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  • 1
    Online-Ressource
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    Electrothermal Arthroscopic Shoulder Capsulorrhaphy : A Minimum 2-Year Follow-up
    SAGE Publications ; 2007
    In:  The American Journal of Sports Medicine Vol. 35, No. 9 ( 2007-09), p. 1484-1488
    Details
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 35, No. 9 ( 2007-09), p. 1484-1488
    Kurzfassung: Few studies have documented the outcomes of thermal capsulorrhaphy for shoulder instability. Purpose To examine prospective evaluate outcomes of the first 100 patients with glenohumeral instability treated with thermal capsulorrhaphy. Study Design Case series; Level of evidence, 4. Methods Between 1997 and 1999, 85 of 100 patients treated with thermal capsulorrhaphy for glenohumeral instability were available for review at 2-year minimum follow-up (average, 4 years). Fifty-one patients suffered from anterior instability; 24 had an associated Bankart lesion. Ten patients demonstrated posterior instability; 1 had an associated reverse Bankart lesion. Seventeen patients had multidirectional instability; 8 had an associated Bankart lesion. Seven patients demonstrated anterior and posterior instability without an inferior component; 2 had an associated Bankart lesion. Failures were defined as shoulders requiring revision stabilization (14) or with recurrent instability (18), recalcitrant pain (3), or stiffness (2). Results Forty-eight of 85 procedures were successful, and 37 of 85 failed. For patients with anterior instability plus a Bankart lesion, 7 of 24 (26%) had failed results. For those with anterior instability without a Bankart lesion, 10 of 27 (33%) had failed results. The failure rates for posterior, multidirectional instability, and anteroposterior were 60% (6/10), 59% (10/17), and 57% (4/7), respectively. Of the 48 successes, mean preoperative American Shoulder and Elbow Surgeons score improved from 71 to 96 postoperatively, and patient satisfaction was 9.1 on a 10-point scale. Conclusion Because of the high failure rates, we now augment thermal capsulorrhaphy with capsular plication and/or rotator interval closure in cases of posterior and multidirectional instability and have lengthened the initial immobilization period to improve outcomes. Failure rates for thermal capsulorrhaphy, even with labral repairs, are high especially for shoulders with multidirectional instability and posterior instability. When procedures were successful, however, patients were very satisfied with significant improvements in American Shoulder and Elbow Surgeons scores.
    Materialart: Online-Ressource
    ISSN: 0363-5465 , 1552-3365
    URL: Article
    DOI: 10.1177/0363546507301082
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2007
    ZDB Id: 2063945-4
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
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    Reliability of Scapular Anterior/Posterior Tipping for Dynamic Humeral Rotation
    Ovid Technologies (Wolters Kluwer Health) ; 2004
    In:  Medicine & Science in Sports & Exercise Vol. 36, No. Supplement ( 2004-05), p. S346-
    Details
    In: Medicine & Science in Sports & Exercise, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. Supplement ( 2004-05), p. S346-
    Materialart: Online-Ressource
    ISSN: 0195-9131
    URL: Article
    DOI: 10.1249/00005768-200405001-01657
    RVK:
    ZX 1000
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2004
    ZDB Id: 2031167-9
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
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    The Repeatability of Scapular Rotations Across Three Planes of Humeral Elevation
    Informa UK Limited ; 2005
    In:  Research in Sports Medicine Vol. 13, No. 3 ( 2005-07), p. 181-198
    Details
    In: Research in Sports Medicine, Informa UK Limited, Vol. 13, No. 3 ( 2005-07), p. 181-198
    Materialart: Online-Ressource
    ISSN: 1543-8627 , 1543-8635
    URL: Article
    DOI: 10.1080/15438620500222489
    Sprache: Englisch
    Verlag: Informa UK Limited
    Publikationsdatum: 2005
    ZDB Id: 2126951-8
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 4
    Online-Ressource
    Online-Ressource
    Reliability of Scapular Anterior/Posterior Tipping for Dynamic Humeral Rotation
    Ovid Technologies (Wolters Kluwer Health) ; 2004
    In:  Medicine & Science in Sports & Exercise Vol. 36, No. Supplement ( 2004-05), p. S346-
    Details
    In: Medicine & Science in Sports & Exercise, Ovid Technologies (Wolters Kluwer Health), Vol. 36, No. Supplement ( 2004-05), p. S346-
    Materialart: Online-Ressource
    ISSN: 0195-9131
    URL: Article
