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 […]
Management of Shoulder Instability in the Skeletally Immature Patient
Xinning Li J Am Acad Orthop SurgSeptember 2013vol. 21 no. 9 Abstract Several studies have focused on management of shoulder instability in the adolescent and young adult population. However, a paucity of literature exists regarding shoulder dislocation in the skeletally immature population. The presence of an open physis makes the dislocated pediatric shoulder a challenging […]
Proximal Humerus and Humeral Shaft Nonunions
Edwin R. Cadet J Am Acad Orthop SurgSeptember 2013vol. 21 no. 9 Abstract The rate of nonunion is estimated to be 1.1% to 10% following closed treatment of proximal humerus fracture and 5.5% following closed treatment of humeral shaft fracture. Surgical management should be considered for fractures that demonstrate no evidence of progressive healing on […]
Tendon Transfers for Irreparable Rotator Cuff Tears
Reza Omid J Am Acad Orthop Surg. Vol 21 Nº 8 August 2013 Tendon transfer is one treatment option for patients with massive irreparable rotator cuff tears. Although surgical indications are not clearly defined, the traditional thought is that the ideal candidate is young and lacks significant glenohumeral arthritis. The proposed benefits of tendon transfers […]
Pronator Syndrome and Anterior Interosseous Nerve Syndrome
Craig M. Rodner, MD, Abstract Dysfunction of the median nerve at the elbow or proximal forearm can characterize two distinct clinical entities: pronator syndrome (PS) or anterior interosseous nerve (AIN) syndrome. PS is characterized by vague volar forearm pain, with median nerve paresthesias and minimal motor findings. AIN syndrome is a pure motor palsy of […]
