Blog Archive
The current study strongly suggests that local injection of PRP is a novel form of treatment that provides significant relief of pain and improvement in function in both tennis elbow and plantar fasciitis. Moreover, it is possibly a safer option for patients than steroid use and surgery. The proposed mechanism...
Platelet Rich Plasma (PRP) is a treatment that involves using a patient's own blood to promote healing and regeneration of damaged tissues. PRP is created by extracting a small amount of blood from the patient and then spinning it in a centrifuge to separate the platelets from the other blood...
HOW TO WORK OUT if you have Shoulder Pain Download Handout Life happens, and so do injuries, but that doesn’t mean you should have to sideline your workouts entirely. First of all: Can you work out with a shoulder injury? That’s a question you need to answer with your...
PRP: A proven treatment for partial rotator cuff tears The evidence-based conclusion is that regenerative injection therapies– such as platelet rich plasma (PRP), can be first-line modalities for patients with chronic shoulder pain. Dr Louis Re offers PRP as treatment for partial rotator cuff tears and it is the most...
Impingement syndrome occurs when there is inflammation and injury of the rotator cuff tendons and the bursa that surrounds these tendons. There is a difference between tendonitis and bursitis, but there is a combination of these problems in most cases of impingement syndrome.1 The shoulder is a complex joint where...
Because of this wide arc of motion, your shoulders are critically important to just about any activity involving the use of the upper extremity. Because of your dependence on the shoulder for many activities, rotator cuff injuries can be frustrating experiences. Learn more about rotator cuff tears, including diagnosis, symptoms,...
What is arthroscopy? Arthroscopy is a surgical procedure that allows your shoulder specialist to visualize the inside of your joint through several tiny incisions. Your specialist can confirm your diagnosis and repair any injured tissues by using a camera and specialized arthroscopic tools inserted into the joint space. With this...
It isn't always easy to identify the difference between frozen shoulder, shoulder blade pain, and symptoms of a rotator cuff tear. This is why it helps to know a little about how your shoulder functions. Then you'll know when it's time to get medical attention if you have shoulder pain....
Swimmer's shoulder is a common orthopedic injury in people who swim. It is caused by abnormal rubbing and pinching of the structures in your shoulder. This injury is experienced by about 40% to 90% of swimmers at one time or another.1 It is also known as rotator cuff impingement syndrome,...
Like to curl up with your iPad after a long day? Instead of relaxing you, it might literally be causing you a pain in the neck. Researchers say iPad use can lead to “iPad neck,” a syndrome becoming more prevalent among Americans, especially young adults and women. Researchers from the...
While treatment can fast-track healing, frozen shoulder usually goes away with time—within two to four years—and sometimes pain can decrease in just a couple of days. Source: Verywell Health Read more
The sternoclavicular joint, or SC joint, is the connection of the sternum (breastbone) to the clavicle (collarbone). This SC joint is uncommonly injured, but it can be problematic when an injury is sustained. Sternoclavicular Dislocations The sternoclavicular joint can dislocate from its normal position. The clavicle will either dislocate in...
Reverse shoulder replacement was developed because traditional surgical options for shoulder arthritis, such as total shoulder replacements, aren’t a suitable option when patients also have a rotator cuff tear. Source: Verywell Health Read more
The goal of all surgical treatments for a shoulder separation is to restore the normal alignment of the end of the collarbone with the outer edge of the shoulder blade (the acromion) Source: Verywell Health Read more
Shoulder exercises can be useful in the treatment of many of the common causes of shoulder pain. These exercises are also part of the usual rehabilitation from most any shoulder surgery. Shoulder exercises should be performed under the direction of a physician to ensure the proper muscles are being targeted...
A shoulder separation sounds like an odd injury, but in reality, it refers to the stretching or tearing of ligaments where the collarbone (clavicle) meets the shoulder blade (scapula). This intersection is also called the acromioclavicular or AC joint. Source: Verywell Health Read more
Internal impingement is a specific type of shoulder injury that is seen primarily in throwing athletes. Source: Verywell Health Read more
Results of this imaging study on patients with stiff shoulders that demonstrated severe and global loss of passive range of motion shows no correlation between the condition and full-thickness rotator cuff tears. “[We] found that shoulder stiffness with severe and global loss of passive [range of motion] ROM is not...
Nonoperative management of superior labrum anterior-posterior tears in young active patients produced positive outcomes with significant pain relief, according to results. Researchers assessed baseline and 6-month data for 63 patients who initially underwent nonoperative treatment for isolated type II superior labrum anterior-posterior tears. A telephone survey was used to evaluate...
A torn labrum is a problem in the shoulder that may cause shoulder pain, frequent dislocations of your shoulder, or problems with properly using your arm. Physical therapy may be necessary to help you decrease pain, improve mobility, and regain normal use of your arm after a labrum tear. Source: Verywell...
