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Der Orthopade Mar 2021Arthroplasty of the shoulder joint leads to excellent clinical results if the indications are valid and the implantation is technically correct. Taking anatomical... (Review)
Review
Arthroplasty of the shoulder joint leads to excellent clinical results if the indications are valid and the implantation is technically correct. Taking anatomical requirements and mechanical functions as well as material properties and developments in surgical techniques into account, articulations and anchoring systems have been developed which, as modular systems enable successful restoration of the biomechanics and consider the importance of the surrounding soft tissues. Scientific data show promising medium-term and long-term results in terms of functionality and pain reduction. Nevertheless, due to the limited bone stock for implant anchoring, especially loosening of the prosthesis or instability of the glenoid joint component, revision arthroplasty remains challenging. This review article summarizes the relevant aspects of shoulder arthroplasty.
Topics: Arthroplasty, Replacement; Arthroplasty, Replacement, Shoulder; Humans; Prosthesis Design; Prosthesis Failure; Reoperation; Shoulder Joint; Shoulder Prosthesis; Treatment Outcome
PubMed: 33543309
DOI: 10.1007/s00132-020-04065-6 -
MMW Fortschritte Der Medizin Feb 2019
Review
Topics: Humans; Rotator Cuff Injuries; Shoulder; Shoulder Injuries; Shoulder Joint
PubMed: 30778963
DOI: 10.1007/s15006-019-0187-3 -
BioMed Research International 2019The incidence of septic arthritis of the shoulder joint is increasing as the population ages. The prevalence of shoulder infection is also increasing because of the...
BACKGROUND
The incidence of septic arthritis of the shoulder joint is increasing as the population ages. The prevalence of shoulder infection is also increasing because of the growing use of arthroscopy and expansion of procedures in the shoulder. However, cultures do not always identify all microorganisms, even in symptomatic patients. The incidence of negative cultures ranges from 0% to 25%. Few studies have reported clinical features and treatment outcomes of culture-negative shoulder infections. This cohort study addresses culture-negative shoulder joint infections in nonarthroplasty patients. This study aimed to compare clinical characteristics and treatment outcomes of patients with culture-negative results to those with culture-positive results. Our hypothesis was that culture-negative infections would have more favorable outcomes than culture-positive infections.
METHODS
We retrospectively reviewed data of 36 patients (17 culture-negative and 19 culture-positive) with shoulder infections between June 2004 and March 2015. The minimum follow-up duration was 1.2 years (mean, 5 ± 3.8 years; range, 1.2-11 years). We assessed preoperative demographic data and characteristics, laboratory markers, imaging and functional scores, intraoperative findings, and postoperative findings of both groups.
RESULTS
Culture-negative patients (17/36, 47.2%) had a significantly lower occurrence of repeated surgical debridement (culture-negative vs. culture-positive: 1.2 ± 0.4 vs. 2.4 ± 1.7, = 0.002) without osteomyelitis. In the multiple logistic regression analysis, the presence of osteomyelitis [odds ratio (OR) = 9.7, 95% confidence interval (CI): 1.0-91.8, =0.04)] and the number of surgical debridements (OR = 5.3, 95% CI: 1.3-21.6, =0.02) were significantly associated with culture-positive infections.
CONCLUSIONS
Culture-negative infections without osteomyelitis are less severe than culture-positive infections. Culture-negative infections can be controlled more easily and are not necessarily a negative prognostic factor for shoulder joint infections.
Topics: Adult; Aged; Aged, 80 and over; Arthroscopy; Female; Humans; Inflammation; Logistic Models; Male; Middle Aged; Rotator Cuff; Shoulder Joint; Staphylococcal Infections; Treatment Outcome
PubMed: 30891455
DOI: 10.1155/2019/3756939 -
Nederlands Tijdschrift Voor Geneeskunde 2011Examination of the active and passive range of motion of the shoulder joint is of major importance when diagnosing shoulder disorders. Abduction and external exorotation... (Review)
Review
Examination of the active and passive range of motion of the shoulder joint is of major importance when diagnosing shoulder disorders. Abduction and external exorotation movements of the shoulder joint can be judged reliably. Limitations in the range of abduction indicate subacromial pathology and limitations in the range of external exorotation indicate glenohumeral pathology. Other shoulder joint movement tests have only low inter-rater reliability. Palpation of the shoulder serves no useful purpose if inspection of the joint and examination of the active range of motion reveal no abnormal signs. The value of physical examination tests that identify impingement or stability of the shoulder joint has not been reliably demonstrated.
