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Purpose: Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.
Methods: Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5-C6 (seven patients); C5-7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.
Results: Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (p < 0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (p = 0.24-1.0).
Conclusions: This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971286 | PMC |
http://dx.doi.org/10.1007/s00264-013-2202-0 | DOI Listing |
J Orthop Res
December 2024
AutoRSA Research Group, Orthopaedic Research Unit, Aarhus University Hospital, Aarhus, Denmark.
Anterior shoulder instability with glenoid bone lesion can be treated with the Eden-Hybinette procedure utilizing a tricortical iliac crest bone graft or the Latarjet procedure. This study aimed to evaluate the glenohumeral joint (GHJ) kinematics throughout an external shoulder rotation following the Eden-Hybinette and Latarjet procedures. Nine human specimens were examined with dynamic radiostereometry during a GHJ external rotation with anteriorly directed loads from 0 to 30 N.
View Article and Find Full Text PDFSoft Matter
December 2024
Departament de Física de la Matèria Condensada, Universitat de Barcelona, Martí i Franqués 1, 08028 Barcelona, Spain.
The potential applications of block copolymer thin films, utilising their self-assembly capabilities, are enhanced when achieving long-range ordering. In this study we explain the experimental alignment of lamellae under shear flow findings [S. Pujari , 2012, , 5258] and classify the alignment mechanisms based on shear rate and segregation, uncovering similarities to the systems subjected to electric fields, suggesting a common pathway of lamellae orientations.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
December 2024
Department of Orthopaedics, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
Background: Reverse total shoulder arthroplasty (RTSA) is considered a promising surgical procedure, and several studies have reported its advantages in improving shoulder elevation. However, patients undergoing RTSA may still experience challenges related to rotational movements. While external rotation may be improved with lateralization, internal rotation may occasionally deteriorate after RTSA.
View Article and Find Full Text PDFJ Med Case Rep
December 2024
Department of Internal Medicine, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Introduction: Traumatic obturator-type anterior dislocation of the hip with an ipsilateral subtrochanteric fracture is rarely encountered in clinical practice. This case presentation described a trauma patient with such a rare scenario.
Case Report: This paper reports a case of a 20-year-old Amhara ethnic male patient who had a traumatic anterior dislocation of the hip associated with an ipsilateral subtrochanteric femur fracture after a truck rolled over.
Foot Ankle Int
December 2024
Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Background: Supination external rotation (SER) fibula fractures with abnormal medial clear space (MCS) on stress radiographs that normalizes with weightbearing radiographs, termed SER4a ankle fractures, pose a challenge in treatment decision making. This study aims to quantify differences in joint contact area, tibiotalar rotation, and translation using weightbearing computed tomography (CT) scans in SER4a ankle fractures.
Methods: Between November 2022 and September 2023, patients presenting with isolated Weber B fibula fractures were evaluated for inclusion.
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