A shoulder separation is an injury to the acromioclavicular joint on the top of the shoulder. The shoulder joint is formed at the junction of three bones: the collarbone (clavicle), the shoulder blade (scapula), and the arm bone (humerus). The scapula and clavicle form the socket of the joint, and...
Two critical reviews examine the current status of biologic approaches for common shoulder and elbow problems. The authors discuss areas where the current evidence base is weak or controversial and recommend where further studies are required. Source: Science Daily Read more
The reverse shoulder replacement was specifically designed for a problem called rotator cuff tear arthropathy. Rotator cuff tear arthropathy is a problem that occurs when a patient has both shoulder arthritis and a rotator cuff tear. Source: Verywell Health Read more
Shoulder exercises can be useful in the treatment of many of the common causes of shoulder pain. These exercises are also part of the usual rehabilitation from most any shoulder surgery. Shoulder exercises should be performed under the direction of a physician to ensure the proper muscles are being targeted...
Shoulder pain, stiffness or weakness can make it difficult to carry out everyday tasks, like reaching for something on a high shelf, driving a car or brushing your hair. If you have pain that won’t go away, it’s time to see a doctor. Source: healthessentials Read more
Advancements in implant design and more careful patient selection have improved outcomes and longevity of shoulder replacement in recent years. More than 70,000 of these surgeries are done annually, making shoulder replacements the fastest growing joint replacement. Source: healthessentials Read more
Tendon tears, both to the rotator cuff and Achilles heel, are common injuries, especially in aged individuals. Painful and disabling, they can adversely impact quality of life. New approaches are required to help patients suffering from chronic tendon injuries. A novel study identified mediators that promote resolution of inflammation as...
Distal clavicle osteolysis is shoulder joint pain at the end of the collarbonethat is the result of bone disintegration and damage. The most common symptom is a sharp or aching pain at the junction of the acromioclavicular joint (AC joint) and collarbone. Source: Verywell Health Read more
Flexibility in your upper body is important for many everyday activities you take for granted, like twisting and turning while backing out of a parking space. Try these three stretches to help keep your upper body agile. They don’t require any special equipment and can even be done in your...
Above the biceps muscle is the proximal biceps tendon that attaches to the shoulder. The proximal biceps tendon has two parts: the long head and the short head. Almost all injuries to the proximal biceps are to the long head of the tendon. Source: Verywell Health Read more
According to the American Academy of Orthopaedic Surgeons, an estimated 2 million people in the United States will visit a doctor for a rotator cuff problem each year. Source: Medical News Today Read more
New research on the biology of tendon irritation from Jefferson (Philadelphia University + Thomas Jefferson University) pinpoints key molecular components of injury, opening the possibility of targeting the pathways with pharmaceutical and other interventions. Source: News Medical Read more
A few weeks ago, I was snowboarding and dislodged my collarbone. I was told I have anywhere from a grade 3 to grade 5 separation. I’ve had my arm in a sling for three weeks, as was recommended, but it’s still painful. Does this type of injury ever heal on...
For patients undergoing arthroscopic surgery to repair a torn rotator cuff, previous steroid injections into the shoulder don’t increase the risk of surgical-site infection—unless the injection is administered within one month before surgery, reports a study in the April 17, 2019 issue of The Journal of Bone & Joint Surgery....
People who engage in high-intensity interval training are at greater risk for injury, especially in the knees and shoulders, a Rutgers study found. Source: Medical Xpress Read more
The shoulder is the most flexible joint in your body, and given the number of everyday activities it’s involved in—from brushing your hair to reaching up into the cupboard—it’s easy to see why shoulder pain is something you’d want to get to the bottom of right away. Source: Very Well Health...
Frozen shoulder is a common condition in which the shoulder stiffens, reducing its mobility. Source: Medical News Today Read more
Shoulder dislocations are common injuries, especially in young, active people. Latarjet surgery can be done to prevent repeated dislocations. Once someone has dislocated their shoulder once, recurrent (or repeat) dislocations can become more and more common. Source: Very Well Health Read more
Research into on-track, off-track designations for shoulder stability might be helpful. Source: Healio Read more
Are your shoulders stiff? You may be suffering from stiff shoulder syndrome. Could it be from Parkinson’s disease? Source: Very Well Health Read more
The collarbone (clavicle) is a long slender bone that connects your arms to your body. It runs horizontally between the top of your breastbone (sternum) and shoulder blades (scapula). Source: Healthline Read more
What makes up your shoulder joint? Your shoulder joint is a complex system made up of five joints and three bones: Source: Healthline Read more
At first, there is minor pain and discomfort in your shoulder, easily ignored or chalked up to overuse, exercise or a bump. It hangs around, however, and over many months, it gets progressively more achy. There’s increasing stiffness in your shoulder, limiting many movements of your arm. Source: The News Tribune...
