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 […]
Arthroscopic Management of the Stiff Elbow
NULL Jay D. Keener, MD and Leesa M. Galatz, MD Elbow stiffness is a challenge to manage effectively. Elbow contractures commonly result from both intrinsic and extrinsic factors, causing limited motion. Recent technical advances in elbow arthroscopy have led to the development of minimally invasive procedures for the management of select cases of recalcitrant elbow […]
Coracoid Impingement: Diagnosis and Treatment
Michael Q. Freehill, MD J Am Acad Orthop Surg 2011 19 Coracoid impingement is a controversial, well-known diagnosis that results in anterior shoulder pain. Idiopathic, traumatic, and iatrogenic etiologies have been identified. Proper diagnosis requires a focused clinical examination of the anterior shoulder and adjacent structures. MRI and CT are helpful in evaluating coracoid morphology […]
Infection After Shoulder Surgery
Matthew D. Saltzman, MD, Geoffrey S. Marecek, MD, Sara L. Edwards, MD and David M. Kalainov, MD J Am Acad Orthop Surg 2011 19 Infection after shoulder surgery is rare but potentially devastating. Normal skin flora, including Staphylococcus aureus, Staphylococcus epidermidis, and Propionibacterium acnes, are the most commonly isolated pathogens. Perioperative measures to prevent infection […]
Humeral Avulsion of Glenohumeral Ligaments
J Am Acad Orthop Surg, Vol 19, No 3, March 2011 Michael S. George, MD, Michael Khazzam, MD and John E. Kuhn, MD Humeral avulsion of glenohumeral ligaments (HAGL) is an increasingly recognized cause of recurrent shoulder instability. HAGL lesions are the result of acute traumatic glenohumeral subluxation or dislocation. Anterior avulsion of the inferior […]
