Background: Although anatomic total shoulder arthroplasty (ATSA) has favorable outcomes, nearly all techniques involve subscapularis tendon release for shoulder joint access. Such takedown of the subscapularis may be associated with decreased function, instability, and pain. Subscapularis-sparing approaches have the theoretical benefits of improved function, decreased failure of the tendon reattachment site, and early range of motion and rehabilitation.
View Article and Find Full Text PDFJBJS Essent Surg Tech
November 2019
Background: A subscapularis-sparing approach to anatomic total shoulder arthroplasty (TSA) is used for patients with glenohumeral osteoarthritis who have an intact rotator cuff and sufficient bone volume.
Description: A 7 to 10-cm anterosuperior incision is made with the patient in the beach chair position. The anterolateral deltoid muscle raphe is split, and the shoulder is externally rotated to bring the rotator interval to the field.
Background: Most anatomic total shoulder arthroplasty (ATSA) techniques release and reattach the subscapularis tendon. The risk of failed healing is a widely recognized complication. The purpose of this study was to radiographically compare a traditional deltopectoral (DP) approach and a superolateral subscapularis sparing (SSS) technique through the rotator interval.
View Article and Find Full Text PDFThe statistics of turn-on delay times for a longitudinal mode and the total intensity from a multimode, standing-wave, short-cavity dye laser are measured and compared with numerical simulations of a multimode theory of laser dynamics. Differences between the measurements and the theory for the average and standard deviation of the turn-on time are due to transitory modes that decay as a result of frequency-dependent losses and gains. Associated with this phenomenon is a kink in the time evolution of the mode intensity that represents a transition in the dynamics from domination by independent growth of all modes to domination by competition between modes with differing net gains.
View Article and Find Full Text PDFGastric papillomas were diagnosed in flaky skin (fsn/fsn) and steel-Dickie (Sl/Sld) mutant mice but not littermate controls. Both mutants suffer from severe anemia of differing causes. Immunohistochemical screening and Southern blot analyses failed to detect any evidence of a papillomavirus in the gastric lesions.
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