Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Aug 2019
Is shortening of displaced midshaft clavicle fractures associated with inferior clinical outcomes following nonoperative management? A systematic review.
Management of displaced midshaft clavicle fractures is controversial. Nonoperative treatment can lead to shortening, a risk factor for nonunion and poor functional outcomes. These inferior results have resulted in authors recommending surgical fixation for fractures with significant shortening. The aim of this systematic review was to analyze the effect of fracture shortening on shoulder function and nonunion rates in nonoperatively managed displaced midshaft clavicle fractures. ⋯ There is no significant association between fracture shortening and nonunion rates or shoulder outcome scores in displaced midshaft clavicle fractures managed nonoperatively.
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J Shoulder Elbow Surg · Aug 2019
Reverse shoulder arthroplasty in the treatment of glenohumeral instability.
Glenohumeral instability is a rare indication for primary reverse total shoulder arthroplasty (RTSA), accounting for fewer than 1% of the indications in the literature. The aim of this study was to analyze the clinical and radiographic outcomes of RTSA for recurrent instability after failed operative repair or instability associated with major bone loss in elderly patients. ⋯ RTSA seems to represent a valuable treatment option for glenohumeral instability in an elderly population with large bone loss or as a salvage procedure after failed operative glenohumeral stabilization. Postoperative instability was not observed in the case and control groups.