A study recently published in the BMJ explores the efficacy of shoulder surgery as a treatment for shoulder impingement syndrome. Source: Medical News Bulletin
Sore shoulder remedies: This common joint problem can affect anyone. Shoulder pain may involve the cartilage, ligaments, muscles, nerves, or tendons. It can also include the shoulder blade, neck, arm, and hand. Source: Healthline Read more
A pinched nerve in the shoulder occurs when a nearby structure irritates or presses on a nerve coming from the neck. This can lead to shoulder pain and numbness of the arm and hand. Source: Medical News Today Read more
Patients who received interscalene brachial plexus block plus soft tissue infiltration with Exparel when undergoing primary shoulder arthroplasty used significantly more narcotics postoperatively and had no significant reduction in pain scores in the early postoperative period compared with patients who received interscalene brachial plexus block alone, according to results published...
Arthritis can affect any joint in the body, including the shoulder joints. Performing specific exercises on a regular basis can help relieve the symptoms of arthritis, which include pain and swelling. Source: Medical News Today Read more
A new kind of shoulder joint replacement is ending pain and restoring movement to people thought to be untreatable 15 years ago. Source: The News Tribune Read more
Do you suffer from pain in your upper trapezius muscles, the ones that run across the tops of your shoulders to the sides of your neck? You’re not alone. Source: The Globe and Mail Read more
For patients with rotator cuff tears, improving shoulder function is the most important reason for moving forward with surgical repair. Researchers also found that through arthroscopic rotator cuff repair (ARCR), these patients consistently saw significant functional improvements and relief from pain. Source: Science Daily Read more
Young athletes with shoulder instability are considered to be a high-risk group of patients following arthroscopic shoulder stabilization given the high recurrence rates and lower rates of return to sport, which have been reported in the literature. However, according to researchers presenting their work today at the American Orthopaedic Society...
Pain and stiffness can worsen over time until your shoulder feels frozen in one position. Here is how to get things moving again. Source: The Daily Star Read more
Athletes with shoulder instability injuries often undergo shoulder stabilization surgery to return to sport (RTS) and perform at their preinjury activity level. Returning to sports in a timely fashion and being able to perform at a high level are priorities for these athletes undergoing surgery. Source: Medical Xpress Read more
Rotator cuff muscles may be small, but they’re majorly important. Source: Self Read more
The part of the body we call the shoulder consists of several joints that work with tendons and muscles to allow the arm to move in many directions. We can bowl a perfect game or reach the top shelf thanks to this system of joints, muscles and tendons. However, it...
According to a new study, the type of procedure used to treat shoulder calcifications should be tailored to the type of calcification. The results of the study will help interventional radiologists determine whether to use one or two needles for an ultrasound-guided treatment for a common condition called rotator cuff...
For patients undergoing shoulder joint replacement surgery (arthroplasty), higher body mass index is linked to increased complications — including the need for “revision” surgery, reports a study in the June 7 issue of The Journal of Bone & Joint Surgery. The journal is published in partnership with Wolters Kluwer. Source: Science...
Patients who underwent primary shoulder arthroplasty experienced a significantly higher risk for infection if they had previously undergone non–arthroplasty-related surgery, according to results. Source: Healio Read more
Most patients who underwent nonoperative treatment for rotator cuff tears had anatomic tear deterioration, with poorer functional outcomes found in large tear size increases and progression of muscle atrophy, according to results. Source: Healio Read more
Results presented at the Arthroscopy Association of North America Annual Meeting showed favorable results with both tenodesis and tenotomy in the treatment of lesions of the long head of the biceps tendon. Source: Healio Read more
Rotator cuff injuries are among the most common in orthopaedics, with rotator cuff repair surgery consistently reported as one of the most commonly performed orthopaedic procedures. Patient satisfaction is becoming an increasingly important outcome metric as health care continues to evolve with regard to quality measures affecting physician reimbursement. Source: Arthroscopy:...
There have been few studies that have evaluated ambulatory total shoulder arthroplasty. The objectives of the present study were to investigate the current trends in ambulatory total shoulder arthroplasty in the United States; to characterize the rate of postoperative complications, hospital readmission, and risk factors associated with readmission; and to...
As the volume of shoulder arthroplasty procedures performed in the United States continues to increase, the predicted number of revision shoulder arthroplasties grows even higher. Conversion of failed shoulder arthroplasty to reverse total shoulder arthroplasty has become common Source: Healio Read more
Early detection of posterior shoulder dislocation in infants with brachial plexus birth palsy (BPBP) is essential, but it may be difficult to accomplish with physical examination alone. The aim of this study was to determine the prevalence of shoulder dislocation in patients with BPBP using ultrasound and to identify which...
