jun 2009 23:00:00 +0100 2892698 Functional anatomy of the superior glenohumeral and coracohumeral ligaments and the subscapularis tendon in view of stabilization of the long head of the biceps tendon http://www.medworm.com/index.php?rid=3087442&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001943%2Fabstract%3Frss%3Dyes Conclusion: To keep the biceps tendon in place and stabilized, tension in the superior glenohumeral ligament and the buttress support of the most superior insertion point of the subscapularis from behind the ligament may be necessary.Level of Evidence: Basic Science (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087442 Wed, 17 Jun 2009 00:00:00 +0100 3087442 Minimal clinically important differences (MCID) and patient acceptable symptomatic state (PASS) for visual analog scales (VAS) measuring pain in patients treated for rotator cuff disease http://www.medworm.com/index.php?rid=2892685&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001992%2Fabstract%3Frss%3Dyes Discussion: The MCID and PASS estimates provide the basis to determine if statistically significant changes in VAS pain scores after treatment are clinically important and if the treatment allowed patients to achieve a satisfactory state.Level of evidence: Level 3; Nonconsecutive series of patients, diagnostic study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892685 Tue, 16 Jun 2009 23:00:00 +0100 2892685 Early clinical results following staged bilateral primary total shoulder arthroplasty http://www.medworm.com/index.php?rid=3087455&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900202X%2Fabstract%3Frss%3Dyes Conclusion: Staged, bilateral total shoulder arthroplasty results in excellent functional outcomes and high satisfaction in subjective patient assessment. We currently recommend a minimum of 6 weeks between replacements to allow for appropriate tissue healing and rehabilitation.Level of Evidence: 4. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087455 Mon, 15 Jun 2009 00:00:00 +0100 3087455 Attachments of muscles as landmarks for implantation of shoulder hemiarthoplasty in fractures http://www.medworm.com/index.php?rid=3087454&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002031%2Fabstract%3Frss%3Dyes Conclusion: This study provides average values of the positions of the greater and lesser tuberosities with respect to the humeral head axis. We show that the greater and lesser tuberosities are more reliable than the transepicondylar line for reconstruction of humeral head retroversion.Level of Evidence: Basic Science. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087454 Mon, 15 Jun 2009 00:00:00 +0100 3087454 Vascularity of the supraspinatus tendon three months after repair: Characterization using contrast-enhanced ultrasound http://www.medworm.com/index.php?rid=3087445&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609002006%2Fabstract%3Frss%3Dyes Conclusion: At 3 months following repair, the majority of blood flow to the repair is derived from the peribursal soft tissues and the anchor site. The tendon, particularly those with a defect at 3 months, is relatively avascular. Though limited by inclusion of only a single time point, this study introduces a new technique to quantify vascularity following supraspinatus repairs and suggests that the surrounding vascular milieu may play a role in tendon healing.Level of Evidence: Basic Science. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=3087445 Mon, 15 Jun 2009 00:00:00 +0100 3087445 Revision to a reverse shoulder arthroplasty using a custom glenoid sphere over a well-fixed metal glenoid tray: A case report http://www.medworm.com/index.php?rid=2892699&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001980%2Fabstract%3Frss%3Dyes Rotator cuff tears are a relatively common cause of recurrent pain and loss of function in patients who have undergone total shoulder arthroplasty. If the tear is large enough, particularly in the presence of coracoacromial arch insufficiency, anterosuperior escape with attempted elevation occurs and results in pseudoparalysis. Reverse arthroplasty is one of the few procedures that can restore stability and improve function in patients with this type of glenohumeral pseudoparalysis. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892699 Sun, 14 Jun 2009 23:00:00 +0100 2892699 Sarcomere length of torn rotator cuff muscle http://www.medworm.com/index.php?rid=2892689&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001487%2Fabstract%3Frss%3Dyes Conclusion: The sarcomere lengths of the supraspinatus and infraspinatus with torn tendons were not significantly different from those with intact tendons, although the muscle fiber lengths were significantly shorter with torn tendons. