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View article: Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication
Optimizing lateralization and distalization shoulder angles in shoulder arthroplasty: A systematic review of functional outcomes and complication Open
Background The lateralization shoulder angle (LSA) and distalization shoulder angle (DSA) are critical factors in predicting postoperative complications in shoulder surgeries. This study investigates the impact of LSA and DSA variations on…
View article: The Triple Anatomical Technique for Acromioclavicular Joint Reconstruction: A True Anatomical Reconstruction Technique Using Synthetic Ligaments With Acromioclavicular Ligament Reconstruction
The Triple Anatomical Technique for Acromioclavicular Joint Reconstruction: A True Anatomical Reconstruction Technique Using Synthetic Ligaments With Acromioclavicular Ligament Reconstruction Open
Acromioclavicular joint injuries are common. Modern surgical techniques aim to restore anatomy and function while enabling early rehabilitation. We present the triple anatomical technique, which combines anatomic coracoclavicular ligament …
View article: Partial repair versus superior capsule reconstruction in managing massive rotator cuff tears. A meta-analysis of the current evidence
Partial repair versus superior capsule reconstruction in managing massive rotator cuff tears. A meta-analysis of the current evidence Open
Background Rotator cuff tear (RCT) is a common musculoskeletal condition. Managing RCTs can be challenging. Initial treatments typically involve conservative approaches such as physical therapy and corticosteroid injections. This meta-anal…
View article: Spontaneous Avascular Necrosis of the Humeral Head Following COVID-19 Vaccination.
Spontaneous Avascular Necrosis of the Humeral Head Following COVID-19 Vaccination. Open
We report a case of a 40-year-old man who presented with left shoulder pain and marked functional impairment two days after receiving the second dose of the Pfizer COVID-19 vaccine. Advanced imaging demonstrated focal avascular necrosis (A…
View article: Arthroscopic Allograft Bone Block Procedure with Remplissage for Bipolar Lesions.
Arthroscopic Allograft Bone Block Procedure with Remplissage for Bipolar Lesions. Open
Anterior shoulder instability with bone loss is a challenging condition. The two most performed procedures, Bankart repair & Latarjet, are not without issues. We describe a technique where arthroscopic free bone grafting was performed in c…
View article: Rotator Cuff Repair With Patch Augmentation: What Do We Know?
Rotator Cuff Repair With Patch Augmentation: What Do We Know? Open
However, there remains a need for high-quality, prospective clinical trials directly comparing each type of graft and the effect that they have on the clinical and radiological outcomes of rotator cuff repair.
View article: Lunotriquetral Ligament Repair Using Augmented Internal Brace.
Lunotriquetral Ligament Repair Using Augmented Internal Brace. Open
Lunotriquetral (LT) ligament tear, usually in combination with an adjacent carpal ligament injury, can result in complete LT dissociation and VISI (Volarflexed Intercalated Segment Instability). Operative techniques for the management of i…
View article: The Effect of the COVID-19 Pandemic on Theatre Efficiency, Lessons to be Learned for Subsequent Waves.
The Effect of the COVID-19 Pandemic on Theatre Efficiency, Lessons to be Learned for Subsequent Waves. Open
COVID-19 had a significant impact on theatre efficiency in our hospital, causing multiple points of delay. As hospitals across the UK restart crucial elective services, focus should be given to maximizing theatre efficiency by providing ra…
View article: Clinical and Radiological Outcomes of Rotator Cuff Repairs Using All-Suture Anchors as Medial Row Anchors.
Clinical and Radiological Outcomes of Rotator Cuff Repairs Using All-Suture Anchors as Medial Row Anchors. Open
It is safe to use all-suture anchors as medial-row anchors when performing double-row anchor transosseous equivalent rotator cuff repairs. The purported advantages of all-suture anchors may outweigh their perceived disadvantages in rotator…
View article: Clinical outcomes and structural integrity rate of arthroscopic augmented rotator cuff repairs using extracellular porcine matrix patch
Clinical outcomes and structural integrity rate of arthroscopic augmented rotator cuff repairs using extracellular porcine matrix patch Open
Background Structural failure rate in rotator cuff repairs is still high. The purpose of the study is to assess the structural integrity of a series of augmented rotator cuff repairs with porcine matrix patch and report the functional outc…
View article: Posterior Shoulder Instability: The Augmented McLaughlin Procedure.
Posterior Shoulder Instability: The Augmented McLaughlin Procedure. Open
Posterior shoulder dislocation, whilst uncommon, is frequently missed and often associated with a significant defect on the antero-medial aspect of the humeral head (the reverse Hill-Sachs lesion). Several techniques for stabilisation have…
View article: Bony increased-offset reverse shoulder arthroplasty: A meta-analysis of the available evidence
Bony increased-offset reverse shoulder arthroplasty: A meta-analysis of the available evidence Open
Background Reverse shoulder arthroplasty (RSA) has revolutionized the management of many shoulder pathologies. Lateralization has become favourable to combat complications (e.g. notching, compromised external rotation), using a metallic, o…
View article: Degenerative rotator cuff tear, repair or not repair? A review of current evidence
Degenerative rotator cuff tear, repair or not repair? A review of current evidence Open
Introduction We review the literature and highlight the important factors to consider when counselling patients with non-traumatic rotator cuff tears on which route to take. Factors include the clinical outcomes of surgical and non-surgica…
View article: Superior Capsule Reconstruction: What Do We Know?
Superior Capsule Reconstruction: What Do We Know? Open
The management of irreparable rotator cuff tears remains challenging. Since its introduction by Mihata in 2012, superior capsule reconstruction (SCR) has grown in popularity at an astonishingly rapid rate. The aim of this article is to pro…
View article: Preliminary Results of a Consecutive Series of Large & Massive Rotator Cuff Tears Treated with Arthroscopic Rotator Cuff Repairs Augmented with Extracellular Matrix.
Preliminary Results of a Consecutive Series of Large & Massive Rotator Cuff Tears Treated with Arthroscopic Rotator Cuff Repairs Augmented with Extracellular Matrix. Open
Arthroscopic repair and augmentation of large and massive rotator cuff tears with extracellular matrix patch has good early outcome.
View article: “Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft
“Owl” Technique for All-Arthroscopic Augmentation of a Massive or Large Rotator Cuff Tear With Extracellular Matrix Graft Open
Despite the vast improvement in techniques and technology for arthroscopic rotator cuff surgery, repairs of massive and large tears remain challenging because they are associated with significantly high failure rates. In recent years, patc…