Abstract：
:The aim of this study was to evaluate the evolution of intraarticular disease in posttraumatic shoulder instability. Ninety-one patients with posttraumatic shoulder instability were examined arthroscopically. The intraarticular disease was recorded on a special documentation sheet (containing 67 descriptive items). The patients were divided into 5 subgroups: first-time dislocation (n = 9); first or second recurrence (n = 12); 3 to 5 recurrences (n = 23); 6 or more recurrences (n = 32); and chronic subluxations (n = 15). All data were examined statistically. Each lesion was correlated with stage of evolution, age, and number of recurrences. The most frequent lesions were regrouped into "lesion families." The initial and most constant lesion was the periosteal disinsertion of the anteroinferior labrum (single lesion). The labral detachment was succeeded in a second stage by the disinsertion of the glenohumeral ligament complex (double lesion). With additional recurrences, stress mechanisms altered the detached structures through tissue damage (triple lesion). The fourth stage saw the extension of the degenerative process, which led to failure at the insertion site and destruction of the labrum-ligament complex (quadruple lesion). This study reveals that recurrences progressively damage stabilizing structures. A pathophysiological classification into 4 stages is proposed, however, that would permit a precise therapeutic strategy for arthroscopic shoulder stabilization.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Habermeyer P,Gleyze P,Rickert Mdoi
10.1016/s1058-2746(99)90058-7keywords:
subject
Has Abstractpub_date
1999-01-01 00:00:00pages
66-74issue
1eissn
1058-2746issn
1532-6500pii
S1058-2746(99)90058-7journal_volume
8pub_type
临床试验,杂志文章abstract：:Two cases of long thoracic nerve palsy associated with thoracic outlet syndrome are reported. Both patients had abnormal posture, with low-set shoulders and winged scapulae. Clinically there was weakness of the serratus anterior muscle with partial denervotion on electromyography. The diagnosis of thoracic outlet synd...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80005-0
更新日期：1994-01-01 00:00:00
abstract：HYPOTHESIS:Triceps tendon anatomy is important for surgical approaches to the elbow and tendon repair. The purpose of this study is to describe both the qualitative and quantitative anatomy of the triceps brachii tendon insertion. MATERIALS AND METHODS:Thirty-six elbows were dissected from twenty-three cadavers. Dimen...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.10.008
更新日期：2010-04-01 00:00:00
abstract：:Glenoid component loosening is the most common early mode of failure of total shoulder arthroplasty (TSA) We hypothesised that the use of a pegged glenoid component with a modern glenoid reaming system and an instrumented cement pressurization technique would achieve a low prevalence of early radiolucent lines. Of 81 ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jse.2008.01.147
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Magnetic resonance imaging (MRI) arthrography has been considered the gold standard for imaging ulnar collateral ligament (UCL) injuries. No classification system has been described for UCL tears to help discuss and guide treatment options. We propose that an MRI-based UCL classification system would correla...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.05.006
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND:While many injuries to the rotator cuff in professional baseball players can be managed nonoperatively, recovery fails to occur with nonoperative treatment in some players and surgery on the rotator cuff is performed in an attempt to return to sport (RTS). METHODS:All professional baseball players who under...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.01.029
更新日期：2019-12-01 00:00:00
abstract：:The aim of this study was to investigate tendon integrity after surgical repair of single-tendon rotator cuff lesions. In 31 patients, 31 single-tendon repairs were evaluated. Thirty-one patients were available for clinical assessment and magnetic resonance imaging (MRI) at follow-up. A standard series of MR images wa...
journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s1058-2746(99)90136-2
更新日期：1999-05-01 00:00:00
abstract：:There are few reports in the literature on the effect of orthopaedic implants on airport security devices and none on shoulder arthroplasty implants after September 11, 2001. Since 9/11, airport security screening devices have become more sensitive in response to the increasing threat of terrorism. Often, patients wit...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.10.016
更新日期：2007-07-01 00:00:00
abstract：BACKGROUND/HYPOTHESIS:Open reduction and internal fixation (ORIF) using locked plating has demonstrated promise in the treatment of displaced proximal humerus fractures. The purpose of this article is to describe the surgical technique and to report early clinical results with this technique. METHODS:Important surgica...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2010.01.001
更新日期：2010-03-01 00:00:00
abstract：:The coracoclavicular ligaments vary widely in morphology and anatomic descriptions. Few authors have adequately described the coracoclavicular ligaments' anatomy, and a number of discrepancies exist in the anatomy literature. This study examines the complex anatomy of the coracoclavicular ligaments and their relations...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.118480
更新日期：2001-11-01 00:00:00
abstract：BACKGROUND:This study investigated the histopathology of the long head of biceps (LHB) tendon and correlated the findings with the macroscopic appearances of the LHB and the size of rotator cuff tears (RCTs) in patients with chronic RCTs. METHODS:We compared biopsy specimens from LHBs in 34 patients with chronic RCTs ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.11.013
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:This study reports the outcomes of reverse shoulder arthroplasty (RSA) in patients younger than 55 years with midterm to long-term follow-up. METHODS:Sixty-seven patients (average age, 47.9 years; range, 21-54 years) were identified who underwent RSA with an average 62.3 months of follow-up (24-144 months)....