Topics: Humans; Physical Examination; Range of Motion, Articular; Shoulder; Shoulder Impingement Syndrome; Shoulder Injuries; Shoulder Joint; Shoulder Pain
PubMed: 21447205
DOI: No ID Found -
Polish Journal of Veterinary Sciences 2010The objective of this study was to present and discuss the available data on canine shoulder joint ultrasonography. The paper presents the method of ultrasonographic... (Review)
Review
The objective of this study was to present and discuss the available data on canine shoulder joint ultrasonography. The paper presents the method of ultrasonographic examination of the shoulder joint area, describes the normal structure of the shoulder joint in dogs, and discusses the most frequently encountered shoulder joint pathologies.
Topics: Animals; Dog Diseases; Dogs; Joint Diseases; Shoulder Joint; Ultrasonography
PubMed: 21077451
DOI: No ID Found -
Radiologic Clinics of North America Jul 2022Primary joint replacements are increasingly being performed, likely owing to our aging population and improved techniques. Advances have been made in shoulder joint... (Review)
Review
Primary joint replacements are increasingly being performed, likely owing to our aging population and improved techniques. Advances have been made in shoulder joint replacements including development of cuff tear arthroplasty hemiarthroplasty, improvements to reverse total shoulder arthroplasty designs, and more detailed preoperative imaging. The importance of spinopelvic kinematics has been brought to light in hip joint replacements. Appropriate preoperative measurement and subsequent compensation for the malalignment are critical.
Topics: Aged; Arthroplasty, Replacement, Hip; Arthroplasty, Replacement, Shoulder; Hemiarthroplasty; Humans; Shoulder; Shoulder Joint; Treatment Outcome
PubMed: 35672098
DOI: 10.1016/j.rcl.2022.03.009 -
Seminars in Musculoskeletal Radiology Jun 2022The shoulder joint is vulnerable for injuries following trauma and in the context of sporting activities. Degenerative rotator cuff disease is also a common entity....
The shoulder joint is vulnerable for injuries following trauma and in the context of sporting activities. Degenerative rotator cuff disease is also a common entity. Conservative therapy is often not indicated or does not lead to the desired success, so surgical intervention is necessary. Routine follow-ups, but also persistent complaints, delayed healing, or recurrent trauma, usually need postoperative imaging of the shoulder. The choice of the adequate imaging modality and technique is important to reach the correct diagnosis. Additionally, knowledge of the most common surgical procedures, as well as typical normal findings and expected pathologies on different imaging modalities, is crucial for the radiologist to play a relevant role in the postoperative diagnostic process. This article addresses postoperative imaging after rotator cuff repair, shoulder arthroplasty, and surgery for shoulder stabilization with an emphasis on computed tomography and magnetic resonance imaging.
Topics: Humans; Magnetic Resonance Imaging; Rotator Cuff; Shoulder; Shoulder Joint; Tomography, X-Ray Computed
PubMed: 35654094
DOI: 10.1055/s-0042-1743403 -
The Journal of the American Academy of... Apr 2016Surgical repair, reduction, fixation, and reconstruction for glenohumeral trauma, instability, and degenerative joint disease often require an open surgical exposure.... (Review)
Review
Surgical repair, reduction, fixation, and reconstruction for glenohumeral trauma, instability, and degenerative joint disease often require an open surgical exposure. Open shoulder surgery is challenging because the deltoid and rotator cuff musculature envelop the joint, and in most approaches, exposure is limited by the proximity and importance of the axillary nerve. An understanding of the importance of the deltoid and the rotator cuff for glenohumeral function has led to a progression of innovative, advanced, and less invasive approaches to the shoulder. Various advantages, disadvantages, and risks are encountered when performing deltopectoral, deltoid-splitting, and posterior approaches to the glenohumeral joint, with variations of each approach and techniques to extend them and maximize exposure. The ability to perform each of these exposures provides the surgeon with the flexibility to best address the widest variety of pathology.
Topics: Humans; Joint Instability; Shoulder; Shoulder Joint
PubMed: 26918414
DOI: 10.5435/JAAOS-D-14-00342 -
Orthopedics Jan 2011
Topics: Arthroscopy; Humans; Joint Instability; New York City; Orthopedics; Pain; Radiography; Range of Motion, Articular; Shoulder Joint
PubMed: 21210585
DOI: 10.3928/01477447-20101123-15 -
Seminars in Musculoskeletal Radiology Sep 2014
Topics: Diagnostic Imaging; Humans; Joint Diseases; Radiography; Shoulder Injuries; Shoulder Joint
PubMed: 25184389
DOI: 10.1055/s-0034-1389567