Management of symptomatic os acromiale: a survey of the American shoulder and elbow surgeons

AbstractBackgroundThe purpose of this paper was to survey members of the American Shoulder and Elbow Surgeons (ASES) to assess their opinion on management options, help highlight important clinical factors, and elucidate surgical preferences for the treatment of a symptomatic meso-os.MethodsAn online questionnaire was distributed to the active members of the ASES. The survey queried surgeon demographics and perioperative management preferences, and presented multiple clinical case scenarios of patients with a presumed symptomatic, unstable os acromiale.ResultsThere were 116 ASES members who responded to the survey, and 26% (n = 30) who stated they do not operatively manage a symptomatic os. We identified two main clusters of respondents. Cluster 1 (n = 67) (as compared to cluster 2,n = 19) was comprised of surgeons with significantly more experience treating a symptomatic os acromiale (p 
Source: International Orthopaedics - Category: Orthopaedics Source Type: research

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I was out of work for 31 days, from August 16 until September 17. The reason is because I had surgery on my left knee, an arthroscopy of the medial meniscus. It got damaged somehow; the cause is unknown to me. It started becoming problematic sometime around Christmas 2018, but I didn’t really pay much attention to it. I figured it had to be something fairly minor which would resolve itself. However, it didn’t. And ultimately it led to my being evaluated by an orthopedic surgeon, having to get X-Rays and Magnetic Resonance Imaging on my knee, and finally having the surgical procedure performed to fix the problem...
Source: Qui Interrogat - Category: Nursing Authors: Tags: Uncategorized Source Type: blogs
In this study, a cohort of surgeons was evaluated before and after a European theoretical and practical training programme that used a knee arthroscopy simulator. The primary objective was to assess whether the overall performance score was improved by the training programme. The secondary objectives were to determine which tasks and skills were improved by the programme, to compare a novice group to an experienced group, and to identify targets for improvement.HypothesisA theoretical and practical training course improves the scores achieved on an arthroscopy simulator task.MethodsA prospective comparative study was perfo...
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
This article describes our modified technique for arthroscopic superior capsule reconstruction using the biceps autograft to preserve the long head of the biceps tendon anchors to the glenoid labrum (the snake technique).
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Guilherme Augusto Stirma, Deginaldo Holanda Chaves, Paulo Santoro Belangero, Carlos Vicente Andreoli, Alberto de Castro Pochini, Benno EjnismanAbstractHydroxyapatite crystal deposition disease and its pathophysiology are poorly understood; however, it is known that calcific tendinitis is the most common condition related to this deposition in the upper limb. Movement of the crystals toward the myotendinous junction is rare; to the best of our knowledge, only 19 cases have been described in the literature, one of which was a case of...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Niti Prasataporn, Kitiphong Kongrukgreatiyos, Vantawat Umprai, Thongchai Laohathaimongkol, Thun ItthipanichpongAbstractInstrument breakage during arthroscopic rotator cuff repair is a rare complication of shoulder arthroscopy, especially when the broken instrument has been left inside the tendon part of the rotator cuff. We propose a combined arthroscopy and fluoroscopic guidance technique to ease the removal of the broken instrument and repair the torn rotator cuff after removal.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Benjamin Sherman, Nicholas Vardiabasis, John A. SchlechterAbstractAdolescents with osteochondral loose bodies after a first-time patellar dislocation are most commonly treated with surgical intervention. However, the ideal method of managing a concurrent medial patellofemoral ligament (MPFL) disruption is still unknown. Recent evidence suggests high failure rates are associated with primary MPFL repair. The purpose of this Technical Note is to describe an alternative surgical technique for managing acute first-time patellar disloca...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Per-Henrik Randsborg, Stian Kjennvold, Jan Harald RøtterudAbstractOsteochondritis dissecans (OCD) of the knee affects children and adolescents. The condition is characterized by sterile osteonecrosis of the subchondral bone. The cause is unknown. OCD is divided into juvenile or adult type, depending on whether the physis is open or closed at the time of diagnosis. Stable juvenile OCD lesions have substantial healing potential and are treated conservatively, with a healing potential of up to 75%. However, in unstable lesions ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Rakesh John, Catherine M. Coady, Ivan WongAbstractLatissimus dorsi tendon transfer is a nonanatomic tendon transfer that is often considered a salvage procedure for failed repairs of massive rotator cuff tears. A rupture of the transferred latissimus tendon is an uncommon complication and there is limited literature on its management, especially in the young, active population without cuff arthropathy. In this article, we present a technique of managing a failed latissimus dorsi tendon transfer for a massive rotator cuff tear with ...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Adnan Kasapovic, Yorck Rommelspacher, Martin Gathen, Davide Cucchi, Rahel Bornemann, Robert Pflugmacher, Sebastian G. WalterAbstractSpinal cord stimulation (SCS) is an evidence-based, reversible but invasive procedure for the treatment of chronic pain syndromes: for example, in patients with failed-back-surgery syndrome or complex regional pain syndrome. A more recent, similar technique uses high-frequency stimulation for SCS and follows a different mechanism of action that does not result in paresthesia. This Technical Note and vi...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
This article details an all-arthroscopic approach for proximal tenodesis of the long head of the biceps tendon (LHBT) using a 2-portal method in a minimally invasive manner. Optimal biomechanical fixation of the LHBT is achieve by using 2 suture anchors in the creation of a dual lasso-loop configuration at the level of the bicipital groove. Technical pearls with respect to optimal arthroscopic viewing, efficient identification of the LHBT and subsequent release from the bicipital groove, and appropriate use of suture anchors for lasso-loop creation are presented for review. Two specific technical advantages of this techniq...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
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