Blog

  • Should Hemiarthroplasty Be the Index Procedure in Younger Patients with Shoulder Pathology?

    Source: ICJR

    Dr. Timothy Reish and Dr. Hunter Hamilton comment on a recently published study on revision of failed hemiarthroplasty to anatomic total shoulder arthroplasty, making the case that hemiarthroplasty may actually be more beneficial than shoulder replacement as the first surgery in a younger patient population.

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  • Tips for Diagnosing Shoulder Instability and Its Direction

    Source: ICJR

    Shoulder instability affects about 2% of the population, primarily as anterior shoulder instability caused by traumatic injury. Recurrent instability depends on age and activity level, with young individuals, males, and individuals who participate in contact sports at higher risk for recurrence.

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  • Nonacute Treatment of Elbow Fracture with Persistent Ulnohumeral Dislocation or Subluxation

    Source: The Journal of Bone & Joint Surgery

    • There are patterns of traumatic elbow instability that help a surgeon to anticipate which structures are injured.
    • Patients treated for persistent subluxation or dislocation of the elbow more than two weeks after injury regain less motion and experience more adverse events.
    • The primary goal of treatment is stable reduction of the ulnohumeral joint and functional elbow motion.
    • Motion and pain are affected by contracture and scarring of the soft tissues, malalignment of the joint, fracture malunion, damage to the articular surface, and ulnar neuropathy.

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  • The Biceps Tendon: From Proximal to Distal

    Source: The Journal of Bone & Joint Surgery

    The function of the long head of the biceps tendon (LHB) in shoulder glenohumeral biomechanics is unclear. However, there is agreement that the biceps can develop tendinopathy resulting in pain over the anterior aspect of the shoulder, specifically in the bicipital groove1,2. With recent advancements in arthroscopy and more detailed imaging, selection of appropriate management for proximal biceps disorders is important.

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  • Lack of Benefit of Physical Therapy on Function Following Supracondylar Humeral Fracture

    Source: The Journal of Bone & Joint Surgery

    Methods

    The study included sixty-one patients from five to twelve years of age with a supracondylar humeral fracture that was treated with casting or with closed reduction and pinning followed by casting. Patients were randomized to receive either no further treatment (no-PT group) or six sessions of a standardized hospital-based physical therapy program (PT group).

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