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may...
Early and mid-range followup studies of shoulder arthroplasty have been encouraging, showing good and excellent results in > 90% of shoulders. Despite this success, complications in shoulder replacement surgery are inevitable, with an incidence of approximately 14%. Numerous complications have been identified and include the following factors in order of...
Whether you’re younger than 65 or older than 75, age may not be a discernible factor in the success of shoulder replacement surgery, according to a new study. Source: Science Daily Read more
Recently published results showed patients who underwent reverse shoulder arthroplasty commonly experienced heterotopic ossification of the long head of the triceps tendon. Source: Healio Read more
Patients undergoing bilateral total shoulder arthroplasty may have optimized postoperative functional outcomes and satisfaction if the second surgery is performed within 6 months of the first arthroplasty, according to results. Source: Healio Read more
A new study being presented today at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), found that 96.4 percent of recreational athletes, age 55 and younger, who underwent total shoulder replacement surgery returned to at least one sport, on average, within seven months of surgery. Source: Science...
Recently published results of a level 3 study showed patients who underwent outpatient and inpatient total shoulder arthroplasty had no significant differences in 30-day adverse event and readmission rates. Source: Healio Read more
Assessment of function is the cornerstone of clinical shoulder research. This purpose of this study was to answer 3 relevant questions: How does subjective patient assessment of shoulder function correlate with objectively measured active shoulder range of motion? What is the difference in active motion between shoulders that can and...
Retear and stiffness are not uncommon outcomes of rotator cuff repair. The purpose of this study was to evaluate the relationship between rotator cuff repair healing and shoulder stiffness. Source: JBJS Read more
It’s rare to fracture your shoulder blade (scapula). Your shoulder blade is well protected by your chest and muscles, so it takes significant force for this fracture to occur. When it does, most people have other injuries—like head damage or a chest injury. Given its potential severity, a shoulder blade...
Background Shoulder pain and loss of function are directly associated with obesity. Questions/purposesWe hypothesized that significant interactions would exist between total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RSA) and obesity status on functional and quality of life (QOL) outcomes over the long term. Source: ResearchGate Read more
The role of arthroscopy in the treatment of anterior shoulder instability continues to be refined. The surgical technique focuses on anterior capsulolabral reconstruction. The presence of bone loss is a well-known risk factor for failure1. Although both humeral and glenoid-sided defects have been identified as risk factors for failure, the...
Patients who underwent triple-bundle reconstruction for ACJ instability had superior horizontal ACJ stability than those undergoing a single-bundle procedure. Recently published results showed superior clinical and radiological results with combined arthroscopically assisted anatomic triple-bundle coracoclavicular and acromioclavicular ligament reconstruction using an autologous semi-tendinosus tendon graft in patients with chronic high-grade...
We present simple techniques for revision shoulder arthroplasty using a telescoping osteotome technique for glenoid removal, an open-book (vertical) osteotomy technique for extraction of the humeral stem and the use of an ultrasonic device and carbide burr for clearing bone and cement mantles. Source: Helio Read more
Many fish, especially oily, darker-fleshed fish like salmon and herring, are rich in heart-healthy, polyunsaturated, omega-3 fatty acids, but healthful fats are not the only reason to eat fish. Dietary guidelines in the United States encourage adults to eat eight ounces of a variety of fish and seafood each week...
Meditating before running could change the brain in ways that are more beneficial for mental health than practicing either of those activities alone, according to an interesting study of a new treatment program for people with depression. As many people know from experience, depression is characterized in part by an...
Patients with irreparable, posterosuperior massive rotator cuff tears experienced pain relief, functional recovery and postoperative satisfaction after undergoing an arthroscopic-assisted latissimus dorsi tendon transfer, according to results. Using the Constant and Murley score, researchers assessed preoperative and postoperative function in 86 patients who underwent an arthroscopic-assisted latissimus dorsi tendon transfer...
Most people know they need to eat right and exercise to be healthy. But what about sleep? We spend about one-third of our lives asleep, and sleep is essential to better health. But many of us are struggling with sleep. Four out of five people say that they suffer from...
Activity monitors could improve our health and extend our lives — if only we could be motivated to use them. Those are the conclusions of two new studies about the promise and perils of relying on fitness trackers to measure and guide how we move. The monitors, which are expected...
Patients who received tranexamic acid prior to total shoulder arthroplasty had a statistically significant reduction in blood loss and had shorter recovery room and hospital stays than controls, according to results. Researchers compared 106 patients undergoing primary anatomic or reverse total shoulder arthroplasty (TSA) who received a 20 mg/kg dose...
