Shoulder

ATLANTA — Gadolinium-enhanced MRI improved diagnostic accuracy in patients with polymyalgia rheumatica and helped predict disease recurrence, according to a presenter here.

NEW YORK — Rates of implant removal or revision following radial head arthroplasty may be influenced by younger patient age, chronic indications and certain aspects of prosthesis design, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

NEW YORK — Reverse shoulder arthroplasty performed with an alternate scapular line baseplate orientation yielded clinical improvements among patients with glenoid bone loss, according to results presented here.

NEW YORK — At the American Shoulder and Elbow Surgeons Annual Meeting, Patrick Denard, MD, discussed his tricks for superior capsular reconstruction. He said the best indications for this procedure are patients younger than 70 years old, with little to no arthritis and without adaptive changes of the proximal humerus. Denard said to delay strengthening to 4 months and strenuous activities until after 6 months.

NEW YORK — A retrospective review presented at the American Shoulder and Elbow Surgeons Annual Meeting showed younger patients with less complex proximal humerus fractures were more commonly treated with open reduction and internal fixation, while older patients with more complex fractures were more commonly treated with reverse shoulder arthroplasty.

NEW YORK — Use of a locked plating system may be safe and effective with an acceptable failure rate in geriatric patients with olecranon fractures, according to results presented here.

NEW YORK—At the American Shoulder and Elbow Surgeons Annual Meeting, Lawrence Gulotta, MD, from Hospital for Special Surgery, discussed a study that compared clinical outcomes after reverse total shoulder arthroplasty using augmented glenoid baseplates vs. use with standard glenoid baseplates. He said there were similar patient-reported outcomes, functional outcome scores, X-rays and complications seen between augmented baseplates and standard baseplates.

NEW YORK — Throwing athletes who underwent ulnar nerve transposition were able to return to play with low reoperation rates, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

NEW YORK — Patients with massive rotator cuff tears who underwent superior capsule reconstruction experienced significant improvements in patient-reported outcome scores, according to results presented at the American Shoulder and Elbow Surgeons Annual Meeting.

Published results showed isolated open anterior release of the shoulder reduced posterior joint subluxation and improved passive and active shoulder ranges of motion in patients with brachial plexus birth palsy.