Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Jun 2012
Comparative StudySurgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates.
This study compared titanium elastic nail (TEN) fixation with plate fixation in patients with uncomplicated midshaft clavicle fractures. ⋯ Fixation of uncomplicated midshaft clavicle fractures with TENs provides adequate fixation and faster relief of pain and return to normal function of the affected shoulder than fixation with 3.5-mm reconstruction plates.
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J Shoulder Elbow Surg · Jun 2012
Randomized Controlled Trial Multicenter Study Comparative StudyDoes hyaluronate injection work in shoulder disease in early stage? A multicenter, randomized, single blind and open comparative clinical study.
This study assessed the hypothesis that injection of high-molecular weight hyaluronate in the treatment of subacromial impingement syndrome is effective and safe, compared with corticosteroid injection in the shoulder joint. ⋯ A subacromial hyaluronate injection to treat impingement syndrome produces similar pain and functional improvement to corticosteroid at a short-term follow-up.
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J Shoulder Elbow Surg · Jun 2012
Fracture site augmentation with calcium phosphate cement reduces screw penetration after open reduction-internal fixation of proximal humeral fractures.
We sought to examine fracture settling and screw penetration after open reduction-internal fixation of 2-, 3-, and 4-part proximal humeral fractures and determine whether the use of calcium phosphate cement reduced these unwanted complications. ⋯ Augmentation with calcium phosphate cement in the treatment of proximal humeral fractures with locked plates decreased fracture settling and significantly decreased intra-articular screw penetration.
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J Shoulder Elbow Surg · Jun 2012
The rising incidence of arthroscopic superior labrum anterior and posterior (SLAP) repairs.
Superior labrum anterior-posterior (SLAP) lesions of the shoulder that require surgical repair are relatively uncommon. However, recent observations suggest that there may be a rise in the incidence of SLAP lesion repair. ⋯ The data suggest a substantial increase in the number of arthroscopic SLAP repairs that is significantly more rapid than the rising rate of outpatient orthopedic surgical procedures. In addition, there is a significant increase in the age of patients who are being treated with arthroscopic SLAP repairs.