Abstract：
BACKGROUND:The eccentric glenosphere (EG) has been proposed as a way to prevent scapular notching in reverse shoulder arthroplasty (RSA). The purpose of this study was to investigate whether the use of an EG decreases scapular notching compared to matched standard concentric glenosphere (CG) controls. METHODS:A retrospective analysis of prospectively collected data was performed. Forty-nine RSAs with an EG and 49 paired RSAs with a CG with a minimum 60 months of both clinical and radiographic follow-up were included in the study. Clinical and radiological outcomes of EG and CG were compared at inclusion and at the last follow-up using the paired Student's t-test for quantitative data and the Chi2 test for qualitative data. Scapular notching was graded according to the Sirveaux classification. Statistical significance was set at p<0.05. RESULTS:Notching was observed 2.7 times (95% CI: 1.0; 6.8) more often in the CG group (p=0.040). The notching severity was not statistically relevant between the groups, however, there was a trend toward more severe notching in the CG group (p=0.058). Compared to a CG, an EG did not increase the percentage of radiolucent lines around the screws (4.5% vs. 4.1%; p=0.96), around the post (6.5% vs. 4.1%; p=0.60) or below the baseplate (17% vs. 10%; p=0.31).results CONCLUSION: EGs are associated with less notching compared to CGs. This finding confirms RSA with EG is an effective procedure without specific complications at a minimum follow-up of 5 years. LEVEL OF EVIDENCE:Level III; Retrospective Cohort Comparison; Treatment Study.
journal_name
J Shoulder Elbow Surgjournal_title
Journal of shoulder and elbow surgeryauthors
Collotte P,Erickson J,Vieira TD,Domos P,Walch Gdoi
10.1016/j.jse.2020.10.032subject
Has Abstractpub_date
2020-12-01 00:00:00eissn
1058-2746issn
1532-6500pii
S1058-2746(20)30907-1pub_type
杂志文章abstract：BACKGROUND:Nonoperative treatment of displaced medial clavicle fractures often leads to poor functional outcomes and painful nonunions. This study investigates the functional outcomes of patients undergoing operative fixation of these fractures. METHODS:We investigated 27 patients undergoing operative fixation of a me...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2015.04.011
更新日期：2015-11-01 00:00:00
abstract：HYPOTHESIS:Advancing age, lower preoperative hemoglobin levels, and more complex procedures are risk factors in transfusion requirements following shoulder arthroplasty. MATERIALS AND METHODS:We retrospectively reviewed the records of 196 consecutive shoulder arthroplasties performed by a single surgeon (including 113...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2008.08.005
更新日期：2009-03-01 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：HYPOTHESIS:Triceps tendon anatomy is important for surgical approaches to the elbow and tendon repair. The purpose of this study is to describe both the qualitative and quantitative anatomy of the triceps brachii tendon insertion. MATERIALS AND METHODS:Thirty-six elbows were dissected from twenty-three cadavers. Dimen...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.10.008
更新日期：2010-04-01 00:00:00
abstract：:A modified surgical approach to the posterior aspect of the glenohumeral joint and/or the dorsal glenoid is described. This access does not alter any muscle insertion or neuromuscular planes. After the skin incision is made, the inferior border of the spinal part of the deltoid is identified and the deltoid muscle is ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.112885
更新日期：2001-05-01 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：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：: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：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：:Triceps splitting, triceps reflecting, and olecranon osteotomy are the most common posterior surgical approaches to the adult elbow, but no comparative data exist as to the exposure provided by each approach. The aim of this study was to determine which of these approaches provides the greatest exposure of the distal ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1067/mse.2001.116517
更新日期：2001-07-01 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：HYPOTHESIS:This study was conducted to test the hypothesis that patients would have improved pain and range of motion after conversion total shoulder arthroscopy but that overall outcome would be substantially affected by the need for removal of the humeral component and associated alterations of bony anatomy or soft t...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2011.01.024
更新日期：2011-12-01 00:00:00
abstract：BACKGROUND:The purpose of this study is to analyze the results of treating unreconstructable acute radial head fractures associated with other elbow fractures and soft-tissue injuries with a pyrocarbon radial head prosthesis replacement, as well as repair of the associated injuries. MATERIALS AND METHODS:Twenty-eight ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2011.01.032
更新日期：2012-01-01 00:00:00
abstract：HYPOTHESIS:A review of the current literature will show a difference between the biomechanical properties of double-row and single-row rotator cuff repairs. BACKGROUND:Rotator cuff tears commonly necessitate surgical repair; however, the optimal technique for repair continues to be investigated. Recently, double-row r...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jse.2009.07.002
更新日期：2009-11-01 00:00:00
abstract：:Australian Rules football (ARF) is a potentially violent, overhead, body-contact sport. We reviewed 56 shoulders in patients who sustained their initial traumatic anterior subluxation or dislocation during ARF and who underwent reconstructive surgery for traumatic anterior instability, whether by arthroscopic or by op...
