Abstract:
BACKGROUND:The purpose of this study was to determine the results, complications, and failure rates of shoulder arthroplasty in morbidly obese patients. METHODS:Between 1994 and 2005, 45 shoulder arthroplasties were performed for osteoarthritis in patients with a BMI greater than 40. Forty-one shoulders were followed for a minimum of 2 years (mean, 55 months) or until revision. RESULTS:Shoulder arthroplasty in morbidly obese patients was associated with improvement in pain and range of motion (P = .001). Average operative time was 220 minutes (range, 152-337). Four required anteromedial approaches. There was 1 intraoperative humeral shaft fracture and 2 small anterior deltoid avulsions. Five patients required overnight ICU monitoring. Average length of stay was 3.1 nights (range, 2-5). One shoulder developed a superficial infection while 1 patient had wound healing difficulty. Five shoulders underwent revision arthroplasty: 2 deep periprosthetic infections, 1 hemiarthroplasty for glenoid arthritis, 1 for posterior instability, and 1 for glenoid loosening. The Kaplan-Meier estimate for survival free of revision was 92.1% at 5 years. CONCLUSIONS:Shoulder arthroplasty in the morbidly obese is associated with long-term improvement in pain and function. However, the intraoperative and postoperative care of these patients is more complex, and these patients seem to have a higher rate of unsatisfactory results. LEVEL OF EVIDENCE:Level 4; Case series, treatment study.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Linberg CJ,Sperling JW,Schleck CD,Cofield RHdoi
10.1016/j.jse.2009.02.006subject
Has Abstractpub_date
2009-11-01 00:00:00pages
903-6issue
6eissn
1058-2746issn
1532-6500pii
S1058-2746(09)00121-9journal_volume
18pub_type
杂志文章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: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:Lesser tuberosity osteotomy has become a popular method of subscapularis management during total shoulder arthroplasty with high healing rates and reliable functional recovery. One major advantage of this technique is the ability to monitor healing using routing radiographs. Recognition of displacement of th...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2010.07.015
更新日期:2011-04-01 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:Few studies have investigated the characteristic findings of preoperative magnetic resonance imaging (MRI) and the clinical and radiologic outcomes of interstitial tear of the rotator cuff treated with arthroscopic repair after tear completion. METHODS:Forty-one patients (14 men and 27 women; mean age, 56.5...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2017.09.005
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the subjective elbow value (SEV) and compare it with the Mayo Elbow Performance Score (MEPS). The SEV is defined as the patient's subjective estimation of the elbow as a percentage of a normal elbow, which would correspond to 100%. METHODS:The MEPS and the SEV were pros...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2013.11.018
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Although the rate of periprosthetic joint infection following shoulder arthroplasty is low, it is a morbid and costly complication. Airborne particulates have long been recognized as a potential source of wound contamination, and operating room-mounted and smaller localized laminar airflow devices have been ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2020.08.035
更新日期:2020-09-16 00:00:00
abstract::The purpose of this study was to define the anatomy and dimensions of the rotator interval (RI). Thirty-two fresh-frozen cadaveric shoulders were thawed, all external musculature was removed, and coracoid osteotomy was performed to visualize the rotator cuff and RI. The 3 sides of the RI (triangle) were measured in dy...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2005.02.022
更新日期:2005-11-01 00:00:00
abstract::Lateral epicondylitis is one of the most common upper extremity pain syndromes. We report the results of patients in whom conservative treatment was unsuccessful and who were finally treated arthroscopically for symptomatic plicae. Ten patients (mean age, 40 years [range, 18-60 years]) who were misdiagnosed as having ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2005.08.013
更新日期:2006-05-01 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::Three cases of post-traumatic proximal radioulnar synostosis are presented. Each was treated with surgery with excision of the heterotrophic new bone and mobilization of the proximal radius. The anconeus muscle was mobilized as a vascularized pedicle graft and then interposed between the proximal radius and ulna. Two ...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/s1058-2746(99)90101-5
更新日期:1999-11-01 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:Reports regarding arthroscopic fixation of the osteochondral fragments for elbow osteochondritis dissecans (OCD) are few. This study assessed the clinical outcomes of arthroscopic fixation of unstable osteochondral fragments by using absorbable pins over a postoperative period of at least 1 year. METHODS:Th...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2015.07.009
更新日期:2015-11-01 00:00:00
abstract:HYPOTHESIS:Traumatic injuries to the ulnar nerve at the elbow are a frequent problem as it is vulnerable to stretching and compression with motion of the upper limb. The aim of the present study was to explore the course of the ulnar nerve at the elbow and forearm and to determine possible anatomical structures that ma...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2009.03.004
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Preoperative planning software is widely available for most anatomic total shoulder arthroplasty (ATSA) systems. It can be most useful in determining implant selection and placement with advanced glenoid wear. The purpose of this study was to quantify inter- and intrasurgeon variability in preoperative plann...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2020.04.010
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:We hypothesize that an anatomic repair of the distal biceps tendon would recreate native tendon moment arm and forearm rotation, while a nonanatomic insertion would compromise moment arm and forearm rotation. METHODS:Isometric supination torque was measured at 60° of pronation, neutral, and 60° of supinatio...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2010.05.027
更新日期:2010-12-01 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:BACKGROUND:Proximal humerus fractures are one of the most common fractures among elderly patients. We performed a systematic review to detail the demographics, outcomes, and complications of patients who undergo reverse shoulder arthroplasty for complex proximal humerus fractures. METHODS:A systematic review of the li...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章,评审
doi:10.1016/j.jse.2013.09.012
更新日期:2014-04-01 00:00:00
abstract::A prospective study was undertaken to determine if patients recover pre-injury level of shoulder function 1 year after 1 part proximal humeral fractures. Of the 67 patients enrolled, 43 were female and 24 male with an average age of 64.8 years (range, 25-90 years). All patients underwent a similar treatment protocol c...
