Shoulder/Elbow News

A 58-year-old man presented with left shoulder pain. His pain was six out of 10 in severity at its best, but 10 out of 10 at night and with activity. He reported he developed opioid dependence as a result of chronic pain and dysfunction of the shoulder. He reported an extensive history with regard to the left shoulder, which began 18 years prior to presentation.

Use of radiographic fracture displacement to guide surgical and clinical decision-making may yield excellent functional outcomes and comparable complication rates among pediatric patients with lateral condyle fractures, according to results.

Patients who received liposomal bupivacaine prior to closure during rotator cuff repair as part of a multimodal pain protocol had significantly reduced opioid consumption with no adverse events, readmissions or opioid-related side-effects compared with patients who did not receive liposomal bupivacaine, according to results.

Results showed a notable increase in the volume of total elbow arthroplasty performed from 2009 to 2018, with a large proportion of total elbow arthroplasties performed for fracture and high rates of readmission and ED utilization.

Use of appropriate multimodal pain management may allow patients to undergo arthroscopic rotator cuff repair without the use of opioids, according to results.

Hemidiaphragmatic paresis may occur in patients undergoing upper extremity surgery with supraclavicular block regardless of local anesthesia volume, according to results.

Results showed 10 mL of normal saline washout did not yield clinically significant reversal of phrenic nerve blockade in patients undergoing shoulder surgery.

Despite satisfactory results among younger patients who underwent total elbow arthroplasty, published results showed patients had a high rate of complications and revisions.

Implementation of anatomic and procedure-specific opioid-prescribing guidelines may effectively reduce inadvertent overprescribing of opioids while maintaining patient satisfaction and minimizing refill demands among patients undergoing upper extremity surgery, according to results.

Published results showed use of uncultured, unmodified, autologous adipose-derived regenerative cells may be safe and may improve shoulder function without adverse effects in patients with symptomatic, partial-thickness rotator cuff tears.