Efficacy of a Subacromial Corticosteroid Injection for Persistent Pain After Arthroscopic Rotator Cuff Repair.

Background: Corticosteroid injections have been widely used for reducing shoulder pain. However, catastrophic complications induced by corticosteroid such as infections and tendon degeneration have made surgeons hesitant to use a corticosteroid injection as a pain control modality, especially during the postoperative recovery phase.

Purpose: To determine the effectiveness and safety of a subacromial corticosteroid injection for persistent pain control during the recovery period and to analyze the factors causing persistent pain after arthroscopic rotator cuff repair.

Minimally invasive plate osteosynthesis of humeral shaft fractures: a technique to aid fracture reduction and minimize complications.

Objectives: To introduce a modified operative technique for minimally invasive plate osteosynthesis (MIPO) for acute displaced humeral shaft fractures and to evaluate the clinical and radiological outcomes.

Design: : Prospective clinical series study.

Setting: University hospital.

Risk factors for postoperative complications of displaced clavicular midshaft fractures.

Background: This study evaluated the risk factors of the complications following operative treatment of an acute displaced clavicular midshaft fracture using a reconstruction plate.

Methods: One hundred twenty-five patients with an acute displaced clavicular midshaft fracture underwent open reduction and plate fixation using a reconstruction plate. Cerclage wires or interfragmentary screws were used for additional comminuted fragment fixation.

Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture?

Background: Ulnar styloid fractures often occur in association with distal radial fractures. The purpose of this study was to determine whether an associated ulnar styloid fracture following stable fixation of a distal radial fracture has any effect on wrist function or on the development of chronic distal radioulnar joint instability.

Methods: One hundred and thirty-eight consecutive patients who underwent surgical treatment of an unstable distal radial fracture were included in this study.

A clinical comparison of two different double plating methods for intraarticular distal humerus fractures.

Background: This study compared clinical outcomes in patients with intraarticular distal humerus fractures treated using 2 different double plating methods.

Method: Seventeen patients were treated by perpendicular plating (group I) and 18 by parallel plating (group II) methods. Arc of flexion averaged 106 degrees +/-23 degrees in group I and 112 degrees +/-19 degrees in group II.