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Triple Clavicle Injury: A Fracture of the Middle Third Associated With Acromioclavicular Dislocation and Sternoclavicular Subluxation.
Cureus
November 2024
Orthopedics and Traumatology, Hospital Francisco José Neves - Unimed Belo Horizonte (BH), Belo Horizonte, BRA.
In this report, we present a case of a triple clavicle injury, acromioclavicular joint (ACJ) dislocation, a middle third clavicle fracture, and a sternoclavicular joint (SCJ) subluxation, and describe its successful surgical treatment. A 49-year-old female patient sustained a 3 m fall, resulting in direct trauma to her left shoulder. Initial radiographs and computed tomography (CT) scans revealed a displaced middle third clavicle fracture, a high-grade ACJ dislocation, and a posterior SCJ subluxation.
View Article and Find Full Text PDFBiomechanical Comparison of Internal Rotational Effectiveness following Medialized Glenoid and Lateralized Humerus Reverse Shoulder Arthroplasty with Tendon Transfers: Isolated latissimus dorsi, Combined Latissimus dorsi/teres major, and Pectoralis major tendon transfers.
J Shoulder Elbow Surg
December 2024
Orthopedic Biomechanics Laboratory, Congress Medical Foundation, Pasadena, CA, USA. Electronic address:
Background: The restriction of active internal rotation (IR) after reverse shoulder arthroplasty (RSA) poses a challenging problem for reconstructive shoulder surgeons, particularly in patients suffering from massive rotator cuff tears (mRCT) with subscapularis (SSC) deficiency. This study aims to evaluate the biomechanical effectiveness of different tendon transfer techniques following medialized glenoid and lateralized humerus RSA in improving internal rotation (IR) strength.
Methods: Eight cadaveric shoulder specimens were evaluated using a custom shoulder testing system designed to simulate loading conditions typical of mRCT with SSC insufficiency.
[Arthroscopic Eden-Hybinette procedure with Triple-Pulley and four point anti-rotation fixation technique for recurrent anterior dislocation of shoulder joint].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
December 2024
Department of Sports Medicine, Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang Jangxi, 330008, P. R. China.
Objective: To explore effectiveness of arthroscopic Eden-Hybinette procedure with Triple-Pulley and four point anti-rotation fixation technique in the treatment of recurrent anterior dislocation of shoulder joint.
Methods: A clinical data of 14 patients with recurrent anterior dislocation of shoulder joint and glenoid bone defect, who were met the selective criteria and admitted between February 2021 and February 2022, was retrospectively analyzed. All patients were treated with arthroscopic Eden-Hybinette procedure and the bone blocks were fixed by using Triple-Pulley and four point anti-rotation fixation technique.
Left atrial rupture during on-pump beating coronary artery bypass grafting.
Surg Case Rep
November 2024
Department of Cardiovascular Surgery, Kumamoto University Hospital, Kumamoto, Japan.
Background: On-pump beating coronary artery bypass grafting (CABG) is a procedure that uses cardiopulmonary bypass to maintain circulation and it is a useful technique for CABG in patients with severely impaired cardiac function. Here, we report a case of left atrial rupture that occurred during CABG. Reports of left atrial injury are rare, and there have been no previous reports of such cases associated with on-pump beating CABG.
View Article and Find Full Text PDFMultiple disruptions of superior suspensory shoulder complex: A case report.
Int J Surg Case Rep
November 2024
Upper Extremities Surgery and Sports Medicine Department, Viet Duc University Hospital, Hanoi, Viet Nam.
Article Synopsis
- The superior shoulder suspensory complex (SSSC) is crucial for shoulder stability and is made up of multiple structures, including bones and ligaments; disruption of two or more leads to instability.
- A 43-year-old woman experienced a rare case of triple disruption involving her acromion, coracoid process, and acromioclavicular joint after a car accident, requiring surgical intervention.
- Treatment options vary for SSSC disruptions, with K-wire fixation chosen because of the patient’s smaller acromion size, emphasizing the need for personalized surgical approaches based on the injury specifics.
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