Shoulder Research
Insurance status affects postoperative morbidity and complication rate after shoulder arthroplasty
Background: Shoulder arthroplasty is an effective procedure for managing patients with shoulder pain secondary to end-stage arthritis. Insurance status has been shown to be a predictor of patient morbidity and mortality. The current study evaluated the effect of patient insurance status on perioperative outcomes after shoulder...
Eden-Hybinette and Pectoralis Major Transfer for Recurrent Shoulder Instability Due to Failed Latarjet and Chronic Subscapularis Rupture
Shoulder dislocations are a common injury, with anterior shoulder dislocation among male patients being the most common presentation. A patient with recurrent shoulder instability, anterior-superior escape, and chronic subscapularis tendon rupture following multiple shoulder stabilization surgeries presents the surgeon with a...
Patients recall worse preoperative pain after shoulder arthroplasty than originally reported: A study of recall accuracy using the American Shoulder and Elbow Surgeons score
Background: Patient-reported outcome measures (PROMs) are valuable tools for quantifying outcomes of orthopedic surgery. However, when baseline scores are not obtained, there is considerable controversy about whether PROMs can be administered retrospectively for patients to recall their preoperative state. We...
Magnetic resonance imaging is comparable to computed tomography for determination of glenoid version but does not accurately distinguish between Walch B2 and C classifications
Background: Computed tomography (CT) scan is the standard for the preoperative assessment of glenoid version and morphology before total shoulder arthroplasty. However, the capacity of magnetic resonance imaging (MRI) to visualize bone morphology has improved with advancing technology. The purpose of this study ...
Regional Variation of Medicare Payments for Hand Surgery Procedures in the United States
Background: Medicare reimbursement payments for inpatient orthopedic surgeries, such as total joint arthroplasty and spinal fusion, have been shown to exhibit geographic variation. We seek to evaluate whether similar geographic variations exist in Medicare reimbursement payments for outpatient hand surgeries.
Dislocation of the Upper Extremity: Diagnosis and Management
Shoulder dislocations are common and account for 50% of all joint dislocations.l Elbow dislocations are the second most prevalent major joint dislocation in adults. Effective treatment of these injuries requires a thorough understanding of the anatomy and imaging techniques as well as how to safely and effectively perform timely reductions.
Critical Findings on Magnetic Resonance Arthrograms in Posterior Shoulder Instability Compared With an Age-Matched Controlled Cohort
Background: Posterior shoulder instability is less common and potentially more difficult to diagnose clinically and radiographically compared with anterior shoulder instability. Radiographic findings including posterior labral tears, increased retroversion, presence of glenoid dysplasia, and increased capsular area are associated with...
The risk of nerve injury during anatomical and reverse total shoulder arthroplasty: An intraoperative neuromonitoring study
Background: This study compared the incidence and pattern of potential nerve injuries between reverse shoulder (RSA) and total shoulder arthroplasty (TSA) using intraoperative neuromonitoring. Our hypothesis was that RSA has a greater risk of nerve injury than TSA due to arm lengthening. Methods: We reviewed 36 consecutive...
Critical Findings on MR-Arthrogram in Posterior Shoulder Instability Compared to an Age-Matched Controlled Cohort
Introduction: Hill-Sachs reduction represents a potential alternative treatment method to remplissage. The purpose of this study is to biomechanically compare the stabilizing effects of a Hills-Sachs reduction technique and remplissage procedure, in a complex instability model.
Glenoid Dysplasia: Pathophysiology, Diagnosis, and Management
Subtle forms of glenoid dysplasia may be more common than previously thought and likely predispose some patients to symptomatic posterior shoulder instability. Severe glenoid dysplasia is a rare condition with characteristic radiographic findings involving the posteroinferior aspect of the glenoid that often remains...
