Shoulder Research
Latissimus Dorsi Tendon Transfer With Acromial Osteotomy for Massive Irreparable Rotator Cuff Tear
Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an...
Regional Variations of Medicare Physician Payments for Hand Surgery Procedures in the United States
Background: Medicare reimbursement is known to exhibit geographic variation for inpatient orthopedic procedures. This study determined whether US geographic variations also exist for commonly performed hand surgeries. Methods: Using the Medicare Provider Utilization and Payment Data (2012-2013) from Centers for...
Management of Complex Anterior Shoulder Instability: a Case-Based Approach
Purpose of the review: The goal of this review is to provide a guide on surgical decision-making options for complex anterior shoulder instability using a case-based approach. Recent findings: Arthroscopic Bankart repair is well documented for having successful outcomes in patients with isolated labral tear involvement with...
Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability
Purpose of review: The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. Recent findings: The current literature evidence for shoulder rehabilitation for anterior shoulder instability and ...
Acute Versus Delayed Magnetic Resonance Imaging and Associated Abnormalities in Traumatic Anterior Shoulder Dislocations
Objectives Delayed management of patients with shoulder instability may increase the prevalence and severity of concomitant intra-articular shoulder injuries resulting from persistent instability. We hypothesize that patients with a longer delay from an initial dislocation event to MRI demonstrate a greater degree of intra-articular...
Radiographic Evaluation of Patients with Anterior Shoulder Instability
Purpose of review: Injuries to the labrum, joint capsule (in particular the inferior glenohumeral ligament), cartilage, and glenoid periosteum are associated with anterior shoulder instability. The goal of this review is to provide common radiographic images and findings in patients with anterior shoulder instability. Furthermore, we...
Pectoralis Major Muscle Transfer With the Sternal Head and Hamstring Autograft for Scapular Winging
Medial scapular winging is often due to dysfunction of the serratus anterior muscle as a result of injury to the long thoracic nerve. Impairment of the serratus anterior muscle may cause uncoordinated scapulohumeral rhythm during shoulder elevation and subsequent subscapular or shoulder pain, subacromial impingement...
Acute Versus Delayed MRI Imaging and Associated Pathology in Traumatic Shoulder Dislocations
Objectives Delayed management of patients with shoulder instability may increase the prevalence and severity of concomitant intra-articular shoulder injuries resulting from persistent instability. We hypothesize that patients with a longer delay from an initial dislocation event to MRI demonstrate a greater degree of intra-articular...
A Simple, All-Arthroscopic, Knotless Suture Lasso Loop Technique for Suprapectoral Biceps Tenodesis
A variety of pathology of the long head of the biceps tendon can contribute to anterior shoulder pain in adults that can be managed with either arthroscopic tenotomy or tenodesis when conservative treatment fails. Biceps deformity or the Popeye sign is a major concern in patients after tenotomy. Biceps tenodesis can be performed...
All-Arthroscopic Coracoclavicular Ligament Reconstruction Surgical Technique Using a Semitendinosus Allograft and Tenodesis Screws
Acromioclavicular joint injuries account for 9% of shoulder girdle injuries and are most often associated with direct blows to the shoulder or axially directed forces onto the ipsilateral extremity. Type IV, V, and VI injuries are generally managed surgically, whereas type I and II injuries are treated with sling immobilization, early shoulder...
