Complication rates following reverse and anatomic shoulder replacement in treatment of glenohumeral arthritis: a 10-year Medicare review study.

Background: We sought to compare the complication rates after anatomic total shoulder arthroplasty (aTSA) and reverse shoulder arthroplasty (RSA) for primary glenohumeral arthritis in a Medicare population.

Methods: Patients who underwent a shoulder arthroplasty were identified from the 5% subset of Medicare parts A/B between 2009 and 2019. Patients with less than 1-year follow-up were excluded.

Correlation of subjective and objective measures before and after shoulder arthroplasty.

The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 174 patients (93 total shoulder arthroplasty and 81 reverse shoulder arthroplasty) were prospectively evaluated pre- and postoperatively (mean follow-up, 49 months) with the following subjective measures: American Shoulder and Elbow Surgeons score, Simple Shoulder Test, Short Form 36 (SF-36) summary scores, and patient satisfaction.

Isometric strength, range of motion, and impairment before and after total and reverse shoulder arthroplasty.

Background: Medicare Part A provides similar resources for coverage of inpatient hospitalization costs for patients treated with total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA). This is based on an assumption that TSA and RSA are used to treat similar patient populations with comparable disease severity. However, no objective clinical information is available to support this resource allocation.

Massive rotator cuff tears without arthropathy: when to consider reverse shoulder arthroplasty.

Massive rotator cuff tears often present a challenge for the treating orthopaedic surgeon. A multitude of surgical approaches have been described to manage this condition, ranging from biceps tenotomy to complex muscle transfers to reverse shoulder arthroplasty. Among these procedures, reverse shoulder arthroplasty is increasingly advocated to relieve pain and restore function; however, the exact role of this arthroplasty procedure continues to be defined, particularly in patients without any evidence of associated glenohumeral arthritis.

Reverse Shoulder Arthroplasty in the Management of Irreparable Rotator Cuff Tears without Arthritis.

Introduction: The ability to provide reliable outcomes in treatment of patients with degenerative rotator cuff tears has become increasingly complicated, as a result of more advanced disease and the increased array of treatment choices.

Step 1 Preoperative Planning: Develop and communicate with a consistent team of interdisciplinary physicians both preoperatively and postoperatively; utilize advanced imaging modalities to evaluate muscle atrophy as well as glenoid and humeral bone stock.

Step 2 Patient Positioning: Place the patient in a beach-chair position, check the abdominal strap, and position yourself facing the axilla.

Intramedullary fixation of distal radius fractures.

Intramedullary fixation is the latest in a variety of techniques that have been developed to manage distal radius fractures. Intramedullary nailing of these fractures combines the soft-tissue advantages of a less invasive surgical approach with the biomechanical advantages of locking screw technology. These features may enable an accelerated postoperative rehabilitation and quicker return to function.

Lunate-lunate facet ratio and variance to predict articular gap after distal radius fracture.

Purpose: Intra-articular gap is a well-defined prognosticator of outcome after distal radius fracture. However, it is often difficult to assess on plain radiographs, particularly in the sagittal plane, as visualized on the lateral view. The purposes of this study were to establish normal values for the lunate-lunate facet ratio (LLFR) and to evaluate whether the LLFR and lunate-lunate facet variance (LLFV) are reliable plain film measures of sagittal articular gap in distal radius fractures compared with sagittal reconstructions of computed tomography (CT) scans.

Small-diameter percutaneous decompression for osteonecrosis of the shoulder.

Core decompression of the humeral head has previously been used as a joint-preserving procedure for treatment of symptomatic osteonecrosis of the shoulder. In this article, we describe a new decompression technique, which involves multiple small-diameter (3-mm) percutaneous perforations. In our study population (early-stage disease), shoulder arthroplasty was avoided in all 15 patients (26 shoulders) for a mean follow-up of 32 months (range, 24-41 months).

Osteonecrosis of the humeral head.

Osteonecrosis of the humeral head is considerably less common than osteonecrosis of the hip. However, as in the hip, the interaction between a genetic predisposition and certain risk factors may lead to increased intraosseous pressure, loss of circulation, and eventual bone death. The most common risk factor remains corticosteroid use, which accounts for most reported cases.

Self-reported patient outcomes after ACL reconstruction with allograft tissue.

Purpose: Self-reported outcomes after primary ACL reconstruction using allograft tissues were compared at > or = 5 yr (group 1) and at 2-4 yr (group 2) after surgery.

Methods: The IKDC Subjective Knee Evaluation and Current Health Assessment and the Knee Outcome Survey Activities of Daily Living Scale (KOS-ADLS) and the Sports Activity Scale (KOS-SAS) were mailed to 335 consecutive former patients at > or = 2 yr after surgery.

Results: Surveys were completed and returned by 64.

Self-reported outcomes after anterior cruciate ligament reconstruction: an internal health locus of control score comparison.

Purpose: The purpose of this study was to evaluate the influence of high or low internal health locus of control (HLOC) scores on knee function and sports activity self-reports.

Methods: The Multidimensional HLOC Scale, the Knee Outcome Survey (KOS) Activities of Daily Living Scale (ADLS) and Sports Activity Scale (SAS), and the 2000 International Knee Documentation Committee (IKDC) Subjective Knee Evaluation and Current Health Assessment surveys were mailed to 335 subjects at a minimum of 2 years after anterior cruciate ligament reconstruction.

Results: Of the subjects, 198 returned completed surveys at 5.