Abstract：
BACKGROUND:There is an increasing body of literature suggesting that the use of patient-specific instrumentation (PSI) in total shoulder arthroplasty (TSA) results in improved positioning of the glenoid component. The aim of this in vivo study was to assess the accuracy of PSI of the glenoid component in TSA in a consecutive series at a single center. METHODS:Eleven consecutive TSAs (7 TSAs and 4 reverse TSAs) were performed using custom-made patient-specific positioning guides for the glenoid component. Each patient had preoperative computed tomography scans and guides produced to allow 0° of glenoid inclination and version in anatomic TSAs and 10° of inferior inclination for reverse TSAs. Postoperative computed tomography imaging was performed to determine accuracy of component implantation. Patients were observed to the 1-year mark. RESULTS:For the conventional TSA group, the mean version was measured at 8° ± 10° retroversion and 1° ± 4° inclination. For reverse TSAs, mean version was 10° ± 10° retroversion and -1° ± 5° inclination. There were 5 cases classified as outliers in terms of version (>10° anteversion or retroversion). We had a mean correction of version of 22° ± 9° and 17° ± 9° in inclination compared with preoperative measurements. CONCLUSION:Our results suggest that the in vivo accuracy of PSI-guided glenoid positioning is not as successful as suggested in the literature.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Lau SC,Keith PPAdoi
10.1016/j.jse.2017.07.004subject
Has Abstractpub_date
2018-01-01 00:00:00pages
90-95issue
1eissn
1058-2746issn
1532-6500pii
S1058-2746(17)30425-1journal_volume
27pub_type
杂志文章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:Although various surgical techniques have been used to treat irreparable rotator cuff tears (RCTs), debate remains regarding which treatment is most effective. The purpose of our study was to compare the outcomes of partial rotator cuff repair versus repair with augmentation of the tenotomized long head of t...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2018.04.022
更新日期：2018-11-01 00:00:00
abstract：:Fifty patients who underwent reoperation for failure of previous repair of rotator cuff rupture were evaluated 24 to 84 months after final repair (mean 30 months). Forty-eight of these patients had undergone all previous attempts at repair elsewhere. Most patients had had one or two earlier attempts, but four patients...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80054-2
更新日期：1992-11-01 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：: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:Overhead athletes are subject to adaptations in the shoulder including glenohumeral internal rotation deficit (GIRD). It has been documented that this alteration is more evident in overhead athletes with pain. Our objective was to compare glenohumeral rotation motion between symptomatic and asymptomatic hand...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2012.08.027
更新日期：2013-05-01 00:00:00
abstract：:Periprosthetic humeral fractures are major complications of shoulder arthroplasty. Bone removal during surgical reaming is a risk factor for these fractures. Although it is recognized that the endosteal surface of the humerus is asymmetrical whereas the reamers are symmetrical, to our knowledge, the effect of cylindri...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.03.032
更新日期：2008-01-01 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: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：:This animal study evaluated the healing of supraspinatus tendon tears by use of a cartilage-derived morphogenetic protein 2 growth factor (CDMP-2) delivered to the repair. Forty-eight rats had bilateral, surgically created complete tears repaired by sutures with the growth factor introduced on one side. They were kill...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.07.002
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Coracoid impingement syndrome is an increasingly recognized etiology of anterior shoulder pain. Numerus studies have documented the coracohumeral distance (CHD) as a primary or secondary measurement in symptomatic individuals, but there lacks an evaluation of CHD in a large cohort of asymptomatic individuals...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.05.032
更新日期：2021-02-01 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：:Although glenoid component loosening has been recognized as a common reason for failure after total shoulder arthroplasty, there are few studies on the outcome of revision surgery for this problem. The purpose of this study is to determine the outcome of patients who underwent revision for glenoid component loosening....
