Surgical Approaches to the Elbow
Emilie V. Cheung, MD and Scott P. Steinmann, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Surgical exposures for complex injuries about the elbow are technically demanding because of the high density of neurologic, vascular, and ligamentous elements around the elbow. The posterior approaches (ie, olecranon osteotomy, triceps-reflecting, triceps-splitting, triceps-reflecting anconeus […]
Reverse Total Shoulder Arthroplasty
Christian Gerber, MD, FRCS(Ed), Scott D. Pennington, MD and Richard W. Nyffeler, MD, Dipl Eng ETH J Am Acad Orthop Surg, Vol 17, No 5, May 2009 The radical changes in prosthetic design made in the mid 1980s transformed the historically poorly performing reverse ball-and-socket total shoulder prosthesis into a highly successful salvage implant for […]
Acromioclavicular Joint Injuries: Diagnosis and Management
Ryan Simovitch, MD, Brett Sanders, MD, Mehmet Ozbaydar, MD, Kyle Lavery, BS and Jon J. P. Warner, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Acromioclavicular joint injuries represent nearly half of all athletic shoulder injuries, often resulting from a fall onto the tip of the shoulder with the arm in […]
Impingement syndrome: Temporal outcomes of nonoperative treatment
Journal of Shoulder and Elbow Surgery (Dec 2008) Cummins CA, Sasso LM, Nicholson D; Temporal outcomes of 100 consecutive patients treated for impingement syndrome were prospectively evaluated. All patients began a standardized, nonoperative treatment protocol consisting of a subacromial steroid injection, followed by physical therapy. Data were available on 94 patients at the final 2-year […]
Treatment of comminuted fractures of the proximal humerus in elderly patients with the Delta III reverse shoulder prosthesis
J Orthop Trauma. 2008 Nov-Dec;22(10):698-704. Klein M, Juschka M, Hinkenjann B, Scherger B, Ostermann PA. OBJECTIVES: To evaluate clinical and radiologic results after implantation of the Delta III reverse shoulder prosthesis in elderly patients with comminuted fractures of the proximal humerus. DESIGN: Prospective, single-center-based cohort study. SETTING: Level II Trauma Center. PATIENTS: Patients undergoing insertion […]
Elbow Arthroscopy
Journal of the American Academy of Orthopaedic Surgeons October 2008, Volume 16, Issue 10 Christopher C. Dodson, MD, Shane J. Nho, MD, Riley J. Williams, III, MD and David W. Altchek, MD Arthroscopy of the elbow was originally considered to be an unsafe procedure because of the small size of the elbow joint capsule and […]
Elastic intramedullary nailing of midclavicular fractures
Acta Chir Belg. 2008 Jul-Aug;108(4):428-32. Hartmann E, Hessmann MH, Gercek E, Rommens PM. The majority of midclavicular fractures are treated conservatively. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Elastic stable intramedullary nailing is an increasingly popular alternative for the internal fixation of displaced midclavicular fractures. In a three-year […]
Coronoid Process Fracture
J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Scott P. Steinmann, MD The coronoid process is one of the main constraints providing ulnohumeral joint stability. The coronoid process and the radial head provide a buttress against posterior displacement of the elbow joint. Fracture of the coronoid process can be either an isolated […]
Intraarticular lidocaine versus intravenous procedural sedation with narcotics and benzodiazepines for reduction of the dislocated shoulder: a systematic review
NULL Acad Emerg Med. 2008 Aug;15(8):703-8. Fitch RW, Kuhn JE. BACKGROUND: Anterior shoulder dislocations commonly present to the emergency department (ED). The time associated with procedural sedation for the reduction of anterior shoulder dislocations can be lengthy and may require use of additional personnel. Complications associated with intravenous (IV) medications for procedural sedation are well […]
Coracoclavicular stabilization using a suture anchor technique
NULL Am J Orthop. 2008 Jun;37(6):294-300. Friedman DJ, Barron OA, Catalano L, Donahue JP, Zambetti G. Multiple fixation options exist for coracoclavicular stabilization, but many are technically demanding and require hardware removal. In the study reported here, we reviewed a specific fixation technique that includes suture anchors moored in the base of the coracoid process. […]
