Abstract：
:The incorrect determination of the flexion-extension axis of the elbow may result in poor clinical outcomes for patients undergoing ligament repairs, joint arthroplasties, and procedures requiring articulated external fixators. The variability in the selection of the flexion-extension axis based on a visual approximation of bony landmarks on the distal humerus was studied within a group of surgeons. Three surgeons of different experience levels independently selected points through which they believed the flexion-extension axis passed on the medial and lateral surfaces of 23 distal humeri. One surgeon repeated the point selection on three separate occasions. These surgeon points were compared with an axis calculated by use of a computer-assisted method that relied on the centers of the trochlear sulcus and capitellum via digitization of these structures. Relative to the computer-generated flexion-extension axis, the error in the surgeons' selections resulted in a mean frontal plane angle of 1.5 degrees +/- 3.0 degrees valgus (range, 6.3 degrees varus to 9.6 degrees valgus) and a coronal plane angle of 1.6 degrees +/- 3.3 degrees external rotation (range, 8.3 degrees internal rotation to 10.2 degrees external rotation). These results suggest that the use of a computer-assisted surgical technique will allow a more accurate determination of the flexion-extension axis of the elbow, which may lead to improved clinical outcomes in patients treated with ligament repairs or reconstructions, elbow arthroplasties, or articulated external fixators.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Brownhill JR,Furukawa K,Faber KJ,Johnson JA,King GJdoi
10.1016/j.jse.2005.09.011subject
Has Abstractpub_date
2006-07-01 00:00:00pages
451-6issue
4eissn
1058-2746issn
1532-6500pii
S1058-2746(05)00288-0journal_volume
15pub_type
杂志文章abstract：BACKGROUND:A variety of measurements can be used to assess radiographic osteoarthritic changes of the shoulder. This study aimed to analyze the correlation between the radiographic humeral-sided Samilson and Prieto classification system and 3 different radiographic classifications describing the changes of the glenoid ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.07.007
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Radiofrequency technology for shoulder instability was rapidly adopted despite limited clinical evidence and a poor understanding of its indications. Reports of serious adverse events followed, leading to its abandonment. This paper presents findings from a multicenter randomized clinical trial evaluating th...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jse.2014.02.022
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Although many advantages of reverse total shoulder arthroplasty (RTSA) have been demonstrated, a variety of complications indicate there is much to learn about how RTSA modifies normal shoulder function. This study used a subject-specific computational model driven by in vivo kinematic data to assess how RTS...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.09.015
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Double-strand lateral ulnar collateral ligament (LUCL) reconstruction is an effective treatment for posterolateral rotatory instability (PLRI) of the elbow, but anatomic landmarks for ulnar tunnel placement are often difficult to identify intraoperatively, which potentially can result in a nonanatomic LUCL r...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.08.008
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:The role of Propionibacterium acnes in shoulder arthroplasty and broadly in orthopedic prosthetic infections has historically been underestimated, with biofilm formation identified as a key virulence factor attributed to invasive isolates. With an often indolent clinical course, P acnes infection can be diff...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2016.09.042
更新日期：2017-04-01 00:00:00
abstract：HYPOTHESIS AND BACKGROUND:Complex glenoid bone loss and deformity present a challenge for the shoulder arthroplasty surgeon. Eccentric reaming, bone grafting, augmented glenoid components, and salvage hemiarthroplasty are common strategies for managing these patients. The glenoid vault reconstruction system (VRS; Zimme...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.08.002
更新日期：2020-08-24 00:00:00
abstract：BACKGROUND:The Latarjet procedure is an effective procedure for the treatment of anterior glenohumeral joint instability; however, the complications are concerning. The purpose of this study was to review a single institution's experience with the Latarjet procedure for recurrent anterior glenohumeral instability speci...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.09.002
更新日期：2020-09-30 00:00:00
abstract：:The distribution of mineralization of the subchondral bone plate (DMSB) is used as a parameter for the individual stress distribution of joints. In this study the DMSB of the glenoid from healthy glenohumeral joints was analyzed. In a standardized manner, 44 macroscopically normal shoulder specimens (28 individuals ag...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2002.121635
更新日期：2002-03-01 00:00:00
abstract：:Understanding of the distal biceps anatomy, mechanics, and biology during the last 75 years has greatly improved the physician's ability to advise and to treat patients with ruptured distal tendons. The goal of this paper is to review the past and current advances on complete distal biceps ruptures as well as controve...
