69 research outputs found

    Consequences of reaming with flat and convex reamers for bone volume and surface area of the glenoid : a basic science study

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    Background: The effect of reaming on bone volume and surface area of the glenoid is not precisely known. We hypothesize that (1) convex reamers create a larger surface area than flat reamers, (2) flat reamers cause less bone loss than convex reamers, and (3) the amount of bone loss increases with the amount of version correction. Methods: Reaming procedures with different types of reamers are performed on similar-sized uniconcave and biconcave glenoids created from Sawbones foam blocks. The loss of bone volume, the size of the remaining surface area, and the reaming depth are measured and evaluated. Results: Reaming with convex reamers results in a significantly larger surface area than with flat reamers for both uniconcave and biconcave glenoids (p = 0.013 and p = 0.001). Convex reamers cause more bone loss than flat reamers, but the difference is only significant for uniconcave glenoids (p = 0.007). Conclusions: In biconcave glenoids, convex reamers remove a similar amount of bone as flat reamers, but offer a larger surface area while maximizing the correction of the retroversion. In pathological uniconcave glenoids, convex reamers are preferred because of the conforming shape

    Outcomes of reverse total shoulder arthroplasty with postoperative scapular fracture

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    status: accepte

    The Accessory muscles of the Axilla

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    The axilla is a region of clinical and surgical importance with plenty of anatomical variations. One of these is the presence of accessory muscles. The literature was reviewed in order to identify the different supernumerary muscles that are described in the axilla. Variant muscle slips arising from the pectoral muscle or latissimus dorsi muscle have been described. There still remains controversy regarding the phylogenetic origin of these different muscles. We described the most frequently reported muscles, their origin, and course. Further research is required regarding the innervation and influence on glenohumeral and scapulothoracic kinematics.status: publishe

    Rotator cuff healing after needling of a calcific deposit using platelet-rich plasma augmentation: a randomized, prospective clinical trial

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    Arthroscopic needling of a rotator cuff calcification is a highly reliable operation in terms of pain relief and return of function. However, during the needling process, a cuff defect is created. Little is known about the evolution of this defect.publisher: Elsevier articletitle: Rotator cuff healing after needling of a calcific deposit using platelet-rich plasma augmentation: a randomized, prospective clinical trial journaltitle: Journal of Shoulder and Elbow Surgery articlelink: http://dx.doi.org/10.1016/j.jse.2015.10.009 content_type: article copyright: Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.status: publishe

    SYNPOLYDACTYLY AND MUTATIONS IN THE HOXD13 GENE

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    edition: 3rdstatus: publishe

    The use of 3D printing technology in reconstruction of a severe glenoid defect: a case report with 2.5 years of follow-up

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    publisher: Elsevier articletitle: The use of 3D printing technology in reconstruction of a severe glenoid defect: a case report with 2.5 years of follow-up journaltitle: Journal of Shoulder and Elbow Surgery articlelink: http://dx.doi.org/10.1016/j.jse.2015.04.006 content_type: article copyright: Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.status: publishe

    How much bone support does an anatomic glenoid component need?

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    info:eu-repo/semantics/publishe

    Can the contralateral scapula be used as a reliable template to reconstruct the eroded scapula during shoulder arthroplasty?

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    HYPOTHESIS: The contralateral scapula can be used as a reliable template to determine scapular offset, glenoid inclination, and version of the native scapula in view of reconstructing pathologic scapulae. METHODS: Three-dimensional measurements of scapular offset, inclination, and version were performed using data from a set of 50 bilateral computed tomography scans of full scapulae to determine direct side-to-side differences. RESULTS: The scapula pairs had a mean bilateral difference of 2 mm in offset, 2° in inclination, and 2° in version. Ninety percent of the scapula pairs showed an offset difference smaller than 3 mm. In 96% and 94% of the scapula pairs, the inclination difference and version difference, respectively, were smaller than 5°. The maximum bilateral difference for offset, inclination, and version was 6 mm, 6°, and 8°, respectively. DISCUSSION AND CONCLUSION: The anatomic parameters of scapular offset, glenoid inclination, and version are quite symmetrical and fall into the currently technically feasible accuracy of shoulder arthroplasty implantation. The healthy scapula can be used as a template to guide the reconstruction of the glenoid during shoulder arthroplasty planning in the case of unilateral advanced arthropathy.status: publishe
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