Publications by authors named "M Arnander"

Article Synopsis
  • This study explores the impact of prior dislocations on the recurrence of shoulder instability after arthroscopic stabilization, particularly in patients without significant glenoid bone loss.
  • A systematic review and meta-analysis of 35 studies involving 7,995 shoulders showed low rates of post-surgery instability (9.8% in first-time dislocators and 9.1% in recurrent dislocators).
  • The results indicate that modern arthroscopic techniques provide a low risk of recurrence for anterior shoulder dislocations, with no major difference in outcomes between first-time and recurrent dislocators.
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Background: The hypothesis is that the scapula spine can provide a graft of suitable dimensions for use in cases of shoulder instability with critical bone loss. We aimed to investigate its utility with grafts of differing sizes.

Methods: The scapula spine was measured on computed tomography scans of 50 patients who had undergone anterior stabilization.

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Aims: Glenoid bone loss is a significant problem in the management of shoulder instability. The threshold at which the bone loss is considered "critical" requiring bony reconstruction has steadily dropped and is now approximately 15%. This necessitates accurate measurement in order that the correct operation is performed.

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The transosseous-equivalent Speedbridge™ technique is commonly used during rotator cuff repair; however, the soft bone of the lateral humerus may result in toggling of the lateral row anchors with subsequent de-tensioning of the repair. The technique presented here uses an additional third-row anchor, in a tripod fashion, that reduces the forces on the lateral humerus anchors and protects the repair.

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