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  • Management of Neglected Bennett Fracture in Manual Laborers by Tension Fixation

    Source: Journal of Hand Surgery

    Methods

    In this prospective series, we treated 10 male manual laborers (mean age, 30 y; range, 20–44 y) with Bennett fractures diagnosed after a minimum of 12 weeks (mean, 16 wk; range, 12–18 wk). ORIF using 2 K-wires with a wire loop and a neutralizing transarticular K-wire was performed with direct articular visualization. Patients were evaluated for range of motion, grip strength, and pinch strength, and a visual analog scale score rated pain before surgery and 12 months later.

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  • Reverse shoulder arthroplasty for malignant tumors of proximal humerus

    Source: Journal of Shoulder and Elbow Surgery

    Reverse shoulder arthroplasty (RSA) provides an alternative for shoulder girdle reconstruction after wide transarticular resection of the proximal humerus for malignant tumor. The aim of this study was to evaluate midterm outcomes of this therapeutic option.

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  • Patient age is a factor in early outcomes after shoulder arthroplasty

    Source: Journal of Shoulder and Elbow Surgery

    Elderly and young patients alike are undergoing shoulder replacement at increased rates. In an era of outcomes reporting, risk adjustment, and cost containment, identifying patients likely to have adverse events is increasingly important. Our objective was to determine whether patient age is independently associated with postoperative in-hospital complications or increased hospital charges after shoulder arthroplasty.

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  • Do stingers affect scapular kinematics in rugby players?

    Source: Journal of Shoulder and Elbow Surgery

    Scapular dyskinesis is observed in subjects with pathologic conditions of the shoulder; however, there is limited information about the factors related to scapular dyskinesis among participants in rugby. The purpose of this study was to investigate the incidence, reliability, and relationships between scapular dyskinesis and variables related to the shoulder in high-school rugby players.

    e years). Survivorship of total elbow arthroplasty was estimated with use of the Kaplan-Meier method.

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  • Total Elbow Arthroplasty in Obese Patients

    Source: The Journal of Bone & Joint Surgery


    The prevalence of obesity in the United States has increased in recent decades. The aim of this study was to evaluate the influence of obesity in patients undergoing primary total elbow arthroplasty.

    From 1987 to 2006, 723 primary semiconstrained, linked total elbow arthroplasties were performed in 654 patients. The average patient age (and standard deviation) at the time of surgery was 62.3 ± 13.7 years, with 550 total elbow arthroplasties (76%) performed in women. Total elbow arthroplasties were used to treat inflammatory conditions in patients undergoing 378 total elbow arthroplasties (52%) and to treat acute traumatic or posttraumatic conditions in patients undergoing 310 total elbow arthroplasties (43%). Patients were classified as non-obese (having a body mass index of <30 kg/m2) in 564 total elbow arthroplasties (78%) and as obese (having a body mass index of ≥30 kg/m2) in 159 total elbow arthroplasties (22%). The median duration of follow-up was 5.8 years (range, zero to twenty-five years). Survivorship of total elbow arthroplasty was estimated with use of the Kaplan-Meier method.

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