Abstract:
:We tested the hypothesis that functional malcentering of the humeral head during arm elevation exists in patients with glenohumeral osteoarthritis and influences long-term glenoid loading. Twenty-eight healthy volunteers and 10 patients with primary osteoarthritis, 10 with cuff-arthropathy, and 1 with dysplastic glenoid were examined. Open magnetic resonance imaging and 3-dimensional (3D) digital postprocessing techniques were applied in various arm positions. Osteoabsorptiometry was used to determine 3D subchondral mineralization patterns of the glenoid as an indicator of integral long-term stress distribution. At 30 degrees of abduction, 5 patients demonstrated malcentering of the humeral head posteriorly; all patients with cuff arthropathy had malcentering superiorly. At 90 degrees, most patients displayed significant (P < .001) malcentering in the superior and posterior direction. The shoulders showed maximal subchondral mineralization patterns in the direction of malcentering. Most patients with glenohumeral osteoarthritis displayed functional malcentering, which might be responsible for postoperative glenoid loosening in shoulder arthroplasty if not corrected intraoperatively.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
von Eisenhart-Rothe R,Müller-Gerbl M,Wiedemann E,Englmeier KH,Graichen Hdoi
10.1016/j.jse.2008.02.008subject
Has Abstractpub_date
2008-09-01 00:00:00pages
695-702issue
5eissn
1058-2746issn
1532-6500pii
S1058-2746(08)00345-5journal_volume
17pub_type
杂志文章abstract::Seventeen patients who had osteoarthritis of the glenohumeral joint after surgery for glenohumeral instability underwent prosthetic replacement. Thirteen men and four women with an average age of 43 years were studied. The interval from the initial instability repair to prosthetic replacement averaged 16 years. Before...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/s1058-2746(05)80060-6
更新日期:1995-03-01 00:00:00
abstract:BACKGROUND:The current treatment of partial distal biceps tears is a period of nonoperative management, followed by surgery, if symptoms persist. Little is known about the success rate and outcomes of nonoperative management of this illness. METHODS:We identified 132 patients with partial distal biceps tears through a...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2017.12.010
更新日期:2018-04-01 00:00:00
abstract::Compression of the lateral cutaneous nerve of the forearm (LCNF), the distal sensory termination of the musculocutaneous nerve, can occur below the biceps aponeurosis, most commonly after strenuous elbow extension or forearm pronation. Between 1965 and 1992, 15 patients reported pain in the anterolateral elbow with "b...
journal_title:Journal of shoulder and elbow surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s1058-2746(98)90053-2
更新日期:1998-05-01 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: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::The effectiveness of arthroscopic surgery, supervised exercises, and placebo was compared in 125 patients with rotator cuff disease (impingement syndrome stage II) in a randomized clinical trial. The median age was 48 years, and the median duration of complications was 1 to 2 years. The treatments were arthroscopic su...
journal_title:Journal of shoulder and elbow surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s1058-2746(99)90001-0
更新日期:1999-03-01 00:00:00
abstract:HYPOTHESIS:The purpose of this investigation was to characterize the functional and surgical outcomes following lateral ulnar collateral ligament (LUCL) reconstruction for posterolateral rotatory instability in an athletic population. METHODS:All US military service members who underwent LUCL reconstruction between 20...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2017.08.015
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The objectives of this study were to determine whether glenoid inclination (1) could be measured accurately on magnetic resonance imaging (MRI) using computed tomography (CT) as a gold standard, (2) could be measured reliably on MRI, and (3) whether it differed between patients with rotator cuff tears and ag...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2018.02.043
更新日期:2018-08-01 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:The purpose was to analyze the influence of deltoid lengthening due to different implant designs and anatomic variations of the acromion and scapular spine (SS) in the parasagittal plane on strain patterns after reverse shoulder arthroplasty (RSA). METHODS:Ten cadaveric shoulders with strain rosettes placed...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2020.04.004
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Non-cross-linked xenogeneic extracellular matrix graft materials have typically elicited a hypersensitivity reaction when implanted into humans or other primates. The purpose of this study was to examine the histologic and immune response to a non-cross-linked porcine-derived dermal extracellular matrix graf...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2011.03.014
更新日期:2012-05-01 00:00:00
abstract::Degenerative arthritis of the elbow in patients aged under 50 years can cause disabling pain, severely restricted range of motion (ROM), and functional limitations. Open ulnohumeral arthroplasty has been demonstrated to produce satisfactory pain relief and ROM gains. We report the results of an all-arthroscopic ulnohu...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2006.09.001
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:The treatment of periprosthetic joint infection is a difficult challenge in shoulder arthroplasty. This study investigated 1-stage modular component exchange vs. 1-stage complete removal and reimplantation (CRR) vs. 2-stage revision arthroplasty for periprosthetic joint infection. METHODS:Between January 1,...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2016.11.054