Exercise may be an effective treatment for depression and might even help prevent us from becoming depressed in the first place, according to three timely new studies. The studies pool outcomes from past research involving more than a million men and women and, taken together, strongly suggest that regular exercise...
Listening to music during a short, intense bout of exercise might change how you feel about hard workouts and encourage you to continue with the program in the future, according to a new study of intense interval training and how to make it more palatable. High-intensity interval training is a popular concept,...
Shoulder instability is most common in the young, athletic population, bringing a focus to how these injuries are best treated. Research presented today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting in Colorado Springs, CO, demonstrated that surgery after a first-time shoulder dislocation lowered the re-injury risks...
According to research presented here, Bankart repair following initial shoulder dislocation leads to improved patient outcomes. A retrospective chart review was conducted to determine patient demographics and quantity of reported preoperative dislocations, and to review imaging and the quantity of anchors placed. Patients were deemed recurrent dislocators if they had...
Getting back into the game is important for any athlete after a significant injury but shoulder injuries can be tricky, especially for football players. Researchers presenting their work today at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting in Colorado Springs, CO, note that surgical treatment for shoulder...
With the advancement of arthroscopic surgery in the repair of rotator cuff tears, the gold standard of open surgery has begun to be slowly replaced. However, the literature has shown similar results when comparing arthroscopic and open rotator cuff repair. The gold standard in our literature has always been the...
Patients with rotator cuff tears experience fatty infiltration increased percentages of most likely caused primarily by muscle atrophy and a single image slice did not capture 3-D muscle measurements, according to recently published data. Single-image assessments had no significant association with 3-D measurements of fatty infiltration for the supraspinatus and...
A large study of hand and shoulder surgeries performed at a freestanding, outpatient center found few complications — 0.2 percent in nearly 29,000 patients over an 11-year period. The study appears in the new issue of the Journal of Bone and Joint Surgery. Previous studies have documented the benefits of...
Although recently published results showed no dynamic superior humeral head migration among patients with well-compensated single or two-tendon rotator cuff tears, an unexpected inferior shift during active elevation was found. Researchers used a custom biplane fluoroscopy system to measure the 3-D position and orientation of the scapula and humerus of...
Rather than surgical factors, data presented here indicate patient preoperative condition is the most important factor in return to baseline function in the short-term period following anterior shoulder instability. Of the 278 patients who had complete preoperative and postoperative ROM and strength data available, 138 (50%) returned to baseline while...
Patients with impingement syndrome did well 20 years after their index arthroscopic subacromial decompression, including acromioplasty, resection of the coracoacromial ligament and coplaning, according to results. Researchers identified 95 patients with subacromial impingement syndrome with or without a rotator cuff tear and with or without calcific deposits who underwent arthroscopic...
Patients who underwent cementless short-stem shoulder arthroplasty experienced good functional and radiologic results at a minimum follow-up of 2 years, according to study results. Researchers evaluated 52 patients with uncemented short-stem shoulder arthroplasties and analyzed their radiographs for inclination of the stem, filling ratio of metaphysis and diaphysis, bone remodeling...
Treatment of patients with rotator cuff deficiency and arthritis in the setting of a prior glenohumeral infection (postinfectious arthropathy) is complex, with little evidence to guide treatment. Researchers case-matched 48 overhead-throwing athletes who underwent arthroscopic posterior capsulolabral reconstruction with 48 non-throwing athletes. They measured shoulder pain, function, return to sport...
Patients with a history of preoperative opioid use experienced significantly lower preoperative baseline and final outcome scores after total shoulder arthroplasty than patients who did not take opioids preoperatively, according to results. Researchers retrospectively compared data for 60 patients with a history of preoperative opioid use for shoulder pain who...
At 6-month follow-up, intra-articular injection, subacromial injection and hydrodilatation had similar clinical improvements in the treatment of primary frozen shoulder, with hydrodilatation showing more rapid improvement, according to results. Researchers randomly assigned 86 patients with primary frozen shoulder to undergo either intra-articular injection, subacromial injection or hydrodilatation. Researchers completed evaluations...
Full-thickness cuff tears were associated with the presence of an acromion spur, and a higher acromial index and critical shoulder angle. However, a higher acromial index and critical shoulder angle were not associated with partial tears, according to results. Based on sonographic examination, researchers categorized 166 patients who presented with...
Patients with a history of preoperative opioid use experienced significantly lower preoperative baseline and final outcome scores after total shoulder arthroplasty than patients who did not take opioids preoperatively, according to results. Researchers retrospectively compared data for 60 patients with a history of preoperative opioid use for shoulder pain who...
Recently published results showed no significant differences in clinical scores between patients with intact rotator cuff repairs or partial-thickness retears as stratified by the Sugaya MRI classification system at 16 weeks, according to results. At 16 weeks after arthroscopic supraspinatus repair, researchers evaluated 60 patients using the Oxford Shoulder Score,...