journal_title：Journal of shoulder and elbow surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.jse.2016.05.025
更新日期：2016-10-01 00:00:00
abstract：HYPOTHESIS:We hypothesize that the sling technique provides better long term tuberosity fixation in hemiarthroplasty for severe fractures of the proximal humerus. BACKGROUND:After hemiarthroplasty for proximal humeral fractures, problems exist with deterioration of shoulder function by secondary displacement of the in...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.05.018
更新日期：2010-03-01 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:Complications after anatomic (aTSA) and reverse (rTSA) total shoulder arthroplasty can be devastating to a patient's quality of life and require revisions that are costly to both the patient and the health care system. The purpose of this study is to determine the types, incidence, and timing of complication...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.07.028
更新日期：2020-08-04 00:00:00
abstract：BACKGROUND:The pathomechanisms of eccentric osteoarthritis of the shoulder remain unclear. Although there is increasing evidence of bony differences between shoulders with rotator cuff tears and osteoarthritis, analogous differences have not been identified for primary concentric and eccentric osteoarthritis. This stud...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.05.019
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:There are various modifications of the Bankart repair, and postoperative changes to the glenoid morphology after the repair are reported. Among the various procedures performed, a decrease in the lateral glenoid diameter might be related to the surgery that involves removal of the articular cartilage and rep...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.04.023
更新日期：2021-01-01 00:00:00
abstract：:In a prospective population-based study of all shoulder injuries seen at Malmö General Hospital during 1987, the incidence and causes of major injuries involving fractures of the clavicle, scapula, or proximal humerus and glenohumeral or acromioclavicular dislocations were investigated in children, adults, and the eld...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(05)80063-1
更新日期：1995-03-01 00:00:00
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). Th...
journal_title：Journal of shoulder and elbow surgery
pub_type： 临床试验,杂志文章
doi：10.1016/s1058-2746(99)90058-7
更新日期：1999-01-01 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：BACKGROUND:A novel arthroscopic technique allows for intraosseous tendon placement in biceps tenodesis using bone tunnels and suture while avoiding the expense of an implant. No biomechanical characterization exists for this construct. METHODS:Tensile tests were used to compare a suture-only biceps tenodesis technique...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2014.02.027
更新日期：2014-11-01 00:00:00
abstract：HYPOTHESIS:The clavicle serves as a strut between the thorax and scapula, and lack of this function could affect shoulder mobility. We hypothesized that clavicular discontinuity changes shoulder kinematics, particularly affecting scapular motion. MATERIALS AND METHODS:The study used 14 cadaveric shoulders. Cadavers we...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.02.006
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:There is very little information on the incidence of and usual recovery period for posterior interosseous nerve (PIN) palsies after distal biceps repair. This study examined the incidence and the time to resolution of PIN palsies in a large consecutive series of primary distal biceps repairs. MATERIALS AND ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.08.001
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Olecranon fractures are common in elderly patients, causing significant morbidity and functional impairment. Traditional surgical treatments are often complicated by hardware failure and prominence, frequently requiring reoperation. To address these concerns, a suture anchor fixation technique was developed ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.02.017
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to investigate clinical and radiologic outcomes of open reduction and internal fixation with a screw and washer for a displaced greater tuberosity fracture of the proximal humerus through a small incision. METHODS:We retrospectively reviewed 29 patients who underwent open reduc...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.11.029
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:A large engaging Hill-Sachs lesion (HSL) with subcritical glenoid bone loss (GBL) is approached through either increasing the glenoid arc by the Latarjet procedure or converting the HSL to an extra-articular defect by arthroscopic Bankart repair with remplissage (BRR). Until now, there has been no evidence-b...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2020.04.032
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:Evidence for effective management of shoulder impingement is limited. The present study aimed to quantify the clinical, neurophysiological, and biomechanical effects of a scapular motor control retraining for young individuals with shoulder impingement signs. METHOD:Sixteen adults with shoulder impingement s...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.06.010
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Reverse shoulder arthroplasty (RSA) has gained increasing popularity in the treatment of rotator cuff tear arthropathy (CTA). The purpose of this study was to evaluate the survival of RSA and the risk factors for revision following RSA. METHODS:RSA patients with CTA or osteoarthritis were identified from th...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.02.060
更新日期：2018-09-01 00:00:00
abstract：BACKGROUND:The identification and precise removal of bony impingement lesions during arthroscopic débridement arthroplasty for elbow osteoarthritis requires a high level of experience and surgical skill. We have developed a new technique to identify the impinging osteophytes on a computer display by simulating elbow mo...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.12.002
更新日期：2021-01-21 00:00:00
abstract：BACKGROUND:Alterations in scapular motion frequently are seen in association with various shoulder disorders. It is common clinically to compare the pathological shoulder with the contralateral shoulder, in spite of arm dominance, to characterize the disorder. However, there have been few articles that test the underly...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2010.09.012
更新日期：2011-06-01 00:00:00
abstract：:Stability of the glenohumeral joint with an anterior, posterior, and inferior displacement force of 50 N was measured in a dynamic shoulder model. Controlled hydrodynamic actuator forces were applied to the deltoid muscle and to the rotator cuff in seven anatomic specimens. During elevation of the arm the position of ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(98)90182-3
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:Little is known about the short-term temporal outcomes of an arthroscopic capsular release for adhesive capsulitis (frozen shoulder). Specifically, it is not known how immediate the improvements are and how quickly patients return to normal function after an arthroscopic release. METHODS:The study included ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.12.025
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Our objective was to determine baseline, normative values for multiple shoulder outcome scores in a young, active population without shoulder symptoms. METHODS:One hundred ninety-two volunteers completed the Single Assessment Numeric Evaluation, modified American Shoulder and Elbow Surgeons score, Western O...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2008.10.009
更新日期：2009-05-01 00:00:00
