Techniques in Shoulder and Elbow Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Feasibility of Biceps Tenotomy Using Small Needle Arthroscopy: A Cadaver Analysis
This study demonstrates the safety and efficacy of an intra-articular, minimally invasive tenotomy of the long head of the biceps in a cadaveric model using a portable arthroscopy device as a possible alternative to operating room arthroscopic tenotomy. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - August 13, 2020 Category: Orthopaedics Tags: Research Articles Source Type: research

Arthroscopic Repair of Type-V SLAP Lesion: A Prospective Cohort Study of an Anchor Above the Anterior Glenoid Mid-equator Based on a New Classification System
On basis of a newly proposed classification of type-V superior labrum anterior to posterior (SLAP) lesion, this study was conducted to investigate this question: “Does concurrent anterosuperior labral anchor repair limit postoperative range of external rotation and increase postoperative pain compared with isolated Bankart repair?.” This prospective cohort study, conducted between September 2014 and December 2017, included 20 patients who were divided into the following groups: group-S (12 patients) of concurrent Bankart and type-IIA SLAP repair by 3 anchors, with one of them above the glenoid mid-equator, and group-B ...
Source: Techniques in Shoulder and Elbow Surgery - August 13, 2020 Category: Orthopaedics Tags: Research Articles Source Type: research

Arthroscopic Internal Fixation of Symptomatic Os Acromiale
The meso-acromion is the most common type of os acromiale and has been associated with subacromial impingement and rotator cuff tears. Surgical treatment might be indicated when nonoperative treatment has been nonsuccessful and depends on the size and location of the os acromiale. Numerous surgical procedures have been described in the current literature, most of them focusing on the os acromiale union. To this, fusion rates depend mostly on the surgical approach and fixation technique and when achieved, is generally associated with good clinical outcomes. The purpose of this article is to describe our preferred technique ...
Source: Techniques in Shoulder and Elbow Surgery - May 15, 2020 Category: Orthopaedics Tags: Video Technique Source Type: research

Posterior Minimally Invasive Plate Osteosynthesis of Humeral Shaft Fractures: An Anatomic Study of “Danger Zones”
The most utilized approach for minimally invasive plate osteosynthesis (MIPO) of humeral fractures has been an anterior percutaneous approach. Other approaches include posterior, which places the radial nerve at risk. We performed a cadaveric study to evaluate safe intervals for screw placement using a posterior approach. MIPO fixation of the humeral shaft was performed on 11 fresh frozen cadaveric specimens following a standard protocol using a 10-hole 4.5 locking compression plate (LCP) plate and cortical screws. After fixation, anatomic dissection of the radial nerve was performed and location of the nerve delineated wi...
Source: Techniques in Shoulder and Elbow Surgery - May 15, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Anteromedial Surgical Approach for Minimally Invasive Fixation of Humerus Shaft Fractures: A Cadaveric and Clinical Study
The authors describe a new anteromedial (AM) approach for minimally invasive fixation of humerus fractures. A cadaveric study was done initially, followed by the clinical study in a single level 1 trauma center. The AM approach was initially described by cadaveric dissection where the proximal and distal intervals were delineated. The interval for the proximal incision was between the biceps and pectoralis major muscle and the distal interval was made by splitting the brachialis muscle above the medial epicondyle. Six cadavers (12 limbs) were dissected to describe this approach. The same approach was then used on a series ...
Source: Techniques in Shoulder and Elbow Surgery - May 15, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

A Surgical Technique for Revision of Failed Acromioclavicular Joint Reconstruction
We describe a technique for revision stabilization of the ACJ that utilizes a synthetic ligament in combination with augmentation from the coracoacromial ligament and biceps short head aponeurosis (“biceps flip” procedure). (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - May 15, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

A Pilot Biomechanical Study to Evaluate the Efficiency of New Implant to Fix Acromioclavicular Joint
This study was aimed to introduce a new implant designed to fix ACJ and to evaluate its efficiency on the basis of biomechanical modeling and finite element analysis approaches. Computerized tomography scan images of 12 normal shoulders were selected to create a 3d model of shoulder joints. The dimensions of the implant were obtained from the models of shoulder joints and then were evaluated on 5 fresh cadavers. The stress developed in the implant and shoulder articular surfaces were evaluated by finite element analysis on the basis of the models obtained from computerized tomography scan images. The designed implant can b...
Source: Techniques in Shoulder and Elbow Surgery - May 15, 2020 Category: Orthopaedics Tags: Research Article Source Type: research

Proximal Humerus Fractures Managed With Joshi External Stabilizing System
In this study, we have chosen a middle path for treating proximal humerus fractures in the form of closed reduction and Joshi external stabilizing system (JESS) with early mobilization, thus overcoming the problem of shoulder stiffness associated with conservative management and excessive soft tissue dissection associated with the open procedure. We conducted a study on 25 patients with proximal humerus fractures with Neer types 2 and 3 fractures. The mean age was 49.6 years with a female preponderance of 64%. JESS was applied after closed reduction in all cases. Mobilization was started on days 1 or 2 of surgery. All pati...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Clinical Outcome Source Type: research