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892689 Wed, 10 Jun 2009 23:00:00 +0100 2892689 Calcific tendinitis of the rotator cuff associated with intraosseous loculation: Two case reports http://www.medworm.com/index.php?rid=2892694&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001244%2Fabstract%3Frss%3Dyes The radiographic appearance of rotator cuff calcific tendinitis has been widely described in the literature. It is generally a benign, self-limiting condition, with soft tissue calcification noted in the rotator cuff on plain radiographs. Rarely however, the calcification can extend into the epiphyseal region, mimicking infection or tumor. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892694 Tue, 09 Jun 2009 23:00:00 +0100 2892694 Late posterior interosseous nerve palsy associated with loosening of radial head implant http://www.medworm.com/index.php?rid=2892697&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001463%2Fabstract%3Frss%3Dyes Radial head arthroplasty with metallic prosthesis is a safe and effective treatment for comminuted fractures of the radial head, especially in the setting of concomitant elbow instability. Injury to the posterior interosseous nerve (PIN) is a known risk associated with surgical treatment of radial head fractures. Transient PIN neurapraxia has been reported in radial head arthroplasty, occurring postoperatively and improving over time. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892697 Sun, 31 May 2009 23:00:00 +0100 2892697 Rotator Cuff Tears in Adolescent Female Catchers http://www.medworm.com/index.php?rid=2892696&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001323%2Fabstract%3Frss%3Dyes Rotator cuff tears are a well-recognized clinical entity in overhead athletes and in older patients. There are several possible etiologies for rotator cuff pathology, which vary based on age and sport participation. Significant academic work has been dedicated to examining the throwing motion and the associated shoulder pathology in overhead athletes. However, there are only 2 known reported cases of rotator cuff tears in adolescents. To our knowledge, we present the first reported cases of full-thickness rotator cuff tears in adolescent girls, both occurring in softball catchers. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892696 Sun, 31 May 2009 23:00:00 +0100 2892696 Improved accuracy of computer assisted glenoid implantation in total shoulder arthroplasty: An in-vitro randomized controlled trial http://www.medworm.com/index.php?rid=2892682&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001372%2Fabstract%3Frss%3Dyes Conclusions: Computer assisted navigation results in a more accurate glenoid component placement relative to traditional techniques.Level of Evidence: Basic Science Study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892682 Sun, 31 May 2009 23:00:00 +0100 2892682 Glenoid morphology in reverse shoulder arthroplasty: Classification and surgical implications http://www.medworm.com/index.php?rid=2892677&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001281%2Fabstract%3Frss%3Dyes Conclusions: Abnormal glenoid morphology was shown to have a significant effect on anatomical and surgical factors which can necessitate adjustments in surgical technique for reverse shoulder arthroplasty.Level of evidence: Basic Science Study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892677 Sun, 31 May 2009 23:00:00 +0100 2892677 Management of massive and irreparable rotator cuff tears http://www.medworm.com/index.php?rid=2722190&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001888%2Fabstract%3Frss%3Dyes Abstract: Massive rotator cuff tears pose a distinct clinical challenge for the orthopaedist. In this review, we will discuss the classification, diagnosis, and evaluation of massive rotator cuff tears before discussing various treatment options for this problem. Nonoperative treatment has had inconsistent results and proven unsuccessful for chronic symptoms while operative treatment including débridement and partial and complete repairs have had varying degrees of success. For rotator cuff tears that are deemed irreparable, treatment options are limited. The use of tendon transfers in younger patients to reconstruct rotator cuff function and restore shoulder kinematics can be useful in salvaging this difficult problem.Level of Evidence: Review Article. (Source: Journal of Shoulder and El... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722190 Sun, 31 May 2009 23:00:00 +0100 2722190 Effects of flexor-pronator muscle loading on valgus stability of the elbow with an intact, stretched, and resected medial ulnar collateral ligament http://www.medworm.com/index.php?rid=2722184&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001475%2Fabstract%3Frss%3Dyes Conclusion: The FDS, PT, and FCU are all active stabilizers of the elbow to valgus stress. The FDS is the biggest contributor amongst the flexor-pronator muscles.Level of evidence: Basic science biomechanical laboratory study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722184 Sun, 31 May 2009 23:00:00 +0100 2722184 Simulation of surgical glenoid resurfacing using three-dimensional computed tomography of the arthritic glenohumeral joint: The amount of glenoid retroversion that can be corrected http://www.medworm.com/index.php?rid=2722171&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001967%2Fabstract%3Frss%3Dyes Discussion: Computer-aided surgical simulation shows that glenoid retroversion is a critical factor in determining successful glenoid implantation. Smaller sized glenoid components allow for greater version correction and less residual postsimulation retroversion when an in-line pegged component is used.Level of evidence: Level 2. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722171 Sun, 31 May 2009 23:00:00 +0100 2722171 Aspiration alone versus aspiration and bupivacaine injection in the treatment of undisplaced radial head fractures: A prospective randomized study http://www.medworm.com/index.php?rid=2722170&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001979%2Fabstract%3Frss%3Dyes Discussion: Intra-articular use of local anaesthetic after joint aspiration does not offer any benefit over aspiration alone in the treatment of undisplaced radial head fractures and its routine application is not supported by the clinical data.Level of evidence: Level 1. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722170 Sun, 31 May 2009 23:00:00 +0100 2722170 Regional anatomic structures of the elbow that may potentially compress the ulnar nerve http://www.medworm.com/index.php?rid=2519444&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001438%2Fabstract%3Frss%3Dyes Conclusion: Knowledge of possible compression sites of the ulnar nerve is important to the surgeon so that complications are avoided and postoperative recurrence is decreased.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519444 Sun, 31 May 2009 23:00:00 +0100 2519444 Reverse total shoulder arthroplasty after failed rotator cuff surgery http://www.medworm.com/index.php?rid=2519440&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001864%2Fabstract%3Frss%3Dyes Discussion: RSA can improve function in patients with cuff deficient shoulders after failure of previous cuff surgery. However, results are inferior to primary RSA. RSA when the patient maintains greater than 90° of preoperative AAE risks loss of AAE and lower patient satisfaction. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519440 Sun, 31 May 2009 23:00:00 +0100 2519440 The impacted varus (A2.2) proximal humeral fracture in elderly patients: Is minimal fixation justified? A case control study http://www.medworm.com/index.php?rid=2519431&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001190%2Fabstract%3Frss%3Dyes Conclusion: Operative treatment of varus displaced proximal humerus fractures treated with K-wire osteosynthesis yields good results that are superior to those treated nonoperatively.Level of evidence: Level 3; Case control study, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519431 Sun, 31 May 2009 23:00:00 +0100 2519431 Static posterior humeral head subluxation and total shoulder arthroplasty http://www.medworm.com/index.php?rid=2519425&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001426%2Fabstract%3Frss%3Dyes Conclusion: PSH is frequently present in shoulders with osteoarthritis. It can be corrected in the majority of shoulders undergoing total shoulder replacement; however, re-centering is not correlated with glenoid version or its correction.Level of evidence: Level 4; Case series, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519425 Sun, 31 May 2009 23:00:00 +0100 2519425 Regarding “Exercise in the treatment of rotator cuff impingement: A systematic review and a synthesized evidence-based rehabilitation protocol” http://www.medworm.com/index.php?rid=2519461&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001906%2Fabstract%3Frss%3Dyes A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol and published by Kuhn. Eleven randomized, controlled trials evaluating the effect of exercise in the treatment of impingement were identified and analyzed. The author concludes with “a gold standard rehabilitation protocol,” but we do not think the data available are sufficient to make such reliable clinical implications. