Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Mar 2012
Comparative StudyThe docking technique for lateral ulnar collateral ligament reconstruction: surgical technique and clinical outcomes.
Lateral ulnar collateral ligament (LUCL) reconstruction is a commonly used surgical approach for the treatment of posterolateral rotatory instability (PLRI). We hypothesized that favorable clinical results could be obtained using the docking technique. ⋯ LUCL reconstruction using the docking technique facilitates simple graft tensioning and excellent graft fixation. Clinical results are comparable with previously reported studies with a low complication rate.
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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.