Scapular Dyskinesis and Its Relation to Shoulder Injury
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 W. Benjamin Kibler Abstract The scapula plays a key role in nearly every aspect of normal shoulder function. Scapular dyskinesisaltered scapular positioning and motionis found in association with most shoulder injuries. Basic science and clinical research findings have led to the identification of normal […]
The Hill-Sachs Lesion: Diagnosis, Classification, and Management
J Am Acad Orthop Surg April 2012 Matthew T. Provencher, Abstract The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability. Reverse […]
Management of Multidirectional Instability of the Shoulder
Trevor R. Gaskill JAAOS December 2011;19 (12) Abstract Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain and decreased athletic performance are common presenting complaints. Clinical suspicion for instability is essential for […]
Proximal Humerus Fractures
NULL Edwin R. Cadet JAAOS January 2012; 20 (1) Abstract Displaced three- and four-part proximal humerus fractures are among the most challenging shoulder conditions to manage. Because of the risk of symptomatic malunion, nonunion, and humeral head osteonecrosis, surgical management is preferred. Locking plate technology has provided an alternative to hemiarthroplasty for certain three- and […]
Arthroscopic Revision Rotator Cuff Repair
November 2011; 19 Patrick J. Denard, Abstract Rotator cuff repair leads to good and excellent outcomes in most patients. However, structural failure of the repair occurs in a substantial number of cases and can lead to an unsatisfactory result. Several factors have been implicated, including patient-related factors (eg, patient age, tear size) and extrinsic factors […]
Subacromial Impingement Syndrome
J Am Acad Orthop Surg November 2011 Alicia K. Harrison, Abstract Subacromial impingement syndrome (SIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. Both […]
Biologic and Pharmacologic Augmentation of Rotator Cuff Repairs
J Am Acad Orthop Surg October 2011 Sara L. Edwards, MD, T. Sean Lynch, MD, Matthew D. Saltzman, MD, Michael A. Terry, MD and Gordon W. Nuber, MD Abstract As rotator cuff repair techniques have improved, failure of the tendon to heal to the proximal humerus is less likely to occur from weak tendon-to-bone fixation. […]
Adhesive Capsulitis of the Shoulder
Andrew S. Neviaser, Robert J. Neviaser J Am Acad Orthop Surg September 2011 ; 19: Abstract Adhesive capsulitis is characterized by painful, gradual loss of active and passive shoulder motion resulting from fibrosis and contracture of the joint capsule. Other shoulder pathology can produce a similar clinical picture, however, and must be considered. Management is […]
Complications in Reverse Total Shoulder Arthroplasty
NULL J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Emilie Cheung, MD, Matthew Willis, MD, Matthew Walker, MD, Rachel Clark and Mark A. Frankle, MD Reverse total shoulder arthroplasty was initially used to manage complex shoulder problems. Indications have been expanded to include rotator cuff arthropathy, massive rotator cuff tear, failed shoulder […]
Management of Distal Clavicle Fractures
J Am Acad Orthop Surg, Vol 19, No 7, July 2011 Rahul Banerjee, MD, Brian Waterman, MD, Jeff Padalecki, MD and William Robertson, MD Most clavicle fractures heal without difficulty. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients. Type II distal clavicle fractures, which involve displacement, are […]