Results from this multicenter study indicated differences between the three types of reverse Hill-Sachs lesions may help predict defects that are more likely to re-engage, with the gamma angle seen as a predictor for re-engagement among the defect types. Researchers collected data for 99 patients with 102 cases of reverse...
A 55-year-old right-hand dominant chef with a history of depression and tobacco use presented to our clinic with worsening atraumatic left shoulder pain. Her symptoms began insidiously approximately 1 year prior to presentation, and had recently begun to limit her activities of daily living. She described a constant dull pain,...
While proximal humerus fractures remain common within the elderly population, the optimal treatment method remains controversial. Intramedullary nailing has been advocated as an effective and less invasive surgical technique. The purpose of this study is to elucidate the demographics, outcomes, and complications of intramedullary nailing for acute, displaced proximal humerus...
Subscapularis integrity following total shoulder arthroplasty (TSA) is important to maintaining glenohumeral joint stability and functional outcome. In recent years increased emphasis has been placed on the management of the subscapularis during TSA. Options for management of the subscapularis during TSA include tenotomy, release of the tendon from the bone...
Shoulder instability is a common injury in contact and collision athletes. While the acute management is relatively straight forward, the controversy arises when considering the risks associated with return to play in athletes. Shoulder instability encompasses a wide spectrum of injury from microinstability, through subluxations all the way to complete...
WAIKOLOA, Hawaii — At Orthopedics Today Hawaii 2016, Anthony A. Romeo, MD, spoke about innovations in the treatment for shoulder arthritis within the last 20 years. He explained the weakest area of shoulder arthroplasty is the glenoid. By better understanding the ideal placement location for the glenoid, glenosphere and base...
Diagnosis and treatment of superior labral anterior to posterior tears can sometimes be controversial and pose a difficult decision-making process. The first line of treatment for most SLAP tears is usually rehabilitation. If that is not successful, the next step is often operative intervention. Operative treatment of type I (superior...
A weekly routine of yoga and meditation may strengthen thinking skills and help to stave off aging-related mental decline, according to a new study of older adults with early signs of memory problems. Most of us past the age of 40 are aware that our minds and, in particular, memories...
Meditating before running could change the brain in ways that are more beneficial for mental health than practicing either of those activities alone, according to an interesting study of a new treatment program for people with depression. As many people know from experience, depression is characterized in part by an...
Nonsteroidal anti-inflammatory drugs, or Nsaids, such as ibuprofen, are commonly given to blunt the pain and inflammation of tendinitis. But most physicians now believe that tendinitis – the suffix “itis” means inflamed – is misnamed, since the condition may involve little or no inflammation. In recent years, scientists have examined...
Patients who were malnourished prior to total shoulder arthroplasty experienced a significantly increased risk for blood transfusion, longer hospital stay and death within 30 days of surgery, according to results of this retrospective database study. Using the American College of Surgeons National Surgical Quality Improvement Program database, researchers identified 4,655...
Although arthroscopic needling provided good clinical outcomes, recently published results showed a high rate of persistent rotator cuff defects 1 year after surgery. Researchers randomly assigned 20 patients with rotator cuff calcification to receive a perioperative platelet-rich plasma (PRP) infiltration at the rotator cuff defect and 20 patients to a...
Patients with atraumatic osteonecrosis of the humeral head experienced lasting pain relief and improved range of motion after undergoing either hemiarthroplasty or total shoulder arthroplasty, according to results. The study included 141 shoulder arthroplasties performed in patients with atraumatic osteonecrosis of the humeral head. Of these, investigators followed 67 hemiarthroplasties and 71...
The superior capsule reconstruction is a novel treatment option for massive, irreparable posterosuperior rotator cuff tears. Treatment goals of such tears are to reduce pain, restore shoulder function and delay the development of advanced cuff tear arthropathy. Current non-prosthetic treatment options include debridement and partial rotator cuff repair, bridging rotator...
Repairing massive rotator cuff tears is often a tricky proposition, especially for those who have failed prior surgery. Researchers presenting their work at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day today, discussed how a new arthroscopic procedure to treat large rotator cuff tears may help patients return...
While nonoperative management of proximal humerus fragility fractures remains the most common treatment among elderly patients, there has been an increase in shoulder arthroplasty for this population, according to results. Researchers obtained associated patient demographics, hospital data, and treatment and revision status for 259,506 proximal humerus fractures that occurred in...
Results of this study cited several patient risk factors, including older age, number of comorbidities and procedure type, linked with an increased risk of discharge to a post-acute care facility after total shoulder arthroplasty. Researchers analyzed the Nationwide Inpatient Sample discharge records from 2011 to 2012 for patients who underwent...
