About 58 results
Skill Checkup: Reduction of Shoulder Dislocation

Jan 1st, 2019 - Shoulder dislocation is the most common large-joint dislocation seen in the emergency department (ED). Reduction techniques can vary in terms of required force, time, equipment, and staff. No single reduction method is successful in every instance; therefore, the clinician should be familiar with several reduction techniques. For a more thorough discussion, along with advantages and disadvantag...

The Characteristics of Surgeons Performing Total Shoulder Arthroplasty: Volume Consistency, Training, and Specialization

Dec 19th, 2018 - With the adoption of reverse shoulder arthroplasty, utilization of total shoulder arthroplasty (TSA) has increased substantially over the last decade. 1–3 Such increases are likely secondary to an aging population, increased comfort with the procedure, and the adoption of broadened indications for reverse shoulder arthroplasty, especially in the setting of proximal humerus fractures in the elder.

Ultrasound excels for assessing shoulder dislocation
Ted Bosworth

Nov 5th, 2018 - SAN DIEGO – Point-of-care ultrasound should be the go-to approach for the routine assessment of suspected shoulder dislocations in the ED, based on data from a prospective, multicenter study presented at the annual meeting of the American College of Emergency Physicians. In the observational study, the average time needed to diagnose shoulder dislocation using ultrasound was 18 seconds, far fas.

Proximal Humerus Fracture 3-D Modeling
Krishn Khanna, MD, Eugene W. Brabston, MD et. al.

Apr 24th, 2018 - The 3-D computer model reconstruction of 3- and 4-part proximal humerus fractures were reliable and valid. The interclass correlation coefficients showed very good to excellent interobserver and intraobserver reliability for all measurements conducted.

Management of Isolated Greater Tuberosity Fractures: A Systematic Review
David M. Levy, MD, Brandon J. Erickson, MD et. al.

Dec 27th, 2017 - Take-Home Points Fractures of the greater tuberosity are often mismanaged. Comprehension of greater tuberosity fractures involves classification into nonoperative and operative treatment, displacement >5mm or <5 mm, and open vs arthroscopic surgery.

Shoulder Dislocations

Jan 2nd, 2017 - INFERIOR Inferior dislocation of the shoulder is the rarest type, accounting for only 0. 5% of all cases of shoulder dislocation.

Instability After Reverse Total Shoulder Arthroplasty: Which Patients Dislocate?

Nov 18th, 2016 - Discussion With more RTSAs being performed, evaluation of their common complications becomes increasingly important. 18 We found a 3.

Emergency Ultrasound: Musculoskeletal Shoulder Dislocation
Jehangir Meer, MD, Sierra Beck, MD et. al.

Mar 1st, 2016 - Point-of-care (POC) ultrasound is a great adjunct to the evaluation and treatment of shoulder dislocations. This modality can assist with identification of the dislocation—especially posterior dislocations, which can be notoriously difficult to diagnose on plain radiography.

Technique of Open Reduction and Internal Fixation of Comminuted Proximal Humerus Fractures With Allograft Femoral Head Metaphyseal Reconstruction

Sep 24th, 2015 - After each screw is placed, fluoroscopy is used to ensure there has been no breach of the articular surface. The number of proximal screws placed depends on fracture configuration and surgeon preference.

Reducing Postoperative Fracture Displacement After Locked Plating of Proximal Humerus Fractures: Current Concepts

Jun 19th, 2015 - Techniques have been used to achieve subchondral purchase of locking screws while reducing iatrogenic articular perforation. 65 However, given the incidence of fracture settling and subsequent postoperative screw penetration, many authors currently recommend using shorter divergent screws combined with other augmentation techniques, described previously.

Several Risk Factors Predict Instability After Anterior Shoulder Dislocation

May 10th, 2015 - NEW YORK (Reuters Health) - At least five factors increase the risk of recurrent instability after first-time traumatic anterior shoulder dislocations in adults, researchers from New Zealand report. Rates of instability after first-time traumatic anterior shoulder dislocations range from 26% to 100% in published reports, and immediate surgical stabilization has been proposed for those at high r...

Comparison of Locked Plate Fixation and Nonoperative Management for Displaced Proximal Humerus Fractures in Elderly Patients

Mar 31st, 2015 - Conclusion Although use of locked plate fixation in treating proximal humerus fractures in elderly patients has increased markedly over recent years, definitive evidence supporting such management is lacking. In the present study, the outcomes of locked plate fixation were similar to those of nonoperative treatment.

Surgery Fails to Show Superiority in Shoulder Fractures

Mar 10th, 2015 - Action Points Clinical outcomes of sling immobilization of displaced, closed proximal humeral fractures are equivalent to outcomes with surgical treatment. The increasing trend of surgical treatment of displaced proximal humeral fractures is not supported by these data. The trend of increased surgery for patients with displaced fractures of the proximal humerus may be inappropriate, according t...

Treatment of Proximal Humerus Fractures: Comparison of Shoulder and Trauma Surgeons

Jan 23rd, 2015 - An analysis of Medicare databases showed marked regional variation in rates of operative treatment of PHFs. 2 Similarly, a Nationwide Inpatient Sample analysis revealed nationwide variation in operative management of PHFs.

'Light Bulb Sign' in Posterior Shoulder Dislocation

Sep 18th, 2014 - Posterior shoulder dislocations are relatively uncommon, comprising only 2-4% of all shoulder dislocations. Thus, posterior dislocations often go undiagnosed, and can lead to severe consequences for both the patient and emergency physician (EP). A high index of suspicion and a firm grasp of associated radiologic findings are key to making the diagnosis. Posterior shoulder dislocations are class...

Glenoid fossa loss can make Bankart shoulder repair less effective
M. Alexander Otto

Aug 7th, 2014 - SEATTLE – Arthroscopic Bankart lesion repairs don’t seem to work well in patients who have lost more than 13. 5% of their glenoid fossa after dislocating their shoulders; an open inferior capsular shift or Latarjet procedure is likely to be a better bet, according to a review of 72 consecutive soldiers at Tripler Army Medical Center in Honolulu, who had an arthroscopic Bankart repair after shoul.

Commentary to "100 Most Cited Articles in Fracture Surgery"
McCann PD

Dec 12th, 2013 - With their current report of “100 Most Cited Articles in Fracture Surgery,” which appeared in the December 2013 issue of The American Journal of Orthopedics, Baldwin and colleagues expand upon “classic citation” reviews that have been reported in recent years in orthopedic surgery and other fields including clinical care medicine and anesthesia. I so enjoyed reviewing these top 100 articles whi.