    DOI: 10.1097/00005768-200405001-01657
    RVK:
    ZX 1000
    Sprache: Englisch
    Verlag: Ovid Technologies (Wolters Kluwer Health)
    Publikationsdatum: 2004
    ZDB Id: 2031167-9
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 5
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    Partial Humeral Head Arthroplasty, Glenoid Allograft Augmentation, and Open Bankart Reconstruction for Critical Glenoid Bone Loss and Engaging Hill-Sachs Lesion
    SAGE Publications ; 2023
    In:  Video Journal of Sports Medicine Vol. 3, No. 3 ( 2023-05), p. 263502542311604-
    Details
    In: Video Journal of Sports Medicine, SAGE Publications, Vol. 3, No. 3 ( 2023-05), p. 263502542311604-
    Kurzfassung: Shoulder instability with critical bipolar bone loss can be difficult to treat. Anterior glenoid bone block augmentation and partial humeral head resurfacing is a viable option. Indications: This procedure is indicated in patients with both critical anterior glenoid bone loss (≥20%) and an engaging Hill-Sachs lesion. Technique Description: A deltopectoral approach is performed, followed by a subscapularis tenotomy. The Hill-Sachs lesion is resurfaced with a partial humeral head arthroplasty. The anterior glenoid bone loss is replaced with a prefabricated allograft. An open Bankart repair is then performed. Results: Three case reports give evidence that this technique is a viable surgical option for patients with critical glenoid bone loss and an engaging Hill-Sachs lesion. Discussion/Conclusion: Partial humeral head resurfacing, glenoid allograft augmentation, and open Bankart is a viable surgical option for patients with critical anterior glenoid bone loss and an engaging Hill-Sachs lesion. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
    Materialart: Online-Ressource
    ISSN: 2635-0254 , 2635-0254
    URL: Article
    DOI: 10.1177/26350254231160429
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2023
    ZDB Id: 3077909-1
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 6
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    Online-Ressource
    Glenohumeral volume reduction in arthroscopic shoulder reconstruction: a cadaveric analysis of suture plication and thermal capsulorrhaphy
    Elsevier BV ; 2004
    In:  Arthroscopy: The Journal of Arthroscopic & Related Surgery Vol. 20, No. 2 ( 2004-2), p. 179-184
    Details
    In: Arthroscopy: The Journal of Arthroscopic & Related Surgery, Elsevier BV, Vol. 20, No. 2 ( 2004-2), p. 179-184
    Materialart: Online-Ressource
    ISSN: 0749-8063
    URL: Article
    DOI: 10.1016/j.arthro.2003.11.004
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2004
    ZDB Id: 1491233-8
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 7
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    The HAGL lesion: An arthroscopic technique for repair of humeral avulsion of the glenohumeral ligaments
    Elsevier BV ; 2005
    In:  Arthroscopy: The Journal of Arthroscopic & Related Surgery Vol. 21, No. 4 ( 2005-4), p. 498-502
    Details
    In: Arthroscopy: The Journal of Arthroscopic & Related Surgery, Elsevier BV, Vol. 21, No. 4 ( 2005-4), p. 498-502
    Materialart: Online-Ressource
    ISSN: 0749-8063
    URL: Article
    DOI: 10.1016/j.arthro.2005.01.005
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2005
    ZDB Id: 1491233-8
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 8
    Online-Ressource
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    Glenohumeral Volume Reduction in Shoulder Instability: A Cadaveric Analysis of Thermal Capsulorrhaphy and Arthroscopic Suture Plication (SS-46)
    Elsevier BV ; 2002
    In:  Arthroscopy: The Journal of Arthroscopic & Related Surgery Vol. 18, No. 5 ( 2002-5), p. 37-38
    Details
    In: Arthroscopy: The Journal of Arthroscopic & Related Surgery, Elsevier BV, Vol. 18, No. 5 ( 2002-5), p. 37-38
    Materialart: Online-Ressource
    ISSN: 0749-8063
    URL: Article
    DOI: 10.1016/S0749-8063(07)60044-9
    Sprache: Englisch
    Verlag: Elsevier BV
    Publikationsdatum: 2002
    ZDB Id: 1491233-8
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 9
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    Online-Ressource
    Glenoid Version Assessment When the CT Field of View Does Not Permit the Friedman Method: The Robertson Method
    SAGE Publications ; 2022
    In:  Orthopaedic Journal of Sports Medicine Vol. 10, No. 5 ( 2022-05-01), p. 232596712210835-
    Details
    In: Orthopaedic Journal of Sports Medicine, SAGE Publications, Vol. 10, No. 5 ( 2022-05-01), p. 232596712210835-