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.09.051
更新日期：2017-05-01 00:00:00
abstract：:Radiographic bone loss and clinical outcome were evaluated at a median of 6 years after interposition arthroplasty was performed in 35 elbows with rheumatoid arthritis. Seven early postoperative complications, two major and five minor, occurred. Three elbows subsequently required total elbow replacement. Clinical resu...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(96)80001-2
更新日期：1996-03-01 00:00:00
abstract：:Whenever indicated, distal clavicle fractures can be treated with a double loop of a nonabsorbable, #5 suture around the clavicle and under the coracoid. We developed an all arthroscopic technique to perform this procedure. From January to September 2004, 7 patients were treated. The mean age was 46 years. The coracoi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.08.011
更新日期：2008-05-01 00:00:00
abstract：HYPOTHESIS/BACKGROUND:Evaluate the accuracy for shoulder magnetic resonance imaging (MRI) interpretations of typical community radiologists and compare this to selected fellowship trained musculoskeletal radiologists. METHODS:The MRIs of 104 shoulders of 100 consecutive different patients who had undergone shoulder ar...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2011.01.003
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:The management of a failed shoulder arthroplasty represents a complex and difficult problem for the treating surgeon, with potential difficulties and complications that are related to the need to remove a well-fixed stem. The aim of this study is to compare the intraoperative complications, postoperative com...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.10.007
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:Although the effect of 3-dimensional (3D) planning for total shoulder arthroplasty (TSA) on component positioning and patient outcomes has been increasingly studied, the effect of 3D planning on surgeon decision making has not been well studied. METHODS:A retrospective review was performed of a database con...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.06.032
更新日期：2020-07-07 00:00:00
abstract：BACKGROUND:Previous studies have reported that glenohumeral internal rotation deficit (GIRD) may increase the risk of shoulder injury. However, the effects of GIRD on baseball pitching among pitchers of different age groups are still unclear. METHODS:The study participants were 24 high school and 24 university pitcher...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.09.001
更新日期：2018-04-01 00:00:00
abstract：:The introduction of the reverse shoulder arthroplasty has provided shoulder surgeons with more options for the treatment of complex proximal humeral fractures in the elderly. Early reported results suggest that the average functional outcome may be better than hemiarthroplasty in certain patients and specific clinical...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2013.10.003
更新日期：2014-02-01 00:00:00
abstract：:The incidence of primary and secondary bicipital tendinitis remains unknown. In our prospective study, 200 consecutive shoulders underwent arthroscopic subacromial decompression for impingement syndrome. A biceps tenodesis was performed in 80 shoulders (40%) featuring macroscopic degeneration of the long head of the b...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2000.108386
更新日期：2000-09-01 00:00:00
abstract：:As a less invasive surgery of the shoulder, the mini-open repair was carried out from March 1997 through December 1998 in 22 patients (mini-open repair group) for all types of rotator cuff tears, except massive tears. A transacromial skin incision about 3 cm long was made. The anterior deltoid was split along its musc...
journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章
doi：10.1067/mse.2001.110514
更新日期：2001-01-01 00:00:00
abstract：BACKGROUND:Bone mineral density measurements with dual-energy x-ray absorptiometry (DXA) are commonly used to diagnose osteoporosis and assess fracture risk. This study describes the association between radiographic measures of proximal humeral cortical bone thickness and bone mineral density measured by DXA. The study...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.08.018
更新日期：2013-06-01 00:00:00
abstract：:The purpose of this study was to evaluate the results of an anatomic open stabilization procedure. Twenty-three consecutive patients with traumatic, recurrent, anterior glenohumeral instability were managed with a modified open procedure. All had a Bankart lesion. A standardized, true anatomic capsulolabral reconstruc...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2003.09.006
更新日期：2004-01-01 00:00:00
abstract：:One hundred twenty-seven shoulders treated with replacement arthroplasty for osteonecrosis of the humeral head were reviewed and assessed by mailed questionnaire for results, durability, and complications. These included 71 humeral head replacements and 56 total shoulder replacements. Thirty-six shoulders were lost to...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：:Using a patient-oriented outcome questionnaire, in addition to standard outcome measures, we sought to determine the outcome of patients who had repair of a complete rupture of the distal biceps tendon via a single anterior incision technique with suture anchors. We identified 62 patients who were treated operatively ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2004.09.007
更新日期：2005-05-01 00:00:00
abstract：BACKGROUND:Glenoid replacement is challenging due to the difficult joint exposure and visualization of anatomical reference landmarks. Improper positioning of the glenoid component or inadequate correction of the retroversion using currently available instrumentation may lead to early failure. The objective of this stu...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jse.2009.02.022
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:Scapular notching is a well-documented complication of reverse shoulder arthroplasty. The effect of scapular notching on glenoid fixation is unknown. MATERIALS AND METHODS:This study dynamically evaluated reverse shoulder glenoid baseplate fixation and assessed the effect of scapular notching on fixation in...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.10.035
更新日期：2013-07-01 00:00:00
abstract：:The Oxford shoulder scores (OSS) and Constant scores were collected prospectively for 103 patients treated conservatively for proximal humeral fractures. The paired scores were analyzed by assessing the degree of correlation, the agreement between the scores, and their sensitivity to change. Linear regression analysis...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.04.019
更新日期：2008-01-01 00:00:00
abstract：:Articular-surface partial-thickness rotator cuff tears play a significant role in shoulder pathology, but the role of the articular-surface tissue is poorly understood. This investigation assessed the effect of an articular-surface partial-thickness rotator cuff tear on intratendinous strain fields. A magnetic resonan...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.126767
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:The global spread of the 2019 novel coronavirus (COVID-19) has profoundly affected the way we conduct our health care practices. The goal of this paper is to report the outcomes of 11 patients who underwent humeral fracture surgery in the first few weeks of the COVID-19 outbreak in Spain. METHODS:This was a...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.06.001
更新日期：2020-08-01 00:00:00
abstract：:The purpose of this study was to add critical information to the data already available on anthropometry of the proximal humerus. Two hundred macerated humeri were examined. Measurements were taken either directly on the bones or on standardized radiographic projections. The methodology was validated and showed a mean...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.124429
更新日期：2002-07-01 00:00:00
