Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Jun 2014
Randomized Controlled Trial Comparative StudyImmobilization in external rotation combined with abduction reduces the risk of recurrence after primary anterior shoulder dislocation.
We aimed to compare the effectiveness of immobilization in abduction and external rotation vs immobilization in adduction and internal rotation after primary anterior dislocation of the shoulder. ⋯ Immobilization with the shoulder joint in abduction and external rotation is an effective method to reduce the risk of recurrence after primary anterior shoulder dislocations and should be preferred to the traditional method of immobilization in adduction and internal rotation in clinical practice.
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J Shoulder Elbow Surg · Jun 2014
Randomized Controlled TrialThe use of video before arthroscopic shoulder surgery to enhance patient recall and satisfaction: a randomized-controlled study.
Historically, the preoperative consultation has consisted of a discussion between patient and surgeon. There is a growing literature describing efforts to integrate multimedia into surgical patient education. This study aimed to assess the efficacy of an educational video tutorial on early learning of information specific to patients undergoing shoulder arthroscopy when it was used as an adjunct to the standard preoperative consultation. ⋯ Basic science, education methodology study, devices to improve learning.
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J Shoulder Elbow Surg · Jun 2014
Hill-Sachs remplissage, an arthroscopic solution for the engaging Hill-Sachs lesion: 2- to 10-year follow-up and incidence of recurrence.
This paper presents the results of arthroscopic remplissage in the treatment of traumatic anterior shoulder instability in a difficult subgroup of patients with both glenoid bone loss and a significant Hill-Sachs lesion. ⋯ Level IV, case series, treatment study.
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J Shoulder Elbow Surg · Jun 2014
Randomized Controlled Trial Comparative StudyShoulder function after surgical treatment of displaced fractures of the humeral shaft: a randomized trial comparing antegrade intramedullary nailing with minimally invasive plate osteosynthesis.
Minimally invasive plate osteosynthesis for humeral shaft fractures has been described recently, but there are no randomized studies comparing the clinical results for shoulder function between this technique and locking intramedullary nailing. ⋯ There is no significant difference in shoulder function between antegrade intramedullary nailing and minimally invasive plate osteosynthesis for the treatment of displaced humeral shaft fractures, despite the limited power of our study.
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J Shoulder Elbow Surg · Jun 2014
Treatment choice affects inpatient adverse events and mortality in older aged inpatients with an isolated fracture of the proximal humerus.
This study tests the null hypothesis that, among patients aged 65 and older admitted to a United States hospital with an isolated fracture of the proximal humerus (no other injuries or fractures), there are no differences between operative (fixation or arthroplasty) and nonoperative treatments with respect to inpatient adverse events, inpatient mortality, and discharge to a long-term care facility rates accounting for comorbidities. ⋯ Level III, retrospective cohort study, treatment study.