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)90067-8
更新日期：1999-09-01 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：HYPOTHESIS:Recent studies have demonstrated a potentially critical role of matrix metalloproteinases (MMPs) and tissue inhibitors of matrix metalloproteinases (TIMPs) in the pathophysiology of rotator cuff tears. We hypothesize that local delivery of a MMP inhibitor after surgical repair of the rotator cuff will improv...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.07.010
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:It was the purpose of this paper to analyze structural, functional, and electrophysiologic variables that may determine preserved overhead function for patients with massive rotator cuff tears. METHODS:Nineteen patients (20 shoulders) were prospectively included in either the pseudoparalytic (n = 9) or the ...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2014.05.026
更新日期：2015-02-01 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: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：BACKGROUND:The Coonrad-Morrey total elbow arthroplasty is a linked implant. This study investigated the hypotheses that reliable results can be obtained in rheumatoid patients and in traumatic conditions and that the survival rate is similar to or better than what has been published for nonlinked implants. METHODS:Sur...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.07.042
更新日期：2013-11-01 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：:In a prospective study radiographs and magnetic resonance images of 75 patients with calcifying tendinitis of the rotator cuff were analyzed. The aim was to evaluate any relation between calcifying tendinitis and subacromial impingement. A total of 83% of the calcifications were located in the supraspinatus or the adj...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(96)80059-0
更新日期：1996-07-01 00:00:00
abstract：:We encountered two patients with atraumatic rotator cuff tears who exhibited inferior subluxation of the humeral head. In both patients shoulder motion was limited by pain. Repair of the rotator cuff tear relieved the pain and restored glenohumeral joint motion. Although the cause of this unusual complication of rotat...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/s1058-2746(05)80054-0
更新日期：1995-05-01 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：BACKGROUND/HYPOTHESIS:Surgical management of displaced unstable proximal humerus fracture remains a challenge due to poor proximal bone quality and significant deforming forces. We hypothesized that the technique of application and mechanical properties of the proximal humeral locking plate would allow successful treat...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2009.08.008
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:Accurate glenoid component placement is important to prevent glenoid component failure in total shoulder arthroplasty (TSA). Navigation may reduce the variability of glenoid component version and inclination; therefore, the aims of this study were to determine, in patients undergoing TSA, whether computer na...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2019.04.037
更新日期：2019-12-01 00:00:00
abstract：:An understanding of the morphology of the glenoid is important from the viewpoint of implant design and selection. This study describes the endosteal dimensions and shape of the glenoid and correlates these results with age, gender, and the presence of osteoarthritis. This study used 72 scapulae. Data were obtained fr...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2006.03.008
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:The aim of this study was to evaluate the long-term functional and cosmetic results as well as the sagittal and coronal plane remodeling of displaced supracondylar humerus fractures treated with open reduction and internal fixation. METHODS:In total, 49 patients (11 boys and 38 girls) with Gartland type III...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2014.12.010
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Little is known about the role that a torn superior labrum (SLAP) plays in glenohumeral stability after biceps tenodesis. This biomechanical study evaluated the contribution of a type II SLAP lesion to glenohumeral translation in the presence of biceps tenodesis. The authors hypothesize that subsequent to bi...
journal_title：Journal of shoulder and elbow surgery
pub_type： 杂志文章
doi：10.1016/j.jse.2013.07.036
更新日期：2014-04-01 00:00:00
