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 […]
Management of Fractures of the Proximal Ulna
Dominique M. Rouleau J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Proximal ulna fractures can be difficult to manage because of the elbows complex anatomy. Advances in understanding elbow anatomy and biomechanics, however, have led to new insights. Careful preoperative evaluation is critical because failure to restore normal anatomy of the […]
Workers Compensation and Outcomes of Upper Extremity Surgery
Konrad I. Gruson J Am Acad Orthop Surg February 2013 ; 21 Abstract Clinical outcomes following upper extremity surgery among workers compensation patients have traditionally been found to be worse than those of nonworkers compensation patients. In addition, workers compensation patients take significantly longer to return to their jobs, and they return to their preinjury […]
Soft-tissue Management in Revision Total Shoulder Arthroplasty
Joseph A. Abboud, Abstract Revision total shoulder arthroplasty can be technically challenging. Results are inferior to those of primary arthroplasty, particularly when the indications for revision are related to soft-tissue problems. Patient selection is important. In the stiff arthroplasty, the surgeon must address rotator cuff and capsular contractures as well as exuberant soft-tissue adhesions. Unstable […]
Posttraumatic Elbow Arthritis in the Young Adult: Evaluation and Management
J Am Acad Orthop Surg November 2012 ; 20 Benjamin W. Sears Abstract Degenerative joint disease following trauma to the elbow is difficult to manage in any patient. However, this condition becomes substantially more challenging in the young, active population. Increased activity demands and limited functional capacity of total elbow arthroplasty mean that joint arthroplasty […]
Shoulder Dislocation in the Older Patient
J Am Acad Orthop Surg. October 2012;20(10) Anand M. Murthi Abstract Approximately 20% of all shoulder dislocations occur in patients aged >60 years. Older patients who sustain a primary shoulder dislocation are much less likely than younger patients to suffer from recurrence. However, older patients are more likely than younger patients to sustain injuries to […]
Glenoid Bone Loss in Primary Total Shoulder Arthroplasty: Evaluation and Management
J Am Acad Orthop Surg. September 2012 ; 20 (9) Benjamin W. Sears, M D, Peter S. Johnston, MD, Matthew L. Ramsey, MD and Gerald R. Williams, MD Abstract Glenohumeral osteoarthritis is the most common reason for shoulder replacement. Total shoulder arthroplasty provides reliable pain relief and restoration of function, with implant survivorship reported at […]
