The American journal of sports medicine
-
Clinical Trial
In vivo comparison of changes in glenohumeral translation after arthroscopic capsulolabral reconstructions.
The objective of this study was to quantify anteroposterior glenohumeral translation of patients undergoing arthroscopic capsulolabral repairs using cutaneous electromagnetic position sensors. ⋯ Arthroscopic superior capsulolabral reconstructions successfully restored anteroposterior translation. However, arthroscopic capsulolabral techniques for treating recurrent anterior or posterior instability resulted in decreased anteroposterior translation compared to the uninvolved side while restoring external rotation.
-
Controlled Clinical Trial
Biomechanical and radiographic analysis of partial coracoclavicular ligament injuries.
A spectrum of acromioclavicular joint injuries may exist between type II acromioclavicular joint disruption (coracoclavicular strain) and type III acromioclavicular joint injuries (coracoclavicular disruption). This may help explain the variability in outcomes seen in patients with type II acromioclavicular injuries. ⋯ Zanca radiograph may detect incomplete injury to the coracoclavicular ligaments associated with acromioclavicular disruption.
-
Little has been reported on treatment of rotator cuff tears with shoulder stiffness. ⋯ Pain, range of motion, muscle strength, and function all significantly improved after arthroscopic rotator cuff repair, regardless of the presence of shoulder stiffness. Patients with full-thickness rotator cuff tears and stiffness of the shoulder can be treated with a single surgery and concomitant manipulation with overall good results. Although final outcomes were as good as those in patients without stiffness, the return of range of motion took longer in those patients undergoing manipulation for stiffness of the shoulder.