Open Surgical Release for Contractures of the Elbow
Philipp N. Streubel J Am Acad Orthop Surg June 2015 ; 23 Compared with arthroscopic release, open release is more commonly used for the treatment of stiff elbow. Flexion is recovered by releasing posterior tethering soft-tissue structures and by removing anterior impingement between the coronoid and/or radial head and the distal humerus. Extension is improved […]
Elbow Arthroscopy: Indications, Techniques, Outcomes, and Complications
Julie E. Adams, MD, J Am Acad Orthop Surg. December 2014; 22 (12) Abstract Elbow arthroscopy is a tool useful for the treatment of a variety of pathologies about the elbow. The major indications for elbow arthroscopy include débridement for septic elbow arthritis, synovectomy for inflammatory arthritis, débridement for osteoarthritis, loose body extraction, contracture release, […]
Acute Management of Shoulder Dislocations
Thomas Youm J Am Acad Orthop Surg. December 2014; 22 (12) Abstract The shoulder joint has the greatest range of motion of any joint in the body. However, it relies on soft-tissue restraints, including the capsule, ligaments, and musculature, for stability. Therefore, this joint is at the highest risk for dislocation. Thorough knowledge of the […]
Etiology, Diagnosis, and Management of Failed SLAP Repair
Brian C. Werner J Am Acad Orthop Surg. 2014 vol. 22 no. 9 In general, favorable outcomes have been achieved with arthroscopic repair of superior labral anterior-posterior (SLAP) tears. However, some patients remain dissatisfied or suffer further injury after SLAP repair and may seek additional treatment to alleviate their symptoms. The cause of persistent pain […]
Management of Malunion of the Proximal Humerus: Current Concepts
Daphne Pinkas J Am Acad Orthop Surg August 2014 vol. 22 no. 8 Proximal humerus fractures remain one of the most common orthopaedic injuries, particularly in the elderly. Displaced fractures often require surgery, and management can be challenging because of comminution and poor bone quality. Despite advances in surgical technique and implant design, reoperation for […]
Posterosuperior Rotator Cuff Tears: Classification, Pattern Recognition, and Treatment
Peter J. Millett J Am Acad Orthop Surg August 2014 vol. 22 no. 8 The posterosuperior rotator cuff, composed of the supraspinatus and infraspinatus tendons, is the most common site for full-thickness rotator cuff tears and represents a significant source of shoulder disability worldwide. Recognition of and classification of full-thickness tear patterns are essential in […]
Anterior Glenohumeral Instability: A Pathology-based Surgical Treatment Strategy
Philipp N. Streubel, J Am Acad Orthop Surg. May 2014 vol. 22 no. 5 Abstract The glenohumeral joint is the most frequently dislocated major joint, and most cases involve an anterior dislocation. Young male athletes competing in contact sports are at especially high risk of recurrent instability. Surgical timing and selection of surgical technique continue […]
Rehabilitation Following Arthroscopic Rotator Cuff Repair: A Review of Current Literature
David Ross, J Am Acad Orthop Surg January 2014 vol. 22 no. 1 Abstract Physical rehabilitation following arthroscopic rotator cuff repair has conventionally involved a 4- to 6-week period of immobilization; there are two schools of thought regarding activity level during this period. Some authors encourage early, more aggressive rehabilitation along with the use of […]
Iatrogenic Nerve Injuries in Shoulder Surgery
William F. Scully J Am Acad Orthop Surg December 2013 vol. 21 no. 12 Abstract The range of open and arthroscopic shoulder procedures continues to evolve and expand. Despite advances in instrumentation and technology, complications still exist and neurologic injury remains an inherent part of these procedures. Iatrogenic nerve injuries are among the more commonly […]
Fatty Infiltration and Rotator Cuff Atrophy
Bradley R. Kuzel J Am Acad Orthop Surg October 2013 vol. 21 no. 10 Abstract Moderate to severe fatty infiltration and rotator cuff atrophy are commonly associated with poor clinical outcomes and failed rotator cuff repair. Numerous animal and human studies have attempted to elucidate the etiology of fatty infiltration and rotator cuff atrophy. Mechanical […]
