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 follow-up because of death of the patient; an additional 3 shoulders were locking survey follow-up. Thus current follow-up was available for 88 shoulders. At an average follow-up of 8.9 years, subjective improvement was expressed for 70 (79.5%) of the shoulders and no to occasional moderate pain for 68 (77.3%). The mean American Shoulder and Elbow Surgeon score was 63, and the median was 68. Inferior results in American Shoulder and Elbow Surgeon score and range of motion were noted in post-traumatic osteonecrosis, and superior results were noted in steroid-induced osteonecrosis. Little difference was found between humeral head replacement and total shoulder replacement. The most common postoperative complication was rotator cuff tearing, found in 23 (18.1%) of 127 shoulders. This complication was more common in shoulders with a history of any surgery. The cause of osteonecrosis and previous treatment have important implications for the results of shoulder replacement for this disease.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Hattrup SJ,Cofield RHkeywords:
subject
Has Abstractpub_date
2000-05-01 00:00:00pages
177-82issue
3eissn
1058-2746issn
1532-6500pii
S105827460052833Xjournal_volume
9pub_type
杂志文章abstract：BACKGROUND:Total elbow arthroplasty (TEA) can be complicated by periprosthetic joint infection (PJI) with potentially catastrophic failure. The purpose of this study was to describe the results of elbow PJI treatment at a tertiary-care referral center. METHODS:An institutional TEA database was queried for infection an...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.05.035
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:Surgical stabilization of the sternoclavicular joint (SCJ) is infrequent, and cardiothoracic surgery assistance is often recommended. Patient safety and surgeon efficiency may be improved by greater understanding of the anatomic relationships near the SCJ. The purpose of this study is to determine the distan...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.10.037
更新日期：2013-07-01 00:00:00
abstract：:An anterior glenoid labrum reconstruction in conjunction with a modified anterior-inferior capsular shift is described and was performed in 64 patients (69 shoulders) with traumatic anterior or anterior-inferior glenohumeral instability. Sixty-three operations were performed for recurrent dislocation and six for recur...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/1058-2746(93)90076-S
更新日期：1993-11-01 00:00:00
abstract：BACKGROUND:Large glenoid bone defects in the setting of glenohumeral arthritis can present a challenge to the shoulder arthroplasty surgeon. The results of large structural autografting at the time of reverse total shoulder arthroplasty (RTSA) are relatively unknown. METHODS:This retrospective case series describes th...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.07.010
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND/HYPOTHESIS:Muscular fatty infiltration (FI) represents an important prognostic factor in rotator cuff repair. The goal of this study was to analyze the natural history of infraspinatus FI in rotator cuff tears to determine the timing of the appearance and the speed of progression of this phenomenon. METHOD:...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.12.002
更新日期：2010-07-01 00:00:00
abstract：HYPOTHESIS/BACKGROUND:Patients who are treated with reverse shoulder arthroplasty in the setting of proximal humeral bone loss present a technical challenge for humeral component fixation. The purpose of this study was to determine the effect of proximal humeral bone loss on fixation of reverse shoulder humeral implant...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2010.10.026
更新日期：2011-06-01 00:00:00
abstract：:This study presents the results of a new surgical technique, resection of the medial end of the clavicle and interposition of the sternal head of the sternocleidomastoid muscle, that was used for the treatment of 17 painful sternoclavicular (SC) joints, 14 of which were available for review. The etiology of the pain w...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.04.005
更新日期：2006-01-01 00:00:00
abstract：:Large rotator cuff tears represent a challenging problem. The purpose of our study was to evaluate the small intestinal submucosa (SIS) extracellular matrix in reconstruction of such defects in an animal model. Forty rats were equally divided into an SIS group (reconstruction of a large supraspinatus tendon defect by ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.06.007
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND:Defining a simple and reliable classification for acromial and bursal impingement lesions is necessary to standardize terminology, to improve communication, and to allow better evaluation of the proper treatment of impingement lesions and rotator cuff tears. The purpose of this study was to assess orthopedic...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.07.018
更新日期：2017-12-01 00:00:00
abstract：BACKGROUND:Sensory innervation to the shoulder provided by the distal suprascapular nerve (dSSN) remains the subject of debate. The purpose of this study was to establish consensus with respect to the anatomic features of the sensory branches of the dSSN. The relevant hypothesis was that the dSSN would give off 3 senso...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.02.016
更新日期：2019-09-01 00:00:00
abstract：:The COVID-19 pandemic has redefined global health care. With almost 13 million confirmed cases worldwide, medical professionals have been forced to modify their practice to take care of an expanded, critically ill population. Institutions have been challenged to implement innovative ways to maximize the utility and th...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2020.07.020
更新日期：2020-10-01 00:00:00
abstract：:We measured the incidence of cuff retear and injury to the suprascapular nerve after mobilization and repair of a massive rotator cuff tear. Of one hundred four rotator cuff repairs performed over a 5-year period, 10 patients (7 men and 3 women, age range 22 to 68 years) had primary repairs of massive rotator cuff tea...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(97)90014-8
更新日期：1997-05-01 00:00:00
abstract：:Cadaveric anatomic dissections of 50 shoulders have been done with measurement and histologic analysis of the coracoacromial ligament. In subjects older than 50 years of age the coracoacromial ligament does not have a constant form. Three main types were identified: quadrangular, Y-shaped, and a broad band. A previous...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(95)80021-2
更新日期：1995-09-01 00:00:00
abstract：BACKGROUND:Further studies are required to determine the effectiveness of conservative treatment of partial-thickness rotator cuff tear (PTRCT). Here, we aim to identify the predictors of failure after conservative treatment in a large series of patients with symptomatic PTRCT. METHODS:The outcome of conservative trea...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.05.009