    Kurzfassung: To improve spatial resolution, current clinical shoulder cross-sectional imaging studies reduce the field of view of the shoulder, excluding the medial scapula border and preventing glenoid version measurement according to the Friedman method. Purpose: To evaluate a method to accurately and reliably measure glenoid version on cross-sectional shoulder images when the medial scapula border is not included in the field of view, and to establish measurements equivalent to the Friedman method. Study Design: Controlled laboratory study. Methods: Sixty-five scapulae underwent computed tomography (CT) scanning with an optimal shoulder CT-positioning protocol. Glenoid version was measured on CT images of the full scapula using the Friedman method. We developed a measurement method (named the Robertson method) based on the glenoid vault version from partial scapula images, with a correction angle subtracted from the articular-surface-glenoid vault measurement. Comparison with the Friedman method defined the accuracy of the Robertson method. Three observers tested inter- and intraobserver reliability of the Robertson method. Accuracy was statistically evaluated with t tests and reliability with the intraclass correlation coefficient (ICC). Results: The statistical distribution of glenoid version was similar to published data,–0.5° ± 3° [mean ± SD]. The initial measurement using the Robertson method resulted in a more retroverted angle compared with the Friedman method, and a correction angle of 7° was then applied. After this adjustment, the difference between the 2 methods was nonsignificant (0.1° ± 4°; P 〉 .65). Reliability of the Robertson method was excellent, as the interrater ICC was 0.77, the standard error of measurement (SEM) was 1.1° with P 〈 .001. The intrarater ICC ranged between 0.84 and 0.92, the SEM ranged between 0.9° and 1.2° with P 〈 .01. Conclusion: A validated glenoid version measurement method is now available for current clinical shoulder CT protocols that reliably create Friedman-equivalent values. Clinical Relevance: Friedman-equivalent values may be made from common clinical CTs of the shoulder and compared with prior and future Friedman measurements of the scapula.
    Materialart: Online-Ressource
    ISSN: 2325-9671 , 2325-9671
    URL: Article
    DOI: 10.1177/23259671221083589
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2022
    ZDB Id: 2706251-X
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 10
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    Nandrolone Decanoate and Load Increase Remodeling and Strength in Human Supraspinatus Bioartificial Tendons
    SAGE Publications ; 2004
    In:  The American Journal of Sports Medicine Vol. 32, No. 4 ( 2004-06), p. 934-943
    Details
    In: The American Journal of Sports Medicine, SAGE Publications, Vol. 32, No. 4 ( 2004-06), p. 934-943
    Kurzfassung: To date, no studies document the effect of anabolic steroids on rotator cuff tendons. Study Design Controlled laboratory study. Hypothesis Anabolic steroids enhance remodeling and improve the biomechanical properties of bioartificially engineered human supraspinatus tendons. Methods Bioartificial tendons were treated with either nandrolone decanoate (nonload, steroid, n = 18), loading (load, nonsteroid, n = 18), or both (load, steroid, n = 18). A control group received no treatment (nonload, nonsteroid [NLNS], n = 18). Bioartificial tendons’ remodeling was assessed by daily scanning, cytoskeletal organization by staining, matrix metalloproteinase-3 levels by ELISA assay, and biomechanical properties by load-to-failure testing. Results The load, steroid group showed the greatest remodeling and the best organized actin cytoskeleton. Matrix metallo-proteinase-3 levels in the load, steroid group were greater than those of the nonload, nonsteroid group (P 〈 .05). Ultimate stress and ultimate strain in the load, steroid group were greater than those of the nonload, nonsteroid and nonload, steroid groups (P 〈 .05). The strain energy density in the load, steroid group was greater when compared to other groups (P 〈 .05). Conclusions Nandrolone decanoate and load acted synergistically to increase matrix remodeling and biomechanical properties of bioartificial tendons. Clinical Relevance Data suggest anabolic steroids may enhance production of bioartificial tendons and rotator cuff tendon healing in vitro. More research is necessary before such clinical use is recommended.
    Materialart: Online-Ressource
    ISSN: 0363-5465 , 1552-3365
    URL: Article
    DOI: 10.1177/0363546503261700
    Sprache: Englisch
    Verlag: SAGE Publications
    Publikationsdatum: 2004
    ZDB Id: 2063945-4
    SSG: 31
    Standort Signatur Einschränkungen Verfügbarkeit
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