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Is The "Sling Effect" of the Conjoint Tendon in Latarjet Procedures Real? A Systematic Review and Descriptive Synthesis of Controlled Laboratory and Comparative Clinical Studies.
J Shoulder Elbow Surg
January 2025
Department of Orthopaedic Surgery & Sports Medicine, University of Florida, Gainesville, FL, USA.
Background: The Latarjet procedure is considered the gold standard for treating patients with anterior shoulder instability in the presence of critical glenoid bone loss. Proponents of the Latarjet contend that its efficacy is in-part attributable to the "sling effect" of the conjoint tendon; however, recent studies have demonstrated similar restoration of anterior stability in patients undergoing free bone block (FBB) procedures. The purpose of this systematic review was to evaluate the biomechanical and clinical evidence for the sling effect.
View Article and Find Full Text PDFA method to enhance drivers' hazard perception at night based on "knowledge-attitude-practice" theory.
Accid Anal Prev
June 2024
School of Automobile and Traffic Engineering, Hefei University of Technology, Hefei 230009, Anhui, PR China.
During nighttime driving, the inherent challenges of low-illuminance conditions often lead to an increased crash rate and higher fatalities by impairing drivers' ability to recognize imminent hazards. While the severity of this issue is widely recognized, a significant research void exists with regard to strategies to enhance hazard perception under such circumstances. To address this lacuna, our study examined the potential of an intervention grounded in the knowledge-attitude-practice (KAP) framework to bolster nighttime hazard detection among drivers.
View Article and Find Full Text PDFWell, That Could Have Gone Better.
Acad Med
June 2023
A.S. Cifu is professor of medicine and director of academic programs, Bucksbaum Institute for Clinical Excellence, University of Chicago, Chicago, Illinois.
Most physician-patient relationships take little effort. The physician acts with the kindness, patience, empathy, and professionalism that they have brought to the field and honed over years of training and practice. However, there are a subset of patients with whom, to be successful, the doctor needs insight into their own weaknesses and countertransference.
View Article and Find Full Text PDFInfluence of humeral lengthening on clinical outcomes in reverse shoulder arthroplasty.
Orthop Traumatol Surg Res
June 2023
Department of Orthopaedic Surgery and Sports Medicine, University of Florida, Gainesville, FL, USA. Electronic address:
Background: Deltoid tensioning secondary to humeral lengthening after reverse shoulder arthroplasty (RSA) is commonly theorized to be crucial to improving range of motion (ROM) but may predispose patients to acromial/scapular spine fractures and neurologic injury. Clinical evidence linking patient outcomes to humeral lengthening is limited. This study assesses the relationship between humeral lengthening and clinical outcomes after RSA.
View Article and Find Full Text PDFDoes isolated glenosphere lateralization affect outcomes in reverse shoulder arthroplasty?
Orthop Traumatol Surg Res
June 2023
Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL, USA.
Introduction: While lateralization of the glenohumeral center of rotation during reverse shoulder arthroplasty (RSA) has benefits of maintaining tension on the remaining rotator cuff and decreasing implant impingement on the glenoid, few clinical studies have evaluated the isolated effect of glenoid lateralization in RSA. The purpose of this study was to evaluate if clinical outcomes are affected by isolated glenosphere lateralization using a single implant design.
Methods: A retrospective review from a multicenter shoulder arthroplasty research database was performed between 2011 and 2018 using a single implant system to perform this case-controlled study.
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