Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Jun 2014
Randomized Controlled Trial Comparative StudyImmobilization in external rotation combined with abduction reduces the risk of recurrence after primary anterior shoulder dislocation.
We aimed to compare the effectiveness of immobilization in abduction and external rotation vs immobilization in adduction and internal rotation after primary anterior dislocation of the shoulder. ⋯ Immobilization with the shoulder joint in abduction and external rotation is an effective method to reduce the risk of recurrence after primary anterior shoulder dislocations and should be preferred to the traditional method of immobilization in adduction and internal rotation in clinical practice.
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J Shoulder Elbow Surg · Jun 2014
Randomized Controlled TrialThe use of video before arthroscopic shoulder surgery to enhance patient recall and satisfaction: a randomized-controlled study.
Historically, the preoperative consultation has consisted of a discussion between patient and surgeon. There is a growing literature describing efforts to integrate multimedia into surgical patient education. This study aimed to assess the efficacy of an educational video tutorial on early learning of information specific to patients undergoing shoulder arthroscopy when it was used as an adjunct to the standard preoperative consultation. ⋯ Basic science, education methodology study, devices to improve learning.
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J Shoulder Elbow Surg · Mar 2014
Randomized Controlled TrialEfficacy of axillary nerve block in elbow arthroscopic surgery: a randomized trial.
The purpose of this study was to evaluate postoperative pain levels after arthroscopic elbow surgery under general anesthesia and to determine whether an axillary nerve block provides additional pain management benefits compared with a portal site injection of local anesthetic. ⋯ Postoperative pain levels after arthroscopic elbow surgery could be well managed with oral analgesics and local anesthetic. An axillary nerve block was not found to provide any postoperative pain control benefits.
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J Shoulder Elbow Surg · Mar 2014
Randomized Controlled Trial Comparative StudyProximal humerus nailing: a randomized clinical trial between curvilinear and straight nails.
Intramedullary nailing of displaced proximal humerus fractures is an attractive option in the elderly patient. However, in recent reports, some existing intramedullary nails have shown high rate of complications, so new designs are being developed. The objective of the present study is to report on outcomes and complications when comparing a straight to a curvilinear nail design. ⋯ Straight intramedullary nails had a comparable union rate to an accepted curvilinear design, with a much lower incidence of complications. Rotator cuff pain and dysfunction can be minimized with the use of newer generation straight nails.
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J Shoulder Elbow Surg · Nov 2013
Randomized Controlled Trial Comparative StudyUltrasound evaluation of arthroscopic full-thickness supraspinatus rotator cuff repair: single-row versus double-row suture bridge (transosseous equivalent) fixation. Results of a prospective, randomized study.
The purpose of this study was to compare the structural outcomes of a single-row rotator cuff repair and double-row suture bridge fixation after arthroscopic repair of a full-thickness supraspinatus rotator cuff tear. ⋯ Arthroscopic double-row suture bridge repair (transosseous equivalent) of an isolated supraspinatus rotator cuff tear resulted in a significantly higher tendon healing rate (as determined by ultrasound examination) when compared to arthroscopic single-row repair.