Distal biceps section and reinsertion for chronic distal biceps tendinopathy.

Background: Surgical reinsertion of the distal biceps tendon for acute and chronic tears is a widely accepted procedure, but little is known about surgical treatment of distal biceps tendinopathy.

Methods: Twenty patients underwent a surgical procedure for distal biceps tendinopathy after failure of conservative treatment. The surgery was performed through a single incision.

Revision of reversed shoulder arthroplasty: Is a reoperation possible?

Introduction: As the number of reversed shoulder arthroplasty (RSA) procedures increases, the revision rate will also increase. In case of severe bone insufficiency, instability or infection of the primary RSA, revision to another RSA is preferable but not always possible. Hemiarthroplasty (HA), spacers and resection arthroplasty (RA) have been described in this indication.

A Critical Review on Prosthetic Features Available for Reversed Total Shoulder Arthroplasty.

Reversed total shoulder arthroplasty is a popular treatment in rotator cuff arthropathy and in displaced proximal humeral fractures in elderly. In 2016, 29 models of commercially available designs express this popularity. This study describes all the different design parameters available on the market.

What do standard radiography and clinical examination tell about the shoulder with cuff tear arthropathy?

Background: This study evaluates the preoperative conventional anteroposterior radiography and clinical testing in non-operated patients with cuff tear arthropathy. It analyses the radiological findings in relation to the status of the rotator cuff and clinical status as also the clinical testing in relation to the rotator cuff quality. The aim of the study is to define the usefulness of radiography and clinical examination in cuff tear arthropathy.

Prosthetic overhang is the most effective way to prevent scapular conflict in a reverse total shoulder prosthesis.

Background And Purpose: Despite good clinical results with the reverse total shoulder arthroplasty, inferior scapular notching remains a concern. We evaluated 6 different solutions to overcome the problem of scapular notching.

Methods: An average and a "worst case scenario" shape in A-P view in a 2-D computer model of a scapula was created, using data from 200 "normal" scapulae, so that the position of the glenoid and humeral component could be changed as well as design features such as depth of the polyethylene insert, the size of glenosphere, the position of the center of rotation, and downward glenoid inclination.

Consequences of scapular anatomy for reversed total shoulder arthroplasty.

The reverse total shoulder prosthesis provides successful functional outcome in many patients with rotator cuff tear arthropathy. However, scapular notching, a direct consequence of mechanical impingement between the humeral prosthesis and the glenoid, remains a major concern. We presumed a better knowledge of the anatomy of the scapula would enable design or placement modifications to minimize this phenomenon.

Glenosphere disengagement: a potentially serious default in reverse shoulder surgery.

Unlabelled: Implant failure is a serious complication in reverse shoulder arthroplasty. We determined the incidence of glenosphere disengagement in a cohort of 479 reverse shoulder prostheses (468 Delta III [DePuy International Ltd, Leeds, UK], 11 Aequalis [Tornier, Grenoble, France]). We also determined whether disengagement adversely affected clinical outcomes.

Echocardiographically estimated left ventricular end-diastolic and right ventricular systolic pressure in normotensive healthy individuals.

Aim: To study the effect of aging on and the relationship between echocardiographically estimated left ventricular (LV) filling pressure and estimated right ventricular (RV) systolic pressure among healthy normotensive individuals.

Methods: We analyzed 249 healthy individuals (aged 18-82 years, 52% men) with normal echocardiographic findings and reliably measurable tricuspid regurgitation gradients. Subjects with blood pressure >140/90 mmHg and/or LV hypertrophy were excluded.