Surgical Management of Clavicular Malignancies With Resection of the Clavicle Without Reconstruction
Clavicular malignancies are very rare, and few papers which reported that primary tumors are predominant, have been published about the functional and oncological outcomes after surgical treatment. The main purpose of the present study was to report the functional and oncological outcomes of 14 patients with clavicular malignancy, who were managed with total/partial claviculectomy without reconstruction, or followed up without surgical intervention. Of the total patients, 26.7% presented with clavicular cancer of unknown primary, and 42.9% with pathologic fractures of the clavicle. Claviculectomy without reconstruction was...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Research Articles Source Type: research

Treatment of Chronic Lateral Epicondylitis With Autologous Fat Grafting
Despite the self-limiting nature of lateral epicondylitis (LE) the disease has a prolonged course in some patients. Currently there is no optimal treatment of choice for these patients. We treated 6 elbows in 5 patients with LE with free fat grafting. All patients had symptomatic LE (symptom duration>2 y) and magnetic resonance imaging scan consistent with LE, and no finding of osteoarthrosis of the elbow joint, ligament injury, or other condition causing palpable lateral elbow pain. The fat graft was harvested from the abdomen, centrifuged or decanted and 10 mL was injected in and around the lateral epicondyle. All pa...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Research Articles Source Type: research

Short-Term to Mid-Term Outcomes of Arthroscopic Stabilization Using PEEK Knotless Anchors
Outcomes of arthroscopic instability repairs vary depending on repair techniques and anchor materials. The purpose of this study is to determine the short to mid-term redislocation, resubluxation rate and clinical outcomes following arthroscopic stabilization of nonabsorbable, biologically inert polymer polyether ether ketone (PEEK) suture anchors. This is a retrospective study with 140 patients who underwent arthroscopic anterior stabilization surgery using PEEK (Pushlock) anchors with a mean follow-up of 40 months. Patient ranked pain scores, clinically assessed range of motion and strength testing were collected preoper...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Research Articles Source Type: research

Ulnar Cortical Window for Removal of a Well-Fixed Ulnar Component in Total Elbow Arthroplasty: Surgical Technique and Case Report
Infection after total elbow arthroplasty can be a devastating problem. Eradication of the infection can often be difficult and may compromise the already tenuous bone and soft tissue, particularly the elbow extensor mechanism. Resection arthroplasty with the complete removal of all foreign material is often necessary to adequately treat the infection. Components may be well fixed and removal may further compromise bone and soft tissue. The authors present a technique of ulnar cortical window that facilitates the removal of a well-fixed ulnar component and the associated cement mantle. An illustrative surgical case is also ...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

A Novel Technique for Endoscopic Release of the Transverse Scapular Ligament in the Setting of Suprascapular Neuropathy: Case Report and Technique
We present our hybrid endoscopic technique along with a case report demonstrating a good patient outcome to emphasize the successful application of our technique following appropriate utilization of history, physical examination, and diagnostic tests when deciding to operatively treat a patient with isolated suprascapular neuropathy. (Source: Techniques in Shoulder and Elbow Surgery)
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Antegrade Reduction and Fixation of Coronoid Fractures: A New Arthroscopic Technique
The coronoid process (CP) is important for stabilizing the elbow joint. The elbow’s joint fracture is considered the most common factor in several cases of complex elbow dislocations. The surgical indications for recommending the CP in fractures are prolonged instabilities of the elbow. The open fixation of the CP is a demanding procedure, owing to many complications after the surgeries. Arthroscopic reduction and internal fixation have been proposed to overcome the limitations of open approaches. The aim of our study is to describe, step by step, a new surgical procedure for arthroscopically assisted fracture reduction ...
Source: Techniques in Shoulder and Elbow Surgery - February 24, 2020 Category: Orthopaedics Tags: Techniques Source Type: research

Core Decompression for Class I Avascular Necrosis of Humeral Head
Avascular necrosis of the humeral head is a diagnosis of multiple etiologies and unclear prognosis. Prompt diagnosis and treatment are essential to prevent head collapse and avoid resurfacing or joint replacement procedures. Imaging modalities including standard radiography and magnetic resonance imaging establish the diagnosis and stage it according to the degree of necrosis, head collapse, or extension into the glenoid. If the patient stays persistently symptomatic despite conservative treatments and is still in the early stages of the disease course, humeral head core decompression is a reasonable option as it has been ...
Source: Techniques in Shoulder and Elbow Surgery - November 14, 2019 Category: Orthopaedics Tags: Video Technique Source Type: research