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519461 Thu, 28 May 2009 23:00:00 +0100 2519461 Objective evaluation of lengthening in reverse shoulder arthroplasty http://www.medworm.com/index.php?rid=2519438&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001876%2Fabstract%3Frss%3Dyes Background: Reverse shoulder arthroplasty requires a re-tensioning of the deltoid to obtain active elevation and implant stability. Currently, there is no objective and reliable technique described for the preoperative planning of reverse shoulder prosthesis or the postoperative evaluation of deltoid tension and arm lengthening. The purpose of this investigation was to outline a standardized technique for measuring deltoid length and to preoperatively plan a reverse shoulder arthroplasty, and to determine whether complications are related to inadequate deltoid lengthening.Methods: Fifty-eight patients were included in this radiographic review. Variations in humeral length, overall arm length, and the height of the subacromial space were evaluated before and after reverse shoulder arthropla... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519438 Thu, 28 May 2009 23:00:00 +0100 2519438 Superficial radial nerve injury after avulsion fracture of the brachioradialis muscle origin in a professional lacrosse player: A case report http://www.medworm.com/index.php?rid=2892695&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001232%2Fabstract%3Frss%3Dyes We describe a 26-year-old professional lacrosse player who sustained an avulsion fracture of his distal humerus at the origin of the brachioradialis muscle and a subsequent superficial radial nerve injury with continued play after a direct blow from a defending opponents stick to the lateral arm. The patient was informed that the data concerning his case, including radiographic images, would be submitted for publication, and he consented. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892695 Sun, 24 May 2009 23:00:00 +0100 2892695 Shoulder arthroplasty in morbidly obese patients http://www.medworm.com/index.php?rid=2892681&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001219%2Fabstract%3Frss%3Dyes Conclusions: Shoulder arthroplasty in the morbidly obese is associated with long-term improvement in pain and function. However, the intraoperative and postoperative care of these patients is more complex, and these patients seem to have a higher rate of unsatisfactory results.Level of evidence: Level 4; Case series, treatment study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892681 Sun, 24 May 2009 23:00:00 +0100 2892681 Applicability of the coactivation method in assessing synergies of the scapular stabilizing muscles http://www.medworm.com/index.php?rid=2722183&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001347%2Fabstract%3Frss%3Dyes Conclusion: The significant differences in EMG activity between the isolated and the coactivation methods indicated that the coactivation method was adequate to assess the scapular muscular synergies.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722183 Sun, 17 May 2009 23:00:00 +0100 2722183 Analysis of the scapulohumeral rhythm and electromyography of the shoulder muscles during elevation and lowering: Comparison of dominant and nondominant shoulders http://www.medworm.com/index.php?rid=2722182&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001360%2Fabstract%3Frss%3Dyes Conclusions: Healthy individuals elevate and lower the dominant and nondominant shoulders in a similar kinematical pattern despite 3 of 4 muscles indicating different EMG activities between both shoulders.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722182 Sun, 10 May 2009 23:00:00 +0100 2722182 Complete removal of load is detrimental to rotator cuff healing http://www.medworm.com/index.php?rid=2722169&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001311%2Fabstract%3Frss%3Dyes Conclusions: Complete removal of load was detrimental to rotator cuff healing, especially when combined with immobilization.