Clinical and radiological outcomes of 17 reverse shoulder arthroplasty cases performed after failed humeral head resurfacing

Publication date: Available online 20 September 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Pierre Gaeremynck, Thomas Amouyel, Marc Saab, Benjamin Gadisseux, Kevin Soudy, Christophe Szymanski, Carlos MaynouAbstractIntroductionDespite the good outcomes with shoulder resurfacing procedures reported by some authors, our team has documented several failures caused by glenoid erosion and rotator cuff rupture, likely due to implant overstuffing. The aim of this study was to evaluate the clinical and radiological outcomes of reverse shoulder arthroplasty (RSA) performed after failed humeral head resurfacing (HHR).Material and methodsThis was a retrospective, single-center study of 17 patients who underwent RSA after failed HHR between January 2011 and February 2016. The mean patient age was 69.4 years and the mean time between HHR and surgical revision was 41 months (14.7–73.5 ± 18.8). Preoperative ultrasonography and CT were used to evaluate the condition of the rotator cuff, extent of glenoid erosion and to look for signs of humeral cup loosening. The clinical outcomes were evaluated pre- and postoperatively using the simple shoulder test (SST), DASH (Disabilities of the Arm, Shoulder and Hand) and the Constant-Murley score. Pain was estimated using a visual analog scale (VAS). The range of motion (ROM) was determined pre- and postoperatively. All patients had standard AP and lateral X-ray views of the shoulder taken as part o...
Source: Orthopaedics and Traumatology: Surgery and Research - 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
Study Design. Retrospective cohort study. Objective. To evaluate the ability of patient reported outcome measurement information system (PROMIS) assessments to capture disability related to cervical sagittal alignment and secondarily to compare these findings to legacy outcome measures. Summary of Background Data. PROMIS is a validated patient-reported outcome metric that is increasing in popularity due to its speed of administration relative to legacy metrics. The ability of PROMIS to capture disability from sagittal alignment and baseline health status in patients with neck pain has not been investigated. Method...
Source: Spine - Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
Study Design. Retrospective multicenter study. Objective. Analysis of impact of conservative and surgical treatments on functional outcome of geriatric odontoid fractures. Summary of Background Data. Treatment of odontoid fractures in aged population is still debatable. Methods. One hundred fourty-seven consecutive odontoid fractures in elderly patients were classified according to Anderson-D’Alonzo and Roy-Camille classifications. Philadelphia type collar was always positioned and kept as a treatment whenever acceptable. Halo-vest, anterior screw fixation, C1–C2 posterior arthrodesis, and occipito-c...
Source: Spine - Category: Orthopaedics Tags: OUTCOMES Source Type: research
The objective of this study was to evaluate the effects of PCD on spinopelvic radiological parameters and their associations with the clinical outcome.MethodsRetrospective analysis of prospectively collected dataset of 28 patients (112 lumbar segments) who underwent single- or multilevel PCD was performed. Spinopelvic, intrasegmental and intersegmental parameters were measured on lumbar X-rays pre-, postoperatively and 6  months after the surgery. Correlations between radiological parameters and clinical outcome data were determined.ResultsSacral slope significantly increased (p  
Source: European Spine Journal - Category: Orthopaedics Source Type: research
ConclusionsIn geriatric type II odontoid fractures, pre-injury clinical status and comorbidities overcome imaging in determining post-treatment level of function. Hard collar immobilization led to a favourable functional outcome with mRS-post, NDI and SWPS values diffusely encouraging whatever a bony union or a fibrous non-union was obtained.Graphical AbstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
Conclusions: ABL is common (57.1%). It occurs at an early stage (within 3 months) and typically follows a non-progressive natural history with stable radiographic features after the first year. Most ABL cases are mild, but severe ABL occurs in approximately 3% of CDAs. ABL does not affect the patients' clinical outcome or the requirement for revision surgery. Surgeons should thus treat patients undergoing CDA considering ABL. PMID: 30326692 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
The objective of this study was to assess the safety and efficacy of PVP in patients with malignant spinal lesions. METHODS: From the National Danish Surgical Spine Database, DaneSpine, 30 consecutive cancer patients with vertebral fractures who underwent PVP from 2013 to 2017 were identified. From DaneSpine, the European Quality of Life - 5 Dimensions Questionnaire (EQ-5D) and the Oswestry Disability Index (ODI) scores were collected pre- and post-operatively. Data on the incidence of complications and poly-methyl methacrylate leaks were obtained by review of medical records and plain post-operative X-rays. RESULT...
Source: Danish Medical Journal - Category: General Medicine Tags: Dan Med J Source Type: research
This study was undertaken to assess the prevalence of primary knee osteoarthritis (OA) in a sample of Egyptian patients with metabolic syndrome (MetS) and to examine the relationship of metabolic syndrome and its components with clinical, functional, and radiographic findings of knee OA. A total of 60 patients (55 females, 5 males) diagnosed as having MetS according to the National Cholesterol Education Program Adult Treatment Panel III (ATP III) criteria and 30 obese subjects without MetS (24 females, 6 males), serving as a control group, were included in this study. All participants had completed preliminary questionnair...
Source: Clinical Rheumatology - Category: Rheumatology Source Type: research
Publication date: Available online 16 May 2018Source: The Egyptian RheumatologistAuthor(s): Amany R. El-Najjar, Nillie Ezzeldin, Khaled M. El-Gerby, Nashwa M. Alazizi, Hoda A. IbraheemAbstractAim of the workTo investigate the vascular endothelial growth factor (VEGF) levels in serum and synovial fluid of patients with knee osteoarthritis (KOA) and to determine the relationship of VEGF levels with clinical manifestation, physical function, radiographic grading and ultrasonography (US) findings.Patients and methods45 patients with KOA and 15 matched control subjects were enrolled. Western Ontario McMaster Osteoarthritis inde...
Source: The Egyptian Rheumatologist - Category: Rheumatology Source Type: research
CONCLUSIONS: modMOTLIF was associated with reduced blood loss and shorter hospital stay compared with OTLIF. No significant differences were observed in the clinical and radiological outcomes between the groups after 2 years despite reduced back pain in the immediate postoperative period in patients who underwent modMOTLIF. PMID: 29879783 [PubMed]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
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