Researchers found treatment of patients with proximal humerus tumors using a reverse shoulder tumor prosthesis without the need for a proximal humeral allograft resulted in a stable shoulder joint and functionally satisfying results. Between 2012 and 2014, researchers retrospectively evaluated information for 10 patients with malignant proximal humerus tumors who...
Researchers at Universidad Carlos III de Madrid (UC3M) have developed a virtual reality system for motor rehabilitation of the shoulder. The prototype, which includes a built-in movement sensor, allows the user to do controlled exercises as part of a football game. The system is made up of software developed in...
Christopher S. Ahmad, MD, highlighted a discussion at Orthopedics Today Hawaii 2016 on treatment options for patients with shoulder instability conditions due to bone deficiency. He said one of the emerging treatment strategies is the Remplissage procedure as motion is preserved and the chances of patients having redislocation or failure...
A team from the Centre for Automation and Robotics (CAR, UPM-CSIC) has developed a robotic exoskeleton for efficient rehabilitation therapies for patients with shoulder injuries. By using strength and motion sensors, the system assesses the degree of an injury and its evolution as the treatment progresses. Additionally, the use of...
Results from this prospective, cross-sectional study demonstrated catastrophic thinking and lower self-efficacy were linked with more shoulder pain and disability among patients who presented with shoulder pain and had no history of shoulder surgery. Our data support the notion that patient-to-patient variation in symptom intensity and magnitude of disability is...
Calcific tendinitis of the shoulder, typically characterized by calcium deposits on the rotator cuff, is an extremely painful condition that can severely impair movement and life quality. A new study appearing in today’s issue of the Journal of Bone and Joint Surgery, found a significant increase in blood vessel and...
Compared with open repair, arthroscopic rotator cuff repair performed in a veteran population showed significantly lower rates of early postoperative complications and 30-day return to the OR. Researchers used the Veterans Administration Surgical Quality Improvement Program database to identify 6,975 open rotator cuff repairs and 2,918 arthroscopic cuff repairs performed...
The likelihood of shoulder injury and shoulder surgery was increased when professional baseball players had insufficient shoulder external rotation on the throwing side, according to study results. After initial passive range of motion examination, 17% of pitchers had 75 shoulder injuries that placed them on the disabled list. Overall, 7%...
Results from this study showed when the arm was at rest, scapular orientation was similar in healthy patients, patients with rotator cuff tears, and patients with both rotator cuff tears and subacromial impingement syndrome. However, when the arm was put in lateral elevation, patients with both rotator cuff tears and...
Using ultrasound speckle tracking imaging, researchers found subacromial impingement was linked with higher vertical displacement and peak strain of the coracoacromial ligament during forward flexion, horizontal abduction and internal rotation with the arm at 90° abduction. “It is recommended that patients with impingement syndrome or a repaired rotator cuff avoid...
Posterior glenohumeral instability is rare, accounting for approximately 5% of cases of shoulder instability. Although bone loss is implicated in most cases of recurrent anterior glenohumeral instability, the impact of glenoid bone loss on posterior instability is poorly understood. Specifically, the quantity of posterior glenoid bone loss that would prohibit...
This 5-year to 8-year follow-up study showed arthroscopic osseous Bankart repair is efficacious for patients with greater than 15% loss of the inferior glenoid diameter and can provide normalized glenoid morphology as well as low rates of dislocation. Investigators studied 46 patients with substantial glenoid bone loss who underwent arthroscopic...
Researchers of this study note that although the open Latarjet procedure provided significant improvement in clinical scores for patients with anterior shoulder instability and glenoid bone loss, 90.5% of patients showed graft resorption on CT at 1-year postoperatively. Investigators studied 63 patients who underwent open Latarjet procedures performed during a...
Results from a retrospective, multicenter study by French researchers that investigated treatment options for infection after reverse shoulder arthroplasty supported the use of debridement as a first-line treatment, but noted this option had a 54% healing rate. Researchers studied 32 patients who had reverse shoulder arthroplasty (RSA) and underwent reoperation...
(Reuters Health) – People with unhealthy blood cholesterol levels are more likely to have tendon pain or altered tendon structure, according to a new review. Cholesterol is essential for life, but too much in the blood increases the risk for cardiovascular disease and may also be linked to musculoskeletal problems,...
Aspirin could be used as an anti-inflammatory drug, bringing relief to the thousands who suffer with shoulder pain, Oxford University researchers have found. In n a study published in journal Science Translational Medicine, scientists from the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences looked at tendons taken from patients...
A drug approved to treat rheumatoid arthritis, tocilizumab (Actemra, Genentech), is a potential new therapy for patients with polymyalgia rheumatica, according to an open-label, phase II study presented at the annual meeting of the American College of Rheumatology/Association of Rheumatology Health Professionals on November 10. The inflammatory disorder impacts 1%...
