Pediatric focal calvarial lesions: an illustrated review.

Focal skull lesions in children can be diagnostically challenging with a wide variety of potential etiologies. Understanding the diverse pathologies and recognizing their associated clinical and imaging characteristics is crucial for accurate diagnosis and appropriate treatment planning. We review pertinent anatomy of the scalp and calvarium and review different pathologies that can present with focal skull lesions in pediatric patients.

Case Report: Absence of the Long Head of the Biceps Brachii Tendon.

Background: Absence of the long head of the biceps brachii (LHB) tendon is rare with an unknown incidence. It can occur bilaterally in patients with or without associated congenital anomalies. Diagnostic difficulty exists with both magnetic resonance imaging and physical examination.

The modified Norwegian method of biceps tenodesis: how well does it work?

Purpose: The purpose of this study was to evaluate clinical outcomes and complications in a series of patients who underwent the modified Norwegian method (MNM) of biceps tenodesis by a single shoulder surgeon.

Methods: A retrospective review of charts from all patients who underwent the modified Norwegian method of biceps tenodesis by the senior author during a 5-year period between 2008 and 2013 was performed. After all patients were identified, informed consent was obtained and DASH and ASES surveys were administered.

Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations.

Objective: Adhesive capsulitis has been suggested as an adverse effect of vaccine administration into the shoulder area. The purpose of this case series is to report 3 cases of acute onset of adhesive capsulitis following pneumococcal and influenza vaccines.

Clinical Features: Patients reported painful shoulder and limited motion following routine vaccination.

The modified norwegian method of biceps tenodesis.

This technical note describes a method of biceps tenodesis called the Modified Norwegian Method that is an all-arthroscopic, intra-articular, bony biceps tenodesis that uses a suture shuttle passer through an anterosuperolateral portal. It allows for easy passage of suture through the long head of the biceps tendon while one is viewing through the posterior portal. We believe this method to be a very reasonable and simple method of biceps tenodesis that has complication rates similar to those described for subpectoral and other methods of fixation.

Sensitivity of physical examination versus arthroscopy in diagnosing subscapularis tendon injury.

The purpose of this study was to examine the accuracy of physical examination in the detection of subscapularis tendon tears and compare it with the gold standard of arthroscopy to determine whether clinical examination can reliably predict the presence of subscapularis tendon tears. This was a retrospective analysis of 52 patients (52 shoulders) who underwent arthroscopic subscapularis tendon repairs between September 2008 and April 2012. Positive findings on any combination of the belly press, lift-off, and bear hug tests constituted a positive physical examination result.

Outcomes after trochleoplasty.

Trochlear dysplasia is a risk factor for patellofemoral instability. Trochleoplasty involves reshaping the trochlear groove to provide increased patellofemoral stability. We obtained post-operative radiographs, MRI, and outcome scores in 6 patients who underwent this procedure.