Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Mar 2013
ReviewPreventing venous thromboembolism in elective upper limb surgery.
Deep venous thrombosis (DVT) and pulmonary embolism (PE) have considerable clinical and economic consequences. The prevention of venous thrombosis and PE are increasingly seen as quality markers for surgery. Guidance is available from a number of sources to stratify risk for different patients and procedures and to define an appropriate standard of care. Despite this, best practice is unclear. ⋯ Review Article.
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J Shoulder Elbow Surg · Mar 2013
Tenocytes of chronic rotator cuff tendon tears can be stimulated by platelet-released growth factors.
Bone-to-tendon healing after rotator cuff repairs is mainly impaired by poor tissue quality. The tenocytes of chronic rotator cuff tendon tears are not able to synthesize normal fibrocartilaginous extracellular matrix (ECM). We hypothesized that in the presence of platelet-released growth factors (PRGF), tenocytes from chronically retracted rotator cuff tendons proliferate and synthesize the appropriate ECM proteins. ⋯ Basic Science Study, Cell Biology.
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J Shoulder Elbow Surg · Mar 2013
The function of the clavicle on scapular motion: a cadaveric study.
The clavicle serves as a strut between the thorax and scapula, and lack of this function could affect shoulder mobility. We hypothesized that clavicular discontinuity changes shoulder kinematics, particularly affecting scapular motion. ⋯ Basic Science Study, Biomechanics, Cadaver Model.
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J Shoulder Elbow Surg · Feb 2013
Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?
Recent studies have found a high prevalence of depression, anxiety, and sleep disturbance in patients with chronic musculoskeletal pain. We conducted a study to determine whether shoulder pain for 3 months or longer is correlated with depression, anxiety, and sleep disturbance. ⋯ Our study demonstrated high prevalence and close relationships of depression, anxiety, and sleep disturbance in patients with shoulder pain for 3 months or longer. These results may indicate importance of the psychologic approach as well as adequate pain control.