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 […]
Scapular Dyskinesis and Its Relation to Shoulder Injury
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 W. Benjamin Kibler Abstract The scapula plays a key role in nearly every aspect of normal shoulder function. Scapular dyskinesisaltered scapular positioning and motionis found in association with most shoulder injuries. Basic science and clinical research findings have led to the identification of normal […]
The Hill-Sachs Lesion: Diagnosis, Classification, and Management
J Am Acad Orthop Surg April 2012 Matthew T. Provencher, Abstract The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability. Reverse […]
Management of Multidirectional Instability of the Shoulder
Trevor R. Gaskill JAAOS December 2011;19 (12) Abstract Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain and decreased athletic performance are common presenting complaints. Clinical suspicion for instability is essential for […]
Proximal Humerus Fractures
NULL Edwin R. Cadet JAAOS January 2012; 20 (1) Abstract Displaced three- and four-part proximal humerus fractures are among the most challenging shoulder conditions to manage. Because of the risk of symptomatic malunion, nonunion, and humeral head osteonecrosis, surgical management is preferred. Locking plate technology has provided an alternative to hemiarthroplasty for certain three- and […]
