Changing trends in the management of proximal humerus fractures in New York State.

Purpose: Reverse shoulder arthroplasty (RSA) as an alternative to hemiarthroplasty (HA) as treatment for proximal humerus fractures has prompted a re-evaluation of utilization trends.

Methods: Operative treatment for proximal humeral fractures were analyzed using a New York State database.

Results: After introduction as an ICD-9 code, RSA increased to 39.

SLAP lesions in the overhead athlete.

The diagnosis and management of SLAP lesions in the overhead athlete remains a challenge for the sports medicine specialist due to variable anatomy, changes with aging, concomitant pathology, lack of dependable physical findings on examination, and lack of sensitivity and specificity with imaging studies. This article presents a comprehensive review of the epidemiology, relevant anatomy, proposed pathogenesis, diagnostic approach, and outcomes of nonoperative and operative management of SLAP lesions in the overhead athlete.

Etiology, treatment, and prevention of athletic "stingers".

Stingers or burners are common in athletes, especially football players. They represent a traction, compression, or direct blow to the upper roots of the brachial plexus. They are usually transient and resolve quickly.

Deep vein thrombosis after major reconstructive spinal surgery.

Study Design: A prospective study was performed.

Objectives: The goals of the study were to determine the incidence of deep vein thrombosis after major adult spinal surgery and the optimal mode of prophylaxis in this surgical population.

Summary Of Background Data: Few studies have evaluated deep vein thrombosis incidence and prophylaxis after major adult spinal surgery.

Chronic fracture-separation of the radial head in a child.

A rare case of a complete fracture-separation of the proximal radial epiphysis is described in a pediatric patient. A further complicating factor is the delay in diagnosis that may worsen prognosis. An emphasis on early detection by physical examination and imaging studies, as well as consideration of treatment options, are presented.