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2007.09.003
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:Symptomatic meso- type os acromiale is a common pathology with inconsistent outcomes of treatment with various surgical techniques. We report the outcome of a new technique for arthroscopic fusion of symptomatic os acromiale with absorbable screws. MATERIALS AND METHODS:The study included 8 shoulders in 8 p...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2011.12.011
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:The purpose of the study was to identify genetic variants associated with rotator cuff disease by performing a genome-wide association study (GWAS) for shoulder impingement utilizing the UK Biobank (UKB) cohort, and then combining the GWAS data with a prior GWAS for rotator cuff tears. The loci identified by...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.11.025
更新日期：2021-01-19 00:00:00
abstract：BACKGROUND:There is currently disagreement among experts in the field of shoulder surgery when attempting to define the term "pseudoparalysis." Multiple surgical techniques to address this condition have been investigated; however, many studies have recruited heterogeneous patient populations and have used varying defi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2020.08.029
更新日期：2020-09-09 00:00:00
abstract：:The contribution of the medial and lateral collateral ligaments (MCL, LCL) and muscle forces to the kinematics and stability of the capitellocondylar total elbow arthroplasty was investigated in six fresh cadaveric elbows. The three-dimensional orientation of the ulna relative to the humerus was monitored with the use...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80069-4
更新日期：1992-09-01 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：:Interscalene block (ISB) of the brachial plexus is frequently used for patients undergoing ambulatory shoulder surgery. We previously reported that the incidence of postoperative complaints (neurapraxia) after an ISB was low (3% at 2 weeks), but objective neurologic assessment was not included in the study. The presen...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.02.001
更新日期：2006-11-01 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：:The most widely used radiographic classification system for acromial morphology identifies three distinct acromial shapes: type I (flat), type II (curved), and type III (hooked). The purpose of this study was to measure the interobserver and intraobserver reliability of determinations of acromial morphology as defined...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(05)80037-0
更新日期：1995-11-01 00:00:00
abstract：BACKGROUND:In 2013 Moor et al introduced the concept of the critical shoulder angle (CSA) and suggested that an abnormal CSA was a leading factor in development of rotator cuff tear (RCT) and osteoarthritis (OA) of the shoulder. This study assessed whether the CSA was associated with RCT and OA and tested the inter- an...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2017.06.001
更新日期：2017-12-01 00:00:00
abstract：:Over the years, we have observed a shifting among loose shoulder, voluntary dislocation, habitual dislocation, and sustained subluxation, leading us to the conclusion that they are all varieties of the same condition: atraumatic shoulder instability. For this study, we followed the natural course of atraumatic shoulde...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.111962
更新日期：2001-03-01 00:00:00
abstract：:Glenohumeral conformity has been reported to be one of the most critical implant-related features that may affect the occurrence of glenoid loosening. This study evaluated the mechanical effects of this parameter with a 3-dimensional finite element model of a prosthetic shoulder, which included the scapula, the humeru...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2005.09.021
更新日期：2006-07-01 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：:Restoration of painless and satisfactory elbow function after a fracture of the distal humerus requires anatomic reconstruction of the articular surface, restitution of the overall geometry of the distal humerus, and stable fixation of the fracture fragments to allow early and full rehabilitation. Although these goals...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2004.09.033
更新日期：2005-01-01 00:00:00
abstract：:This report is a retrospective review of 11 consecutive patients treated with a combined transfer of the latissimus dorsi and pectoralis major tendons for massive rotator cuff deficiency. Each patient's chief complaint was diminished shoulder function and motion with little or no accompanying pain. The primary operati...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2004.04.003
更新日期：2004-11-01 00:00:00
abstract：:There has been resistance to the use of interscalene regional block for arthroscopic shoulder surgery because of concerns about potential complications and failed blocks with the subsequent need for general anesthesia. The purpose of this study was to assess whether interscalene regional block is safe and effective an...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.01.009
更新日期：2006-09-01 00:00:00
abstract：:The reliability of surgical procedures for lateral epicondylitis makes the need for reoperation uncommon. In a review of surgical procedures followed by reoperation, failures were classified according to first operations followed by symptoms similar to those experienced preoperatively (group 1) and first operations fo...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/S1058-2746(09)80016-5
更新日期：1992-01-01 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