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722169 Sun, 10 May 2009 23:00:00 +0100 2722169 Fluoroscopic assessment of rotator cuff fatigue on glenohumeral arthrokinematics in shoulder impingement syndrome http://www.medworm.com/index.php?rid=2892691&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001414%2Fabstract%3Frss%3Dyes Conclusion: These results support prior findings that suggest superior glenohumeral migration during arm elevation is influenced both by shoulder pathology and the state of fatigue of the rotator cuff musculature. Future research should examine the effects of physical therapy and surgical interventions on glenohumeral arthrokinematics to better determine the most effective treatment methods for outlet impingement.Level of evidence: Controlled laboratory study (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892691 Thu, 07 May 2009 23:00:00 +0100 2892691 Impingement mechanisms of the Neer and Hawkins signs http://www.medworm.com/index.php?rid=2892687&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900127X%2Fabstract%3Frss%3Dyes Discussion: The data from this study indicate that the Neer and Hawkins signs do not represent the same impingement mechanism. The contact sites on the humeral head side were anatomically different. Additionally, it was found that the maximum contact pressure for the Neer sign is with internal rotation of the arm.Level of Evidencs: Basic Science Study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2892687 Thu, 07 May 2009 23:00:00 +0100 2892687 Stem diameter and micromotion of press fit radial head prosthesis: A biomechanical study http://www.medworm.com/index.php?rid=2722186&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001293%2Fabstract%3Frss%3Dyes Conclusion: The best fixation strength in the press fit radial head prosthesis was achieved by maximum sizing in the neck canal.Level of evidence: Basic science study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722186 Thu, 07 May 2009 23:00:00 +0100 2722186 Radiocapitellar joint stability with bipolar versus monopolar radial head prostheses http://www.medworm.com/index.php?rid=2722185&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001268%2Fabstract%3Frss%3Dyes Conclusions: Mobility of radial head components, such as in the bipolar radial head, has a compromising effect on the concavity compression stability of the radiocapitellar joint. A monopolar implant is more effective in stabilizing the radiocapitellar joint than a bipolar radial head prosthesis.Level of evidence: Basic science biomechanical laboratory study. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2722185 Thu, 07 May 2009 23:00:00 +0100 2722185 Is retrospective application of the Oxford Shoulder Score valid? http://www.medworm.com/index.php?rid=2519436&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001396%2Fabstract%3Frss%3Dyes Conclusions: This study shows that individual patient recall of symptoms was variable. There is considerable disagreement between their original and recalled scores. However, when applied to a large group, recollection of shoulder symptoms as assessed by the OSS was not subject to recall bias. It is, therefore, possible to use the mean value of recollected scores, within a population, to assess the impact of an intervention. For example, following shoulder trauma where a prospective measurement is not possible. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519436 Thu, 07 May 2009 23:00:00 +0100 2519436 The active elevation lag sign and the triangle sign: New clinical signs of trapezius palsy http://www.medworm.com/index.php?rid=2519435&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900130X%2Fabstract%3Frss%3Dyes Conclusion: These are simple clinical signs, easy to perform which are useful in diagnosing trapezius weakness in clinical practice.Level of evidence: Level 2-1; Evidence obtained from well-designed controlled trials without randomization. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2519435 Thu, 07 May 2009 23:00:00 +0100 2519435 Sponsoring Societies http://www.medworm.com/index.php?rid=2361607&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001529%2Fabstract%3Frss%3Dyes American Shoulder and Elbow Surgeons Evan L. Flatow, MD, President (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361607 Fri, 24 Apr 2009 15:16:21 +0100 2361607 Contents http://www.medworm.com/index.php?rid=2361606&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001517%2Fabstract%3Frss%3Dyes Editor's Note Bill Mallon, MD331 (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361606 Fri, 24 Apr 2009 15:16:21 +0100 2361606 Reply http://www.medworm.com/index.php?rid=2361605&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001013%2Fabstract%3Frss%3Dyes We appreciate Dr Micheal Mckee's interest in our article. We are pleased to respond to some concerns raised by him with regards to our surgical technique. First, we acknowledge that 7 of the 8 wounds were located on the posterior aspect of elbow, which is a typical manifestation of the mechanism of injury, as correctly noted by Dr Mckee. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361605 Fri, 24 Apr 2009 15:16:21 +0100 2361605 Regarding “Open intercondylar fractures of the distal humerus: Management using a mini-external fixator construct” http://www.medworm.com/index.php?rid=2361604&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001025%2Fabstract%3Frss%3Dyes I am writing regarding the article “Open intercondylar fractures of the distal humerus: Management using a mini-external fixator construct” by Chaudhary et al. Their unique approach to this very problematic fracture is certainly interesting, but their article brings up several questions. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361604 Fri, 24 Apr 2009 15:16:21 +0100 2361604 Reply http://www.medworm.com/index.php?rid=2361603&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000949%2Fabstract%3Frss%3Dyes First, we would like to thank the authors for their careful analysis of our article and to propose this stimulating discussion. Concerning the effect of notching on clinical outcomes, we did find a negative correlation, but it was not statistically significant. Grade 4 notching corresponded to a worse clinical result; but, surprisingly enough, grade 3 notching was associated with better results than grades 1 and 2 and obtained similar results to the lack of notching. We have tried to explain this fact without success. We wondered, as the authors suggest, if large notches may have been associated with improvement in mobility (“clearance effect”); however, this was not confirmed with grade 4 notching, and we, therefore, deleted this hypothesis. (Source: Journal of Shoulder and Elbow Surg... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361603 Fri, 24 Apr 2009 15:16:20 +0100 2361603 Challenging the conclusion, “Clinical outcome was essentially not affected by the notch” http://www.medworm.com/index.php?rid=2361602&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000937%2Fabstract%3Frss%3Dyes After reading and closely examining the article by Lèvigne et al, we have questions and concerns regarding the methodology and conclusions reported. The article concludes that scapular notching does not have an effect on clinical outcomes, as the Constant score and ROM were unaffected by the presence of scapular notching. As this contradicts prior work by Sirveaux et al and Simovitch et al, we question whether this conclusion is substantiated by the methodology. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361602 Fri, 24 Apr 2009 15:16:20 +0100 2361602 Reply http://www.medworm.com/index.php?rid=2361601&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000093%2Fabstract%3Frss%3Dyes Thank you for your interest in our article “Ease of arthroscopic knot tying.” We appreciate your clarification of the discrepancy in the terminology of the Roeder knot and the Duncan loop used in our study and multiple others. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361601 Fri, 24 Apr 2009 15:16:20 +0100 2361601 Regarding “Ease of tying arthroscopic knots” http://www.medworm.com/index.php?rid=2361600&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000123%2Fabstract%3Frss%3Dyes Baumgarten and Wright recently reported their study to determine which of 10 different arthroscopic knots were found by surgeons in training to be the easiest to learn and tie. One of the knots included for this study is mistaken for the Duncan loop. Likewise, their use of the name “Roeder knot” is erroneous because the reference they provided does not feature this knot but one incorrectly called that by Nottage and Lieurance and subsequently by Willems and Fisher. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361600 Fri, 24 Apr 2009 15:16:20 +0100 2361600 Posterior bony humeral avulsion of glenohumeral ligament with reverse bony Bankart lesion http://www.medworm.com/index.php?rid=2361599&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608005910%2Fabstract%3Frss%3Dyes We present a case of traumatic posterior instability as a result of a combined posterior bony humeral avulsion of the glenohumeral ligament (PBHAGL) and a posterior bony Bankart lesion. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361599 Fri, 24 Apr 2009 15:16:20 +0100 2361599 Proximal radio-ulnar synostosis and nonunion after olecranon fracture tension-band wiring: A case report http://www.medworm.com/index.php?rid=2361598&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609001207%2Fabstract%3Frss%3Dyes Fractures of the olecranon are the most common type of elbow fracture. Displaced fractures usually require operative treatment with open reduction and internal fixation to allow early motion in order to avoid significant stiffness of the elbow joint. Two parallel Kirschner wires inserted across the fracture into the medullary canal of the proximal ulna combined with a tension band wiring is a recognized and frequently performed method of fixation for noncomminuted fractures. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361598 Fri, 24 Apr 2009 15:16:19 +0100 2361598 Unusual origin of the motor branch of the ulnar nerve to the flexor carpi ulnaris http://www.medworm.com/index.php?rid=2361597&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608005247%2Fabstract%3Frss%3Dyes Cubital tunnel syndrome is the second most common entrapment neuropathy in the upper extremity after carpal tunnel syndrome. When conservative measures fail, a variety of surgical options have been described, ranging from simple decompression to ulnar nerve transposition. The dissection must expose the ulnar nerve from the arcade of Struthers to the flexor carpi ulnaris. Knowledge of local anatomy of the ulnar nerve and its variations is important to prevent complications related to anatomic variations during ulnar nerve release. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361597 Fri, 24 Apr 2009 15:16:19 +0100 2361597 Missed posterior dislocation of the shoulder after intramedullary fixation of humeral fractures: A report of three cases http://www.medworm.com/index.php?rid=2361596&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608006411%2Fabstract%3Frss%3Dyes Posterior dislocation of the shoulder is uncommon, with an incidence of less than 2% of all glenohumeral dislocations. It is misdiagnosed in up to 50% to 79% of patients. McLaughlin stated that posterior shoulder dislocation is sufficiently uncommon that its occurrence creates a diagnostic trap. The reasons for delay in diagnosis are the adducted and internally rotated position of the shoulder allows patients to use the arm up to head level, and misinterpretation of the anteroposterior (AP)-view radiograph may lead to the injury being missed. An axillary view is essential for the diagnosis of a locked posterior dislocation. Pain or other injuries may prevent abduction of the arm and create difficulty in obtaining this view. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361596 Fri, 24 Apr 2009 15:16:18 +0100 2361596 Extracorporeally irradiated scapula as autograft in tumor surgery http://www.medworm.com/index.php?rid=2361595&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608005235%2Fabstract%3Frss%3Dyes The surgical treatment of scapular tumors can be extremely difficult, and obtaining clear resection margins due to anatomic constraints is challenging, as is maintaining shoulder stability and arm function. The Musculoskeletal Tumor Society has developed a classification system for shoulder girdle tumors that divides the scapula into 2 zones: the scapular blade, including the acromial spine, comprises the segment 1 (S1) region, and the acromial–glenoid complex comprises the segment 2 (S2) region. Tumors of the S1 region are those that commonly develop in the flat bones, such as Ewing's sarcoma, chondrosarcoma, and multiple myeloma. Tumors of the S2 region include those that commonly develop at the ends of a bone, such as giant cell tumors and aneurysmal bone cysts. The system helps provi... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361595 Fri, 24 Apr 2009 15:16:15 +0100 2361595 Intraosseous ganglion of the glenoid causing suprascapular nerve entrapment syndrome: A case report http://www.medworm.com/index.php?rid=2361594&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608006356%2Fabstract%3Frss%3Dyes A soft-tissue ganglion is a mucous cyst commonly observed on clinical examination. In the shoulder joint, it is most frequently around the spinoglenoid notch, with the accompanying pain and muscle atrophy resulting from suprascapular nerve compression. An intraosseous ganglion, however, is not common and is limited to the hip, knee, and ankle. In particular, an intraosseous ganglion of the glenoid is extremely rare, and no study to date has reported on an intraosseous glenoid ganglion leading to suprascapular nerve entrapment syndrome. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361594 Fri, 24 Apr 2009 15:16:15 +0100 2361594 Cement extrusion causing radial nerve palsy after shoulder arthroplasty: A case report http://www.medworm.com/index.php?rid=2361593&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274609000354%2Fabstract%3Frss%3Dyes We present a case of cement extrusion causing radial nerve palsy after humeral arthroplasty. