Techniques in Shoulder and Elbow Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Evaluation of Glenohumeral Rheumatoid Arthritis: Classification, Reliability, and Impact on Surgical Management
We examined the intraobserver and interobserver agreement of these systems to determine which is most reliable. Four orthopedic surgeons with fellowship training in upper extremity disorders and 4 orthopedic trainees examined 53 radiographs of rheumatoid shoulders and classified them according to the 3 radiographic schemes. After a minimum 2-week interval, each observer repeated the classification process. The Levigne classification demonstrated good intraobserver (κ=0.80) and interobserver agreement (κ=0.64); the Neer classification, good intraobserver (κ=0.61) and moderate interobserver agreement (κ=0.50); and the Mi...
Source: Techniques in Shoulder and Elbow Surgery - January 30, 2018 Category: Orthopaedics Tags: Research Articles Source Type: research

A Comparison of Permanent Anchors Versus Biodegradable Anchors and Tacks for Arthroscopic Shoulder Stabilization
To determine the clinical outcomes of arthroscopic stabilization of patients with anterior glenohumeral instability using knotless devices made from 4 different materials. A prospective cohort study was performed on patients who had an arthroscopic anterior shoulder stabilization for unidirectional anterior instability by a single surgeon using one of 4 devices: Suretac resorbable tac made of PGA (n=41), BioKnotless resorbable suture anchor made of PLLA (n=52), the OPUS Labrafix knotless anchor made from stainless steel (n=18), and the Pushloc knotless anchor made from PEEK (n=44). Standardized patient-determined and exami...
Source: Techniques in Shoulder and Elbow Surgery - January 30, 2018 Category: Orthopaedics Tags: Research Articles Source Type: research

Medial Ulnar Collateral Ligament Reconstruction: Restoring the Ulnar Footprint Erratum
No abstract available (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Erratum Source Type: research

Patient-specific Instrument-assisted Structural Glenoid Bone Grafting in Reverse Shoulder Arthroplasty
We present a novel bone graft preparation technique that allows expeditious ex vivo graft fashioning using a custom 3-dimensional plastic model of the glenoid as a template. In our series of 7 shoulders, integration of humeral head autograft was noted in all shoulders at a mean follow-up of 16 months. Patient-specific instrumentation is utilized both to construct the model and ensure optimal positioning of the glenoid prosthesis and the graft. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Pectoralis Major Tendon Repair With Acellular Dermal Matrix Augmentation
We present a technique of pectoralis major tendon repair augmented by the use of an acellular dermal matrix. Acellular dermal matrices or allografts are used elsewhere in orthopedics and have been proven both clinically and biomechanically to lead to increased suture pull-out strength. This repair technique increases the “effective” length and increases the suture pull-out strength. As a result, patients are allowed to rehabilitate rapidly in the postoperative period and the surgeon can have more confidence in the strength of the repair. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

