Shoulder/Elbow News

Modifiable patient factors, such as BMI, vitamin D levels and diabetes, can be optimized preoperatively to reduce the risk of infection and other postoperative complications. However, sometimes patient risk factors — and how to modify them — are not as clear cut.

Education continues to evolve. New ideas on how adults comprehend information combined with innovative technology has led to a greater understanding of the complexity and individuality of learning, which has had a significant effect on the education of orthopedic surgeons. Changes in training curriculum and CME have improved the ability of surgeons and surgeons-in-training to understand musculoskeletal diseases and provide care resulting in the best possible outcomes.

A 56-year-old right-hand-dominant woman sustained two dislocations to her right shoulder, the first of which occurred about 18 days prior to presentation when she slipped and fell onto her bent arm. The fall resulted in an anterior shoulder dislocation that was reduced at the local ED (Figure 1). Post-reduction radiography was normal, and the patient was discharged in a simple sling (Figure 2). Fourteen days later, when lying in bed, she reached across her body and caused a subsequent dislocation. This dislocation also required a reduction performed at the ED and placement into an abduction sling. Again, post-reduction radiographs were negative for fracture. The patient was initially referred to a nonoperative sports medicine specialist for rehabilitation.

WAIKOLOA, Hawaii — To have a successful total shoulder arthroplasty, orthopedic surgeons need to make sure the humeral head implant is the correct size, according to a presentation at Orthopedics Today Hawaii.

WAIKOLOA, Hawaii — When treating tennis elbow nonoperatively, surgeons should use a combination of NSAIDs, activity modification, splints and eccentric training, according to a presenter here at Orthopedics Today Hawaii.

WAIKOLOA, Hawaii — At Orthopedics Today Hawaii, Christopher S. Ahmad, MD, spoke about the management of bony Bankart lesions. He said that bony Bankart lesions are related to bone deficiency in the shoulder that can cause failure rates if addressed arthroscopically. However, the bony Bankart lesion is different than glenoid wear or loss because the bony Bankart case can be repaired and can restore the bone and normal bone anatomy to the glenoid.

WAIKOLOA, Hawaii — In a Facebook Live event hosted at Orthopedics Today Hawaii, John M. Tokish, MD, discussed ways to treat large or massive rotator cuff tears.

WAIKOLOA, Hawaii — In a Facebook Live event held at Orthopedics Today Hawaii, Anthony A. Romeo, MD, and John M. Tokish, MD, discussed the options orthopedic surgeons now have in the treatment of large to massive rotator cuff tears.

Orthopedics Today will host a Facebook Live event during the Orthopedics Today Hawaii 2019 Meeting.

CHICAGO — Patients who underwent anatomic total shoulder arthroplasty with a posterior augmented pegged glenoid experienced similar outcomes when compared with patients who received a non-augmented pegged glenoid, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.