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361593 Fri, 24 Apr 2009 15:16:14 +0100 2361593 Hypoplastic glenoid with hyperplastic labrum: A case report http://www.medworm.com/index.php?rid=2361592&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460800551X%2Fabstract%3Frss%3Dyes Glenoid hypoplasia is a reportedly rare and frequently overlooked congenital abnormality of the scapula that can have a variety of presentations. In 1931, Valentine initially described hypoplastic glenoid, also known as glenoid dysplasia and dentated glenoid, as a rare congenital anomaly. It is a bony glenoid deficiency that presents in a variety of patterns, including shoulder pain, instability, stiffness, or completely asymptomatic. Associated findings may include dysplasia of the humeral head, glenoid neck, or coracoid, hooking of the lateral part of the clavicle, irregular or notched glenoid surface, widening of the glenohumeral space from thickened articular cartilage, glenoid retroversion, deficiency of the posteroinferior glenoid, osteoarthrosis, enlargement of the acromion, and lab... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361592 Fri, 24 Apr 2009 15:16:14 +0100 2361592 Vascularized clavicular rotation graft for revised shoulder arthrodesis after tumor resection of the proximal humerus: A case report http://www.medworm.com/index.php?rid=2361591&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608005533%2Fabstract%3Frss%3Dyes Limb-salvage procedures for proximal humeral bone tumors have been developed because advances in early diagnosis with new imaging techniques and adjuvant chemotherapy provide longer survival times. As a result, the long-term functional prognosis in these patients is also anticipated to improve considerably. Because of its anatomic characteristics, functional reconstruction of the shoulder joint is difficult in cases of malignant bone tumors of the proximal humerus, and the optimal reconstruction procedure after extensive resection is still controversial. Arthrodesis provides excellent function compared with other reconstructive procedures, but it is technically demanding and can be associated with serious postoperative complications such as infection, nonunion, and fracture. (Source: Journ... Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361591 Fri, 24 Apr 2009 15:16:14 +0100 2361591 Surgical management of a periprosthetic fracture between a total elbow and total shoulder prostheses: A case report http://www.medworm.com/index.php?rid=2361590&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608006216%2Fabstract%3Frss%3Dyes Periprosthetic fractures, either below a humeral arthroplasty or above a total elbow arthroplasty, are well-described complications. Their respective management has been well discussed in the literature. There is, however, a dearth of information on periprosthetic fractures between ipsilateral total elbow and humeral arthroplasties, particularly regarding surgical management. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361590 Fri, 24 Apr 2009 15:16:13 +0100 2361590 Arthroscopic treatment of synovial chondromatosis of the shoulder: Report of three patients http://www.medworm.com/index.php?rid=2361589&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS105827460900010X%2Fabstract%3Frss%3Dyes Synovial chondromatosis (SC) is a rare arthropathy that affects diarthrodial joints. It is 3 times more common in men than in women, and it is most commonly diagnosed between ages 30 and 50. The disorder is characterized by multiple nodules of metaplastic cartilage cells that suffer endochondral ossification. The process follows 3 stages: (1) active intrasynovial disease without loose bodies, (2) transitional lesions with synovial proliferation and free loose bodies, and (3) loose bodies without synovial disease. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361589 Fri, 24 Apr 2009 15:16:12 +0100 2361589 Subligamentous suprascapular artery encountered during arthroscopic suprascapular nerve release: A report of three cases http://www.medworm.com/index.php?rid=2361588&cid=s_38533_31_f&fid=38533&url=http%3A%2F%2Fwww.jshoulderelbow.org%2Farticle%2FPIIS1058274608005521%2Fabstract%3Frss%3Dyes Suprascapular nerve entrapment within the suprascapular notch has long been recognized as a source of shoulder pain and dysfunction. This entrapment may be due to compression by the transverse scapular ligament, similar to median nerve entrapment within the carpal tunnel under the transverse carpal ligament. If neglected, suprascapular entrapment neuropathy can lead to muscular denervation and atrophy, causing significant shoulder dysfunction. Consequently, surgical techniques have been developed to release the transverse scapular ligament at the suprascapular notch. (Source: Journal of Shoulder and Elbow Surgery) Journal of Shoulder and Elbow Surgery journals http://www.medworm.com/rss/comments.php?id=2361588 Fri, 24 Apr 2009 15:16:11 +0100 2361588