Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Mar 2012
ReviewA systematic review and comprehensive classification of pectoralis major tears.
Reported descriptions of pectoralis major (PM) injury are often inconsistent with the actual musculotendinous morphology. The literature lacks an injury classification system that is consistently applied and accurately reflects surgically relevant anatomic injury patterns, making meaningful comparison of treatment techniques and outcomes difficult. ⋯ A contemporary injury classification system is proposed that includes (1) injury timing (acute vs chronic), (2) injury location (at the muscle origin or muscle belly, at or between the musculotendinous junction and the tendinous insertion, or bony avulsion), and (3) standardized terminology addressing tear extent (anterior-to-posterior thickness and complete vs incomplete width) to more accurately reflect the musculotendinous morphology of PM injuries and better inform surgical management, rehabilitation, and research.
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J Shoulder Elbow Surg · Mar 2012
The long term effect of an intra-articular injection of corticosteroids in the acromioclavicular joint.
A prospective study was established to assess the effect of an intra-articular injection of corticosteroid and local anaesthetic into the acromioclavicular (AC) joint. ⋯ The diagnostic value of the injection of a local anaesthetic in the AC joint is immediate. Only 28% have a clear positive result at 1 month; but, this result is sustained at long-term follow-up. There were no complications.
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyArthrosis of glenohumeral joint after arthroscopic Bankart repair: a long-term follow-up of 13 years.
The purpose of the study was to establish radiologic and clinical occurrence of glenohumeral arthrosis after arthroscopic Bankart repair. ⋯ Arthrosis rarely causes more than minor subjective symptoms or a minor objectively perceived disadvantage during 13 years' follow-up.
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J Shoulder Elbow Surg · Mar 2012
Partial allograft replacement of the radial head in the management of complex fracture-dislocations of the elbow.
There have been reports of total radial head allografts showing variable outcomes. This case series reports the novel use of an allograft for partial radial head replacement in the treatment of elbow fracture-dislocation. ⋯ Partial radial head allograft may be a useful alternative to radial head prosthesis in unstable fracture-dislocations in which the radial head cannot be restored fully.