The Operative Outcomes of Displaced Distal Clavicle Fractures in Adolescents
This study investigates the functional outcomes of patients undergoing operative fixation of these fractures. We present our preferred surgical technique, which is reproducible and does not require a routine second operation to remove hardware. We investigated 36 skeletally immature patients with significantly displaced distal third clavicle fractures. All were treated surgically using the same operative technique. Outcomes included time to union and Disabilities of the Arm, Shoulder and Hand (DASH) score at 12 months. Mean age at time of injury was 14.2 years. Most injuries were sustained while playing a contact sport. Me...
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Late Distal Biceps Tendon Reconstruction Using Lacertus Fibrosus Transfer and Suture Anchor Fixation
Methods of delayed distal biceps tendon repair range from direct repair to tendon reconstruction using autografts or allografts. A 33-year-old man underwent, under our care, a right dominant arm, distal biceps tendon exploration and reconstruction 10 months after injury. During the procedure, the lacertus fibrosus was found intact, hypertrophied, and attached proximally to the short head of biceps and was decided to be used as a local autograft for the tendon repair. The lacertus was carefully dissected from the ulna distally and preserving its vascularity, the proximal stump was sutured to both long and short heads of the...
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Neurovascular Complications in Clavicle Fractures Plating: A Simple Procedure to Avoid Them
Open reduction and internal fixation of clavicle displaced fractures is a well-known procedure in trauma surgery but it is not without risks including injuries to major neurovascular structures. Our goal is to share the simple and effective method to avoid neurovascular complications in clavicle fractures plating used in our center. As part of the surgical planning, we performed a digital measurement of the cephalad-caudad length of fracture fragments. We confirmed our measurement intraoperative with a sterile ruler and we adjusted the length of the drill adding 3 mm to our estimation. Knowing that the closest neurovascula...
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Single-row Rotator Cuff Repair: SpeedFix and Triple-loaded Anchor
Most surgeons who repair rotator cuff tears arthroscopically do so using either a single-row (SR) or double-row technique. While there is still controversy regarding which technique is superior, most surgeons use both techniques, taking into consideration characteristics of the rotator cuff tear to help them decide which technique to use in a particular patient. This paper describes 2 methods of performing an isolated SR supraspinatus repair. In addition, it provides the authors’ indications for a SR repair and discusses the clinical outcomes available to date comparing SR and double-row rotator cuff repairs. Regardless ...
Source: Techniques in Shoulder and Elbow Surgery - December 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Medial Ulnar Collateral Ligament Reconstruction: Restoring the Ulnar Footprint: Erratum
No abstract available (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 1, 2017 Category: Orthopaedics Tags: Erratum Source Type: research

Patient-specific Instrument-assisted Structural Glenoid Bone Grafting in Reverse Shoulder Arthroplasty
We present a novel bone graft preparation technique that allows expeditious ex vivo graft fashioning using a custom 3-dimensional plastic model of the glenoid as a template. In our series of 7 shoulders, integration of humeral head autograft was noted in all shoulders at a mean follow-up of 16 months. Patient-specific instrumentation is utilized both to construct the model and ensure optimal positioning of the glenoid prosthesis and the graft. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Pectoralis Major Tendon Repair With Acellular Dermal Matrix Augmentation
We present a technique of pectoralis major tendon repair augmented by the use of an acellular dermal matrix. Acellular dermal matrices or allografts are used elsewhere in orthopedics and have been proven both clinically and biomechanically to lead to increased suture pull-out strength. This repair technique increases the “effective” length and increases the suture pull-out strength. As a result, patients are allowed to rehabilitate rapidly in the postoperative period and the surgeon can have more confidence in the strength of the repair. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - November 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

The Operative Outcomes of Displaced Distal Clavicle Fractures in Adolescents
This study investigates the functional outcomes of patients undergoing operative fixation of these fractures. We present our preferred surgical technique, which is reproducible and does not require a routine second operation to remove hardware. We investigated 36 skeletally immature patients with significantly displaced distal third clavicle fractures. All were treated surgically using the same operative technique. Outcomes included time to union and Disabilities of the Arm, Shoulder and Hand (DASH) score at 12 months. Mean age at time of injury was 14.2 years. Most injuries were sustained while playing a contact sport. Me...
Source: Techniques in Shoulder and Elbow Surgery - November 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research

Late Distal Biceps Tendon Reconstruction Using Lacertus Fibrosus Transfer and Suture Anchor Fixation
Methods of delayed distal biceps tendon repair range from direct repair to tendon reconstruction using autografts or allografts. A 33-year-old man underwent, under our care, a right dominant arm, distal biceps tendon exploration and reconstruction 10 months after injury. During the procedure, the lacertus fibrosus was found intact, hypertrophied, and attached proximally to the short head of biceps and was decided to be used as a local autograft for the tendon repair. The lacertus was carefully dissected from the ulna distally and preserving its vascularity, the proximal stump was sutured to both long and short heads of the...
Source: Techniques in Shoulder and Elbow Surgery - November 1, 2017 Category: Orthopaedics Tags: Techniques Source Type: research