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Radial head arthroplasty (RHA) is a popular method of treatment for complex fractures of the radial head. The purpose of this study was to investigate patient outcomes and radiographic findings associated with a single anatomic monopolar press-fit radial head system commonly used for the treatment of radial ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2015.11.014
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Little is known about the morphology of healing rotator cuffs after surgical repair. This investigation aimed to determine whether there are changes in tendon thickness, subacromial bursa, anatomical footprint, tendon vascularity, and capsular thickness after rotator cuff repair, and whether supraspinatus te...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2012.10.047
更新日期:2013-08-01 00:00:00
abstract::Sixteen patients underwent detailed arthroscopic evaluation; all had moderate to severe, primarily unexplained shoulder pain provoked by anterior elevation and internal rotation, and all were nonresponsive to subacromial injection of local anesthetic. None of the patients had any symptoms or signs of instability. Part...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1067/mse.2000.109322
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to identify characteristics associated with bilateral ruptures of the distal biceps tendons. METHODS:We present a retrospective case series of 25 patients who sustained non-simultaneous bilateral distal biceps brachii tendon ruptures that were repaired surgically, with follow-u...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2009.01.029
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to document the prevalence of shoulder osteoarthritis (OA) in the elderly population in South Korea, to determine the risk factors for shoulder OA, and to evaluate the relationship with function. MATERIALS AND METHODS:This project was part of a population-based prospective coho...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2011.01.021
更新日期:2011-07-01 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::Forty-three shoulder arthroplasties performed with the use of cemented Neer II humeral components and followed radiographically for a mean of 6.6 years (range, 2-20 years) were analyzed. A humeral component was considered radiographically "at risk" for clinical loosening when a radiolucent line 2 mm or greater in widt...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1067/mse.2001.118482
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Decreased acromiohumeral distance (AHD) is commonly detected in patients with massive rotator cuff tears (mRCT). Most studies evaluating fixed humeral elevation have used pre- or postoperative standardized radiography and not stress radiography. This study aimed to evaluate the predictive role of preoperativ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2020.10.029
更新日期:2020-11-30 00:00:00
abstract::Rotator cuff lesions pose a serious clinical challenge. The objective of this study was to verify the biomechanical basis for the lag sign clinical tests for rotator cuff dysfunction. The lag sign tests were simulated in vitro by a sensor-guided robotic simulator configured to reproduce in vivo testing conditions. The...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2004.01.021
更新日期:2004-05-01 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
abstract:BACKGROUND:Although suprascapular nerve injury after SLAP (superior labrum anterior to posterior) repair has rarely been reported, the direction of anchor insertion is toward the suprascapular nerve. The purpose of this study was to evaluate the risk of suprascapular nerve injury during the drilling and anchor insertio...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2010.06.004
更新日期:2011-03-01 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:BACKGROUND:The current trend in the treatment of acromioclavicular dislocations is to reconstruct the coracoclavicular ligaments by using transosseous tunnels in the coracoid process or in the clavicle, yet there is no definition as to the location of these. To study the anatomic relationship between the coracoid proce...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2017.03.033
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Semiconstrained total elbow arthroplasty is used to improve elbow function and reduce pain. Although effective, high complication rates exist, with the polyethylene bushing especially susceptible to failure. The Discovery Elbow System (Biomet Inc, Warsaw, IN, USA) contains a spherical bearing designed to min...
journal_title:Journal of shoulder and elbow surgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jse.2013.12.033
更新日期:2014-05-01 00:00:00
abstract::The strength of classic transosseous suture repair of rotator cuff tendons was compared with similar repairs with four "third-generation" suture anchors. Results demonstrate the repair construct selected had a significant influence on failure at ultimate load (p = 0.005). Among the anchors tested the Statak design was...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/s1058-2746(96)80028-0
更新日期:1996-01-01 00:00:00
abstract::Ruptures of the subscapularis tendon, isolated or combined, are rare, and the treatment modalities are controversial. Of 1345 patients who underwent rotator cuff repair in a 7-year period, 73 had either an isolated rupture of the subscapularis or a subscapularis rupture combined with rupture of the supraspinatus. All ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2005.07.013
更新日期:2006-11-01 00:00:00
abstract::The posterior border of the ulna is the most important bony landmark for all dorsal surgical approaches and the guideline for open reduction, internal fixation of displaced comminuted fractures of the proximal ulna. We examined 74 cadaveric specimens to evaluate the anatomy of the proximal ulna, especially the course ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2006.12.008
更新日期:2007-09-01 00:00:00