更新日期：2020-01-01 00:00:00
abstract：HYPOTHESIS:Arthroscopic osteocapsular arthroplasty for stage III osteoarthritis (advanced stage) shows worse clinical and radiologic outcomes compared with stage I or II according to computed tomography (CT)-based classification. METHODS:Clinical and radiologic outcomes in 65 patients treated with arthroscopic osteoca...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.09.036
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:The literature available on the results after noncemented total elbow arthroplasty (TEA) in inflammatory arthritis is limited. METHODS:Ten patients (7 women, 3 men; 14 elbows total) who underwent custom, noncemented TEA from 1988 to 1995 were retrospectively reviewed. The average age was 28 years (range, 17...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2014.02.026
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:The precarious anatomy of the articular surface of the distal humerus, as well as its meager subchondral bony support and limited soft-tissue attachments, presents enormous challenges for the operative correction of post-traumatic intra-articular deformities. This study presents 8 patients who underwent arti...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.12.020
更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:Surgical reconstruction of the ulnar collateral ligament after rupture has evolved substantially since the original description. Reconstruction techniques vary significantly at the ulnar and humeral interface. The purpose of this study was to develop a model to isolate, test, and compare the ulnar fixation o...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.03.017
更新日期：2012-12-01 00:00:00
abstract：:Studies show that the radial head is a significant stabilizer to valgus and varus stresses and external rotatory stability. We review the outcomes of patients who had radial head replacement in our institution. Six patients with Mason-Johnston type III or IV radial head fractures underwent radial head replacement and ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.07.020
更新日期：2008-03-01 00:00:00
abstract：:Incomplete functional recovery after rotator cuff surgery can be caused by rerupture or incomplete restoration of the contractile properties of the muscle-tendon-bone unit. We measured the passive tension generated in the supraspinatus musculotendinous unit at the time of repair of the supraspinatus tendon performed f...
journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s1058-2746(98)90030-1
更新日期：1998-07-01 00:00:00
abstract：:The purpose of this study was to compare the 3 different fixation methods of posterior type superior labral anterior posterior (SLAP) II lesion. Fifteen cadavers were randomly divided into 3 groups to compare the initial strength of 3 different fixation methods in posterior type II SLAP lesions. Group I used 1 anchor ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.03.025
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:Hemolysis has been suggested as a feature conferring increased pathogenicity to certain Propionibacterium acnes strains in the setting of shoulder infection. The purpose of this study was to compare the virulence of hemolytic and nonhemolytic P acnes strains in patients undergoing revision shoulder arthropla...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.12.025
更新日期：2018-06-01 00:00:00
abstract：:Currently, there is no information in the literature on operative treatment of proximal humeral fractures in patients with rheumatoid arthritis. Eleven patients underwent osteosynthesis of the proximal humerus from December 1987 to December 2002. Nine patients were treated for acute fractures, and two were treated for...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.02.023
更新日期：2005-11-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to propose the modified trochleocapitellar index (mTCI), assess its reliability, and evaluate its correlation with post-traumatic elbow stiffness in type C2-3 distal humeral fractures among adults. METHODS:From January 2013 to June 2017, a total of 141 patients with type C2-3 d...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.02.016
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Serum and synovial markers used to diagnose lower extremity prosthetic joint infection (PJI) have performed poorly for shoulder PJI. As a result, diagnosis is commonly reliant on the accuracy of positive or negative cultures. Next-generation sequencing (NGS) can sequence an entire bacterial genome. This stud...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.08.048
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to evaluate the radiologic and clinical outcomes of coracoclavicular (CC) stabilization using a suture button device for Neer type IIB lateral clavicle fractures. METHODS:Eighteen consecutive patients with Neer type IIB fractures were treated with CC stabilization using a Tight...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.09.048
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Since the advent of stemless implants, several different fixation feature designs have been used to improve primary implant stability. These stemless designs are diverse, and the rationale for their selection and design has not been thoroughly studied. Accordingly, this investigation assessed the effect of s...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.06.002
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Superior glenoid wear is a common challenge with reverse shoulder arthroplasty and, if left uncorrected, can result in superior glenoid tilt, which increases the risk of aseptic glenoid loosening. This study evaluates the impact of an E2 superior defect on reverse shoulder glenoid fixation in composite scapu...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.03.008
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:We evaluated the factors that affect the natural course of subacromial impingement syndrome in patients without rotator cuff tears. METHODS:In total, 63 patients were included. During the first evaluation, we recorded each patient's age, gender, profession, body mass index (BMI), hand dominance, alcohol and...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.06.007
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Tenotomy and tenodesis are common treatments for lesions in the long head of biceps tendon (LHBT); however, which treatment is superior is still controversial. This study compared the outcomes of tenotomy with outcomes of tenodesis for treatment of LHBT lesions with rotator cuff tears. METHODS:The study enr...
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.2016.02.006
更新日期：2016-07-01 00:00:00
