Publications by authors named "Temilola Majekodunmi"

Article Synopsis
  • Early designs of reverse total shoulder arthroplasty (RTSA) had high failure rates for glenoid baseplates, but newer designs have improved this issue, although risks are still elevated with glenoid bone grafting, particularly within the first 2 years.
  • A study analyzed 753 patients who underwent primary RSA from 2014-2019 to assess the timing and reasons for glenoid baseplate failures, excluding cases with fractures or infections, and specifically looking at those with and without bone grafting.
  • Results showed a 3.0% failure rate, predominantly in patients who received bone grafting (96% of failures), with most failures linked to certain types of glenoid erosion and more failures occurring later rather than
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BACKGROUND Cystocerebral syndrome is delirium occurring in the elderly that results from urinary retention and acute bladder distension. Urinary retention can cause cerebral issues, such as altered mental status, without having an infection present. The pathophysiology is possibly due to increased catecholamine secretion while attempting to micturate.

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Myxedema coma is a rare and potentially life-threatening condition that occurs when severe hypothyroidism is untreated or inadequately managed. It is characterized by a rapid drop in mental status, hypothermia, respiratory failure, hypotension, and other symptoms of severe metabolic dysfunction. The condition primarily affects older women with a history of thyroid dysfunction but can occur in any age or gender group.

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In reality, the lines between factitious disorder, functional disorder, and malingering are quite blurred. In factitious disorder and malingering, patients consciously and deliberately create false medical and/or psychiatric symptoms for self-gain, often approaching multiple healthcare facilities to evade detection. Although the factitious disorder is pervasive, and the literature lacks accurate and consistent information, comorbidity with nonepileptic seizure (NES, a component of functional disorder) is quite commonly documented.

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Unlabelled: The Latarjet surgical technique is one of the most effective and well-known techniques in the treatment of anterior shoulder instability. The modified Latarjet technique is a history book of surgical details demonstrated by renowned masters of shoulder surgery. The procedure includes soft-tissue repair and osseous reconstruction to stabilize the glenohumeral joint in recurrent anterior instability.

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Case: A 21-year-old woman with a history of multiple failed surgical and conservative management for recurrent involuntary shoulder instability presented with 1-year history of shoulder pain. Physical examination demonstrated intractable static anterior glenohumeral instability, deficient capsular tissue, with reducible scapular winging secondary to long thoracic nerve palsy. Allograft capsular reconstruction and open split pectoralis major tendon transfer were performed to salvage shoulder motion and stabilize her shoulder girdle.

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Article Synopsis
  • A 68-year-old male underwent a two-stage revision of right reverse total shoulder arthroplasty (RTSA) due to a periprosthetic joint infection and significant bone loss in the proximal humerus.
  • The initial stage involved the use of an antibiotic spacer, followed by a custom long-stem RTSA for definitive reconstruction.
  • Two years later, the patient experienced notable improvements in pain and functional motion, suggesting that custom long-stem RTSA may be a promising option for severe bone loss cases.
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Case: A 30-year-old male weightlifter presented after suffering a myotendinous rupture of his latissimus dorsi from heavy weightlifting. Latissimus dorsi injuries are rare, with little to no documented technique in the literature on management, particularly of ruptures through the myotendinous junction of the anatomical muscle. This case report describes the surgical technique, approach, and postoperative management of an acutely avulsed latissimus dorsi using an allograft hamstring tendon to repair the myotendinous junction.

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Background: Reverse total shoulder arthroplasty (RTSA) has demonstrated successful outcomes in the treatment of both acute and chronic proximal humeral fractures (PHFs). The traditional RTSA surgical technique uses a methyl methacrylate cemented humeral component to restore and maintain both humeral height and retroversion. However, use of humeral bone cement has been associated intraoperatively with cardiopulmonary risk, increased operative cost, and postoperatively with difficulty if revision arthroplasty is required.

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