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Shoulder/Elbow News
Latarjet procedure, iliac crest bone graft transfer for shoulder instability yield similar outcomes
According to recently published results, there was no difference seen in clinical and radiologic outcomes with the Latarjet procedure and iliac crest bone graft transfer procedure. However, patients who underwent the Latarjet procedure had worse internal rotation capacity. Frequent donor-site sensory disturbances were seen with the iliac crest bone graft transfer procedure.
Primary tendon repair superior to physiotherapy in long-term treatment of small to medium rotator cuff tears
According to a study with a 10-year follow-up, tendon repair yielded superior results compared with physiotherapy in the treatment of small- and medium-sized rotator cuff tears.
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VIDEO: Similar return to sport seen for superior capsular reconstruction, reverse shoulder arthroplasty
BOSTON— At the American Orthopaedic Society for Sports Medicine Annual Meeting, Brandon C. Cabarcas, MD, discussed a study that compared patients who underwent superior capsular reconstruction with patients who underwent reverse shoulder arthroplasty. At short-term follow-up, return-to-sport rates were similar between the groups.
Corticosteroid injections after rotator cuff repair yielded favorable early results for cuff integrity
Intra-articular corticosteroid injections after rotator cuff repair may be effective in increasing range of motion while maintaining cuff integrity, according to published findings. Researchers noted the injections did not increase the risk of retears and contributed to greater range of motion and improved clinical scores during the early postoperative period.
EFORT Open Reviews: A round-up of recently published articles
EFORT Open Reviews (EOR) is the new open access journal from EFORT and Bone & Joint Publishing. All articles are free to read online with no subscription required.
White blood cell/bone marrow imaging yielded poor diagnosis of chronic shoulder PJI
Use of white blood cell/bone marrow single-photon emission CT with standard CT for diagnosis of chronic infection in failed shoulder arthroplasty yielded low negative predictive values, high positive predictive values and poor accuracy, according to published results.
Rotator cuff repair with and without biceps tenodesis yielded equivalent outcomes
Results showed equivalent patient-determined outcomes between patients who underwent rotator cuff repair with and those who had the procedure without a percutaneous intra-articular transtendon technique biceps tenodesis.
Poor outcomes seen in elective total joint arthroplasty patients who take opioids preoperatively
According to recently published results, there was a significant correlation between increased health care costs and adverse perioperative surgical outcomes in patients who used opioids prior to total joint arthroplasty.
Patient-reported outcomes differed between men, women with glenohumeral instability
Results showed initial presentation, pathology and baseline patient-reported outcome scores differed between men and women with glenohumeral instability.
Brachial plexus block with liposome bupivacaine for shoulder surgery linked with decreased opioid use
After shoulder surgery, a single-injection of ultrasound-guided brachial plexus block with liposome bupivacaine offered analgesia through 48 hours postoperatively and decreased opioid use compared with placebo, according to recently published results.