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Neuropathy of the suprascapular nerve and massive rotator cuff tears: a prospective electromyographic study
Conclusion: This study did not detect a suprascapular lesion in the majority of cases of massive RCT. With a low association of neuropathy with massive RCT, we find no evidence to support the routine practice of suprascapular nerve release when RCT repair is performed.
Source: Journal of Shoulder and Elbow Surgery - October 2, 2013 Category: Orthopaedics Authors: Philippe Collin, Tom Treseder, Alexandre Lädermann, Tewfik Benkalfate, Reda Mourtada, Olivier Courage, Luc Favard Tags: Shoulder Source Type: research

Contemporary management of civilian penetrating cervicothoracic arterial injuries
CONCLUSIONS: Experience with penetrating arterial cervicothoracic injuries at a high-volume urban trauma center remained remarkably similar with respect to both anatomic distribution of injury and treatment. Conventional operative exposure and repair remain the cornerstone of treatment for most civilian cervicothoracic arterial injuries. LEVEL OF EVIDENCE: Therapeutic study, level V.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 29, 2016 Category: Orthopaedics Tags: Original Articles Source Type: research

Early Surgery Confers 1-Year Mortality Benefit in Hip-Fracture Patients
Conclusions: A linear relationship was observed between surgical timing and 1-year mortality. Each 10-hour delay from admission to surgery was associated with an estimated 5% higher odds of 1-year mortality. Therefore, we suggest that hip fractures should be treated urgently similar to other time-sensitive pathology such as stroke and myocardial ischemia. Level of Evidence: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
Source: Journal of Orthopaedic Trauma - February 23, 2018 Category: Orthopaedics Tags: Original Article Source Type: research

A Tool to Estimate Risk of 30-day Mortality and Complications After Hip Fracture Surgery: Accurate Enough for Some but Not All Purposes? A Study From the ACS-NSQIP Database
CONCLUSION: The models of mortality and complications we developed may be accurate enough for some uses, especially personalizing informed consent and shared decision-making with patient-specific risk estimates. However, the high false discovery rate suggests the models should not be used to restrict access to surgery for high-risk patients. Deciding which measures of accuracy to prioritize and what is "accurate enough" depends on the clinical question and use of the predictions. Discrimination and calibration are commonly used measures of overall model accuracy but may be poorly suited to certain clinical questions and ap...
Source: Clinical Orthopaedics and Related Research - July 28, 2022 Category: Orthopaedics Authors: Alex H S Harris Amber W Trickey Hyrum S Eddington Carolyn D Seib Robin N Kamal Alfred C Kuo Qian Ding Nicholas J Giori Source Type: research

The Long Head of the Biceps Tendon: A Valuable Tool in Shoulder Surgery
The long head of the biceps tendon (LHBT) has different properties and characteristics that render it a valuable tool in the hands of shoulder surgeons. Its accessibility, biomechanical strength, regenerative capabilities, and biocompatibility allow it to be a valuable autologous graft for repairing and augmenting ligamentous and muscular structures in the glenohumeral joint. Numerous applications of the LHBT have been described in shoulder surgery literature including augmentation of posterior superior rotator cuff repair, augmentation of subscapularis peel repair, dynamic anterior stabilization, anterior capsule reconstr...
Source: Journal of Shoulder and Elbow Surgery - May 26, 2023 Category: Orthopaedics Authors: Paul Sethi, Mohamad Y. Fares, Anand Murthi, John M. Tokish, Joseph A. Abboud Tags: Review Article Source Type: research