Assessing the hospital volume–outcome relationship in total elbow arthroplasty
Total elbow arthroplasty (TEA) is an effective intervention for multiple elbow disorders including complex fracture in elderly patients, post-traumatic arthropathy, inflammatory arthropathy, and distal humeral nonunion. Given its known therapeutic value and low utilization rate, an investigation into the thresholds for TEA institutional volume–outcome relationships is warranted. The purpose of this study was to identify TEA volume thresholds that serve as predictors of institutional outcomes including complications, readmissions, revisions, cost of care, length of stay (LOS), and non-home discharge. We hypothesized that increased institutional volume would be associated with decreased 90-day adverse outcomes and resource utilization.
Clinical and Functional Outcomes by Graft Type in Superior Capsular Reconstruction
In recent years, superior capsular reconstruction (SCR) has emerged as a promising treatment for massive rotator cuff tears and has been performed with an array of graft options, most commonly dermal allograft and tensor fascia lata (TFL) autograft.
In Older Adults with 3- or 4-Part Dislocated Proximal Humeral Fractures, Reverse Shoulder Arthroplasty Improved Anterior Elevation and Constant Score, but Not DASH Scores, Quality of Life, or Radiographic Outcomes Compared with Hemiarthroplasty
In older adults with dislocated 3- or 4-part proximal humeral fractures, what are the effects of reverse shoulder arthroplasty (RSA) compared with hemiarthroplasty (HA) on range of motion and function?
Orthopaedic Application of Cryotherapy: A Comprehensive Review of the History, Basic Science, Methods, and Clinical Effectiveness
Abstract: Cold therapy, also known as cryotherapy, includes the use of baggedice, ice packs, compressive cryotherapy devices, or whole-bodycryotherapy chambers. Cryotherapy is commonly used in postopera-tive care for both arthroscopic and open orthopaedic procedures.
National Trends in the Surgical Treatment of Chronic Rotator Cuff Tear in Patients Without Arthritis
Abstract: Both rotator cuff repair (RCR) and reverse total shoulder arthroplasty (RTSA) are effective treatment options for chronic large degenerative rotator cuff tears (RCTs) in the elderly. The goal of this study was to evaluate national trends for surgical management of chronic RCT among patients without glenohu-meral arthritis. The authors conducted a retrospective review from 2007 to 2015 using the PearlDiver database. The study included patients who had the International Classification of Diseases, Ninth Revision, diagnosis of chronic RCT without shoulder arthritis.
A team approach in the diagnosis and management of facioscapulohumeral muscular dystrophy: a case report
Case Report: A 13-year-old right handedominant girl, accompanied by her mother, initially presented to the orthopedic hand clinic for evaluation of chronic progressive weakness in her right long finger while typing and playing the piano. She reported a history of vague injury to her finger after a fall on the ground 4 years back. On further inquisition, she also reported nonspecific weakness in her right shoulder with difficulty lifting her arm above eye level and reaching for objects on a shelf. In addition, her mother noted a remote history of viral meningitis at the age of 14 weeks.
Increased Risk of Humeral Fracture With Open Versus Arthroscopic Tenodesis of the Long Head of the Biceps Brachii
Purpose: To determine the risk of postoperative humeral fracture following tenotomy, open tenodesis and arthroscopic tenodesis of the long head of the biceps brachii.
Giant cell tumor formation due to metallosis after open latarjet and partial shoulder resurfacing
Abstract: Shoulder metallosis with giant cell tumor formation is rarely seen in shoulder surgery. With an increase in shoulder arthroplasty and complex revision shoulder surgeries, clinicians should have an index of suspicion for possible metallosis in patients that presents with unexplained persistent pain with metal components on both the glenoid and humeral side. This case describes a 43-yearold female with a history of six prior shoulder surgeries who presented wit shoulder metallosis and giant cell tumor formation after a screw from her open Latarjet procedure began rubbing against her Hemicap implant. She successfully underwent a revision total shoulder arthroplasty for post traumatic arthritis with pectoralis major transfer for her chronic subscapularis rupture and had complete symptom resolution.
Fractures of the Coracoid Process: Evaluation, Management, and Outcomes
Abstract: Fractures of the coracoid process are relatively rare, and current management guidelines remain unclear. Most coracoid fractures occur in conjunction with other shoulder injuries, including dislocations and fractures. Identifying coracoid fractures can be difficult because most fractures are nondisplaced and can be missed on radiographs or may be masked by other injuries.
Demographics and Distal Tibial Dimensions of Suitable Distal Tibial Allografts for Glenoid Reconstruction
To evaluate whether characteristics such as age, height, weight, sex, or body mass index affected the distal tibial dimensions and radius of curvature (ROC) of a potential donor for anterior glenoid augmentation. Methods: A retrospective review of magnetic resonance imaging of ankles without bony trauma was performed, and the anteroposterior (AP) and medial-lateral (ML) distances and ROC of the tibial plafond articular surface were measured. Demographic characteristics, including age, sex, height, weight, and body mass index, were recorded.