Actueel SNN

  The critical shoulder angle is associated with osteoarthritis in the shoulder but not rotator cuff tears: a retrospective case-control study


Arnar O. Bjarnison et al | JSES juli 2017

Background

In 2013 Moor et al introduced the concept of the critical shoulder angle (CSA) and suggested that an abnormal CSA was a leading factor in development of rotator cuff tear (RCT) and osteoarthritis (OA) of the shoulder. This study assessed whether the CSA was associated with RCT and OA and tested the inter- and intrarater reliability of the CSA when measuring RCT and OA.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Guidelines for humeral subluxation cutoff values: a comparative study between conventional, reoriented, and three-dimensional computed tomography scans of healthy shoulders


Background

The humeral subluxation index (HSI) is frequently assessed on computed tomography (CT) scans in conditions of the shoulder characterized by humeral displacement. An arbitrarily set HSI cutoff value of 45% for anterior subluxation and 55% for posterior subluxation has been widely accepted. We studied whether mean values and thresholds of humeral subluxation, in relation to the glenoid and scapula, were influenced by different imaging modalities.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Does arm lengthening affect the functional outcome in onlay reverse shoulder arthroplasty?


Background

The concept of onlay design reverse shoulder arthroplasty has been introduced to overcome complications observed with the traditional Grammont-type prosthesis. The aim of this study was to determine the influence of arm lengthening on the short-term clinical outcome in onlay reverse shoulder arthroplasty and investigate the effect of humeral tray offset positioning on arm lengthening and range of motion.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Critical shoulder angle is associated with full-thickness rotator cuff tears in patients with glenohumeral osteoarthritis


Background

Higher critical shoulder angle (CSA) is correlated with rotator cuff tears (RCTs), whereas lower CSA is associated with glenohumeral osteoarthritis (OA). Our goal was to investigate whether patients with concurrent glenohumeral OA and full-thickness RCTs demonstrate a higher CSA than patients with OA alone.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Surgical treatment of acute type V acromioclavicular joint dislocations in professional athletes: an anatomic ligament reconstruction with synthetic implant augmentation


Background

Most acromioclavicular (AC) joint injuries occur in men in their third decade of life during high-speed or high-impact body contact sports. The management of acute complete AC joint dislocation is surgical. Current surgical techniques include anatomic reconstruction of the main restraints of the AC joint and aim to improve functional outcomes and to reduce the complication rate.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Transcutaneous electrical nerve stimulation for postoperative pain relief after arthroscopic rotator cuff repair: a prospective double-blinded randomized trial


Background

Arthroscopic rotator cuff repair (ARCR) can be associated with significant postoperative pain. Concern for opioid abuse has led surgeons to identify alternative, efficacious methods of postoperative analgesia. To determine whether transcutaneous electrical nerve stimulation (TENS) can have a similarly beneficial effect after shoulder procedures, we conducted a prospective double-blinded randomized trial in patients undergoing outpatient ARCR.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  The impact of insulin dependence on short-term postoperative complications in diabetic patients undergoing total shoulder arthroplasty


Background

The number of total shoulder arthroplasty (TSA) procedures performed is steadily increasing, and it is important to characterize predictors of postoperative complications for risk assessment models. Whereas diabetes has been associated with increased morbidity after TSA, the impact of insulin dependence on the risk profile of diabetic patients has not been described.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Short-term clinical outcome of an anatomic short-stem humeral component in total shoulder arthroplasty


Anthony A. Romeo et al | JSES juli 2017

Background

Short-stem press-fit humeral components have recently been developed in an effort to preserve bone in total shoulder arthroplasty (TSA), but few studies have reported outcomes of these devices. The purpose of this study was to evaluate the short-term clinical outcomes of an anatomic short-stem humeral component in TSA. We hypothesized that the implant would lead to significant functional improvement with low rates of radiographic loosening.

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Angled BIO-RSA (bony-increased offset–reverse shoulder arthroplasty): a solution for the management glenoid bone loss and erosion


Background

Glenoid deficiency and erosion (excessive retroversion/inclination) must be corrected in reverse shoulder arthroplasty (RSA) to avoid prosthetic notching or instability and to maximize function, range of motion, and prosthesis longevity. This study reports the results of RSA with an angled, autologous glenoid graft harvested from the humerus (angled BIO-RSA).

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Geplaatst door: Paul van der Tas op: 25 juli 2017

  Three-dimensional shoulder motion after teres major or latissimus dorsi tendon transfer for posterosuperior rotator cuff tears


Background

Teres major (TM) transfer and latissimus dorsi (LD) transfer are essential treatment options in patients with posterosuperior rotator cuff (RC) tears. The purpose of this study was to quantify shoulder kinematics before and after TM transfer and LD transfer in posterosuperior RC tear patients.

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Geplaatst door: Paul van der Tas op: 22 juni 2017

  Fatty infiltration of stage 1 or higher significantly compromises long-term healing of supraspinatus repairs


Arnaud Godenèch et al | JSES juni 2017

Background

Fatty infiltration (FI) compromises outcomes of rotator cuff repairs. Most clinicians consider FI of the infraspinatus, whether it is torn or intact, because it is most rapidly affected. The purpose of this study was to report long-term outcomes of isolated supraspinatus repairs and to determine their associations with FI of the infraspinatus and supraspinatus.

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Geplaatst door: Paul van der Tas op: 22 juni 2017

  Isolated serratus palsy etiology influences its long-term outcome


Hypothesis and Background

The cause of isolated serratus palsy is multifactorial, but evaluation of the mechanism of the injury indicates that the lesion to the long thoracic nerve is mechanical in origin in most cases. What is unknown, however, is how etiology influences its long-term outcome. We believed that overuse injuries may recover sooner and better than acute traumatic, infectious, or inflammatory injuries.

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Geplaatst door: Paul van der Tas op: 22 juni 2017

  Does early motion lead to a higher failure rate or better outcomes after arthroscopic rotator cuff repair? A systematic review of overlapping meta-analyses


Background

The aims of the study were as follows: to perform a systematic review of meta-analyses comparing “early motion” and “delayed motion” after arthroscopic rotator cuff repair; to provide a framework to analyze the best available evidence to develop recommendations; and to identify gaps where suggestions could be made for future investigations.

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Geplaatst door: Paul van der Tas op: 22 juni 2017

  17e regionaal SchouderNetwerk een feit


Op 29 september 2016 heeft de vergadering van SchouderNetwerken Nederland besloten als 17e Regionaal SchouderNetwerk NoordHolland Noord toe telaten omdat zij voldoen aan alle toelatingseisen.

Geplaatst door: Paul van der Tas op: 30 september 2016