Introduction: The purpose of this study was to evaluate shoulder function following minimally invasive subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release in children with Erb's palsy.
Methods: A prospective study was conducted on 15 consecutive children who underwent subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release to treat internal rotation contracture of the shoulder joint after Erb's palsy. Age at surgery ranged from 24 to 38 months (average 28.3) (2.4 years). All of the patients were assessed clinically and radiologically preoperatively and postoperatively at regular intervals. The Mallet scoring system was used to analyze the results.
Results: The mean external rotation improved from -24° to +46° (p = 0.001) at the last follow-up. Active internal rotation was preserved in all cases. At the final follow-up, there had been no loss of the external rotation gained and no recurrence of internal rotation contracture of the shoulder, and the mean Mallet score (total) had improved from 11 to 17 points (p = 0.001).
Conclusions: In children aged from 1 to 3 years, an arthroscopic release procedure alone may successfully restore function and yield a centered glenohumeral joint, which has a beneficial effect on glenoid remodeling.
Level Of Evidence: Level IV.
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http://dx.doi.org/10.1007/s11832-016-0773-1 | DOI Listing |
JSES Int
November 2024
Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology, Brisbane, Australia.
Background: Frozen shoulder (FS) is a debilitating inflammatory condition affecting the shoulder capsule that causes significant pain and stiffness. Its etiology, pathophysiology, and treatment remain poorly understood. Although regarded as self-limiting, FS can have profound implications on the activities of daily living and usually takes 1-4 years to resolve on its own accord.
View Article and Find Full Text PDFArthrosc Tech
December 2024
From Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Recognition of lateral capsular disruptions (Baker lesions) that are commonly identified during arthroscopic lateral epicondylitis release is important because understanding that these lesions exist-and the variation of their arthroscopic appearance-is important. In addition, identifying Baker lesions serves as evidence supporting lateral epicondylitis as the cause of symptoms. The purposes of this article are to describe the classification system and to arthroscopically show examples of each lesion type, as well as to describe our technique for arthroscopic lateral epicondylitis release.
View Article and Find Full Text PDFJ Child Orthop
December 2024
Department of Orthopaedics, Children's Hospital Boston, Boston, MA, USA.
Purpose: The purpose of this study is to develop an evidence-based algorithm for the management of symptomatic bipartite patella in the pediatric and adolescent population based on a systemic review of the published literature.
Methods: A systematic review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines on PubMed and Embase, selecting for studies discussing the management of symptomatic bipartite patella.
Results: Five studies met criteria, involving 315 knees (314 patients, average age 15.
Arthrosc Tech
November 2024
Department of Sports Medicine, Beijing Jishuitan Hospital Affiliated to Capital Medical University, Beijing, China.
Lateral epicondylitis, or tennis elbow, has been attributed to the degeneration of the extensor carpi radialis brevis tendon, with surgery reserved for recalcitrant cases. Surgical intervention of lateral epicondylitis includes release alone or release with repair. Outcomes of open surgical repair have been reported with better preservation of the grip strength than release alone.
View Article and Find Full Text PDFArthrosc Tech
November 2024
Department of Orthopaedic Surgery, Yale Medicine, Orthopaedics, and Rehabilitation, New Haven, CT, U.S.A.
Multiple open and endoscopic techniques have been described for recalcitrant cases of plantar fasciitis. Compared with open techniques, endoscopic plantar fasciotomy has been shown to be safe and effective with decreased postoperative pain and quicker recovery, as well as decreased risk of soft tissue and neurovascular injury, while retaining the ability to provide direct visualization of the plantar fascia to facilitate proper release. Single-portal endoscopic techniques may offer additional advantages including less portal site and postoperative pain, earlier return to activities, and cost-effectiveness and higher patient satisfaction when performed in the office setting.
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