journal_title:Journal of shoulder and elbow surgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.jse.2007.07.016
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:The role of the anconeus in elbow stability has been a long-standing debate. Anatomic and electromyographic studies have suggested a potential role as a stabilizer. However, to our knowledge, no clinical or biomechanical studies have investigated its role in improving the stability of a combined lateral coll...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2018.11.040
更新日期:2019-05-01 00:00:00
abstract::The purpose of this study is to determine if bipolar radiofrequency energy (bRFE) can enhance delayed surgical repair of acute supraspinatus tendon tears. Bilateral supraspinatus tendon tears were created in 42 Sprague-Dawley rats and repaired at 6 weeks either with or without bRFE augmentation. There were 8 control (...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2006.11.008
更新日期:2007-09-01 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:BACKGROUND:The purpose of this study was to introduce the procedure value index (PVI) and apply this value instrument to shoulder arthroplasty. The PVI uses the value equation in units of minimal clinically important difference (MCID) to provide an objective system of quantifying value-driven care. Secondarily, we desc...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2018.07.031
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:This study assessed whether treating medial end clavicular fractures using an inverted distal clavicle locking plate, twisted through 90° around its axis, would allow for a less invasive surgical approach and improve screw trajectory insertion. MATERIALS AND METHODS:We searched the databases of the 2 senior...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2018.08.047
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Acute Hill-Sachs reduction represents a potential alternative method to remplissage for the treatment of an engaging Hill-Sachs lesion. This study biomechanically compared the stabilizing effects of an acute Hill-Sachs reduction technique and remplissage. METHODS:Six cadaveric shoulders were tested. For the...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2016.11.050
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:We performed a meta-analysis of studies with at least Level IV evidence to compare outcomes between hemiarthroplasty and reverse shoulder arthroplasty for the treatment of proximal humeral fractures. METHODS:Three electronic databases (PubMed, Cochrane, and EMBASE) were searched. The quality of each study w...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.jse.2015.08.030
更新日期:2016-02-01 00:00:00
abstract::The purpose of the study was to investigate the biomechanical effects of different types of braces that are used in the treatment of patients with epicondylitis radialis. Vibration and acceleration of the forearm and the elbow were measured with sensors taped to defined anatomic points on the skin surface. The impact-...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1067/mse.2002.122623
更新日期:2002-05-01 00:00:00
abstract::The purpose of this study was to assess the functional outcome of the terrible triad of the shoulder, a rare combination of anterior shoulder dislocation, massive rotator cuff tear, and neurologic injury. Six patients with this condition have been treated at our institution since 1990. The mean age was 57 years. All p...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/s1058-2746(03)00216-7
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:To examine the rates and predictors of deep periprosthetic infections after shoulder hemiarthroplasty. METHODS:We used prospectively collected institutional registry data on all primary shoulder hemiarthroplasty patients from 1976-2008. We estimated survival free of deep periprosthetic infections using Kapl...
journal_title:Journal of shoulder and elbow surgery
pub_type: 杂志文章
doi:10.1016/j.jse.2011.08.067
更新日期:2012-10-01 00:00:00
abstract::In theory, a prolonged, local infusion of anesthetic into a surgical field should reduce postoperative pain. Recently, disposable products have become available to implement this, but the balance between cost and benefit is controversial. This study evaluated such a device in two specific types of arthroscopic surgery...
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(03)00207-6
更新日期:2003-11-01 00:00:00