Techniques of the radical surgical treatment of tuberculosis of the shoulder joint with partial of subtotal osteochondral alloplasty are discussed, which was used in surgical treatment of 22 patients between the ages of 29 and 58 years. All patients had active tuberculous omarthritis that was accompanied in 9 cases by partial and in 13 by subtotal destruction of the humeral head. The results of treatment were followed up in 21 patients in terms varying from several months to 6 years. The tuberculous process alleviated in all patients with reconstruction of the destructed head anatomical structure and shoulder joint mobility was restored.
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Cureus
December 2024
Orthopaedics and Traumatology, Unidade Local de Saúde de Viseu Dão-Lafões, Viseu, PRT.
Reverse Hill-Sachs lesions (RHSL) are common complications associated with posterior shoulder dislocations and represent a significant challenge for preserving joint stability and function. If untreated, these compression fractures of the anteromedial humeral head can compromise the integrity of the joint, predisposing patients to recurrent instability and arthropathy. While various treatment modalities exist, achieving an anatomic reduction of the defect while preserving the articular cartilage remains a desirable outcome, particularly in acute settings.
View Article and Find Full Text PDFJSES Rev Rep Tech
February 2025
Department of Orthopaedics, Krishna Institute of Medical Sciences, Secunderabad, Telanagana, India.
Hypothesis: Proximal humerus fractures present a treatment challenge due to varied fracture configurations and a lack of consensus on optimal management. Locking plate designs offer promising solutions, yet technical guidelines for successful outcomes remain elusive. Complications are common, with fixation-related failures often attributed to varus collapse.
View Article and Find Full Text PDFBMC Res Notes
January 2025
Department of Orthopaedic Surgery, Chiba GEKA-NAIKA Hospital, 4-41 Haramachi, Kawaguchi, Saitama, 332-0025, Japan.
Objective: This study aimed to clarify the relationship between the directions of humeral head translation, the presence of acromial or coracoid spurs, and the locations of tendon tears in massive rotator cuff tears. Thirty shoulders from thirty patients with massive rotator cuff tears who underwent reverse shoulder arthroplasty were included. Preoperative 3DCT classified humeral head translation into three groups: minimal type, posterosuperior type, and anterosuperior type.
View Article and Find Full Text PDFShoulder Elbow
January 2025
Department of Orthopaedic Surgery, Tauranga Hospital, Tauranga, New Zealand.
Background: The underlying shoulder pathology in radiographic superior escape of the humeral head and association between acromiohumeral interval (AHI) on radiographs and magnetic resonance imaging (MRI) are poorly understood.
Methods: A retrospective review of shoulder radiographs and MRI scans was undertaken. AHI was measured using both modalities.
J Shoulder Elbow Surg
January 2025
Maimonides Medical Center, Department of Orthopaedic Surgery and Rehabilitation, Brooklyn, NY, USA.
Introduction: The humeral head is the second most common site for osteonecrosis but its epidemiology is poorly described. This study aimed to better understand its treatment in the United States by 1) evaluating total operative procedures with rates normalized to the annual surgical volume; 2) determining trends of non-joint preserving (shoulder arthroplasty) vs. joint preserving procedures; and 3) quantifying rates of operative techniques in different aged cohorts (<50 vs.
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