Effect of nonoperative concomitant intraarticular pathologies on the outcome of arthroscopic capsular release for adhesive capsulitis of the shoulder

Objective: The aim of this study was to investigate whether coexistent intraarticular lesions are negative prognostic factors for the results of arthroscopic capsular release in frozen shoulder patients. Methods: Seventy-two patients who met inclusion criteria and underwent arthroscopic capsular release between March 2011 and August 2015 for the frozen shoulder were retrospectively evaluated. The patients were divided into two groups according to existence of concomitant intraarticular pathologies detected during arthroscopy. Preoperative and postoperative functional results were assessed with Constant score and shoulder ranges of motion; and the amount of pain was evaluated using visual analog scale (VAS). Results: Group I consisted of 46 patients (mean age 47.2 years and mean follow-up 26 months) without concomitant shoulder pathologies and group II consisted of 26 patients (mean age 48.6 years and mean follow-up 15 months) with coexistent lesions (SLAP lesions, n ¼ 8; SLAP and partial rupture of the RC, n ¼ 4; SLAP, partial rupture of RC and impingement, n ¼ 10; SLAP and impingement, n ¼ 2; and AC arthritis and impingement, n ¼ 2). Preoperatively, the mean ranges of forward flexion (p ¼ 0.221), abduction (p ¼ 0.065), internal rotation (p ¼ 0.564), Constant (p ¼ 0.148) and VAS (p ¼ 0.365) scores were similar between the groups. After a minimum 12 months of follow-up, all patients significantly improved but no statistically significant difference was detected in the mean ranges of forward flexion (152 vs 150; p ¼ 0.902), abduction (137 vs 129; p ¼ 0.095), external rotation (45 vs 40; p ¼ 0.866), internal rotation (5 vs 5 point; p ¼ 0.474), Constant (82 vs 82.3; p ¼ 0.685) and VAS (1.2 vs 1.2; p ¼ 0.634) scores between the groups. Conclusion: The presence of concomitant shoulder pathologies does not appear to affect the clinical outcomes in patients undergoing arthroscopic capsular release for frozen shoulder

Simultaneous ipsilateral proximal interphalangeal and metacarpophalangeal dislocation of the fifth phalanx: A case report

We propose, analyze and demonstrate the optoelectronic phase-locking of optical waves whose frequencies are chirped continuously and rapidly with time. The optical waves are derived from a common optoelectronic swept-frequency laser based on a semiconductor laser in a negative feedback loop, with a precisely linear frequency chirp of 400 GHz in 2 ms. In contrast to monochromatic waves, a differential delay between two linearly chirped optical waves results in a mutual frequency difference, and an acoustooptic frequency shifter is therefore used to phase-lock the two waves. We demonstrate and characterize homodyne and heterodyne optical phase-locked loops with rapidly chirped waves, and show the ability to precisely control the phase of the chirped optical waveform using a digital electronic oscillator. A loop bandwidth of ∼ 60 kHz, and a residual phase error variance of < 0.01 rad^2 between the chirped waves is obtained. Further, we demonstrate the simultaneous phase-locking of two optical paths to a common master waveform, and the ability to electronically control the resultant two-element optical phased array. The results of this work enable coherent power combining of high-power fiber amplifiers—where a rapidly chirping seed laser reduces stimulated Brillouin scattering—and electronic beam steering of chirped optical waves

Floating Shoulder: Ipsilateral Clavicle, Scapular Body And Glenoid Fracture. A Case Report

We present a case of shoulder instability following a traffic accident. Allman Type I midshaft clavicle, Ideberg Type II glenoid and DeCloux Type I scapular body fractures were diagnosed following radiologic examination. There were no signs of ligamentous injury. Mechanical instability was noted at the shoulder due to breakage of the supportive bony skeleton. The patient was treated surgically with plate and screw fixation. Surgical fixation allowed early postoperative physiotherapy and rehabilitation. This rare injury and its treatment options are discussed in the light of current literature

A rare cause of deep peroneal nerve palsy due to compression of synovial cyst – Case report

AbstractINTRODUCTIONSynovial cyst is a rare cause of compression neuropathy and its differential diagnosis can be misleading.PRESENTATION OF CASEThis article presents clinical, radiological, and histological findings of deep peroneal nerve palsy due to compression of a synovial cyst in a 30-year-old patient admitted with sudden drop foot.DISCUSSIONFocal nerve entrapment in lower extremity due to synovial cystis a rare entity. Differential diagnosis is important. Surgical excision is the main treatment method with high success rate.CONCLUSIONSynovial cyst compression which can be treated easily with surgical excision should be considered in rapidly progressed drop foot

Realignment osteotomies in the treatment of chronic instabilities of the knee associated with malalignment (case report)

AbstractINTRODUCTIONChronic knee instabilities associated with malalignment are complex and unusual disorders with various treatment modalities.PRESENTATION OF CASEWe describe two cases of chronic instability of the knee with malalignment. Furthermore, we describe realignment osteotomies as the treatment of chronic instabilities for these cases.DISCUSSIONIn the literature review, there are few cases of chronic instabilities treated by realignment osteotomy. Only soft tissue procedures are not enough to treat the chronic instability of the knee with limb malalignment.CONCLUSIONDeformity analysis with good preoperative planning and then realignment of the lower extremity, lead to better results and will preserve the joint from instability