Acromio-clavicular joint dislocation is one of the most common shoulder injuries orthopedic surgeons treat. Severe dislocations are often treated with surgery, but patients who opt for non-surgical treatment typically experience fewer complications and return to work sooner, according to new research published today in the Journal of Orthopaedic Trauma. The...
Athletes who suffer a shoulder instability injury may return to play more successfully after being treated arthroscopically compared to nonoperative treatment, say researchers presenting their work at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting. Our research highlights that collegiate collision athletes with in-season shoulder instability injuries are...
Recently published data indicated there was no significant difference with regard to shoulder dominance in the functional outcome and quality of life perception observed in proximal humeral fractures. Researchers retrospectively studied 179 patients with proximal humeral fractures (PHFs). Fractures were pided into two groups based on whether they occurred in...
After one competitive baseball season, the blood flow of pitchers significantly decreased when in a provocative shoulder position, according to researchers’ findings. The researchers collected measurements of 20 professional baseball pitchers and 16 position players on day 1 of two consecutive spring training seasons. The researchers also used diagnostic ultrasound...
KATOR announced it has received FDA 510(k) clearance for the KATOR Suture Anchor System. The Suture Anchor System is a new form of tissue-to-bone reattachment. This system allows for knotless fixation with suture anchors and can independently tension each of the high-strength sutures. KATOR suture anchors used with repair constructs...
While multidirectional instability of the shoulder (MDI) has been traditionally treated without surgery, research presented at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting in Orlando, FL, shows surgery is also effective for this type of dislocation. We examined 41 athletes who received arthroscopic surgery for MDI, and...
Outcomes following the arthroscopic repair of rotator cuff tears in older athletes appears to be successful a majority of the time, according to research presented July 11 at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Annual Meeting in Orlando, Florida. Seventy-seven percent of our patients who had an arthroscopic...
The love of America’s pastime might lead many young players to play as often and as hard as they can, sometimes for multiple teams. However, that might increase these players’ risk of getting hurt. A new study looked at common injuries among young baseball pitchers and found that height, pitch...
Early surgery may not be the best treatment option for patients with Type V AC joint injuries, according to new research. Medical researchers showed military personnel returned to duty faster when surgery was not performed. Our study compared results for 170 patients who received rotator cuff surgery with 25 who...
Delaying rotator cuff surgery on patients with shoulder stiffness may not be necessary, according to research presented at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day. Our study compared results for 170 patients who received rotator cuff surgery with 25 who underwent an additional glenohumeral joint capsule release...
When dealing with torn shoulder tendons, surgery may be the best option to lessen pain and improve function. Although doctors must consider several factors before recommending surgery, relieving shoulder stiffness can be part of the solution rather than the problem. Source: Daily Rx Read more
Conservative treatment of type V acromioclavicular dislocations demonstrated successful outcomes in many patients, and average time before return to duty did not improve with immediate vs. delayed surgery, according to a presentation made during the American Academy of Orthopedic Surgeons Annual Meeting. Researchers retrospectively reviewed the medical records of 41...
Surgical procedures for rotator cuff repair can be difficult and time consuming to perform and may be associated with a steep learning curve. According to some shoulder surgeons, the trend today is toward arthroscopic techniques for rotator cuff repair and away from mini-open and open procedures. Despite the approach used,...
Among patients with a displaced fracture in the upper arm near the shoulder (proximal humeral), there was no significant difference between surgical treatment and nonsurgical treatment in patient-reported outcomes over two years following the fracture, results that do not support the trend of increased surgery for patients with this type...
Prompt and appropriate treatment of a dislocated shoulder — when the head of the upper arm bone is completely knocked out of the shoulder socket — can minimize risk for future dislocations as well as the effects of related bone, muscle and nerve injuries, according to a literature review. The...
Among patients who underwent total shoulder arthroplasty, those who were obese experienced longer hospital stays, an increased risk of postoperative respiratory complications and higher costs, according to study results. Using the Nationwide Inpatient Sample, researchers retrospectively analyzed 31,924 patients who underwent total shoulder arthroplasty (TSA) between 1998 and 2008. The...
Results of treating shoulder pain in baseball pitchers and other throwing athletes are not as predictable as doctors, patients and coaches would like to think, according to a report in the journal Physical Medicine and Rehabilitation Clinics of North America. Source: Medical News Today Read more
Conservative treatment of type V acromioclavicular dislocations demonstrated successful outcomes in many patients, and average time before return to duty did not improve with immediate vs. delayed surgery, according to a presentation made during the American Academy of Orthopedic Surgeons Annual Meeting. Pitching speed, player’s height, and pitching for multiple...