Lars Adolfsson
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View article: Total shoulder arthroplasty for glenohumeral osteoarthritis leads to better outcomes than hemiarthroplasty at a minimum 5 years: an intraoperative randomization-controlled trial of 79 patients
Total shoulder arthroplasty for glenohumeral osteoarthritis leads to better outcomes than hemiarthroplasty at a minimum 5 years: an intraoperative randomization-controlled trial of 79 patients Open
Background and purpose: It is unclear whether total shoulder arthroplasty (TSA) results in better outcomes in patients with degenerative shoulder diseases compared with hemiarthroplasty (HA). This randomized controlled trial (NCT01288066) …
View article: Rotator cuff surgery and semantics
Rotator cuff surgery and semantics Open
The imprecise definition of terms used to describe pathological diagnosis in clinical medicine can lead to imprecise treatment concepts and inaccurate recording of outcomes. In this article, we explore the meaning of common terms applied t…
View article: Only fair accuracy of the radiographic classification of adult proximal humeral fractures in the Swedish Fracture Register: a cohort analysis
Only fair accuracy of the radiographic classification of adult proximal humeral fractures in the Swedish Fracture Register: a cohort analysis Open
For registers to be of use the accuracy of data is essential as well as coverage, completeness, validity and reliability. The modified AO/OTA classification for proximal humerus fractures used in the SFR had moderate reliability but regist…
View article: Antibiotic prophylaxis and incidence of infection following elbow arthroplasty: a nationwide study
Antibiotic prophylaxis and incidence of infection following elbow arthroplasty: a nationwide study Open
Background and purpose: Periprosthetic joint infection (PJI) after elbow arthroplasty is a serious complication. Evidence of the best antibiotic prophylaxis for elbow arthroplasty is lacking. We aimed to investigate the regimens presently …
View article: No need for subacromial decompression in responders to specific exercise treatment: a 10-year follow-up of a randomized controlled trial
No need for subacromial decompression in responders to specific exercise treatment: a 10-year follow-up of a randomized controlled trial Open
View article: ANTIBIOTIC PROPHYLAXIS IN ELBOW PROSTHETIC SURGERY IN SWEDEN
ANTIBIOTIC PROPHYLAXIS IN ELBOW PROSTHETIC SURGERY IN SWEDEN Open
View article: The minimal important difference and smallest detectable change of the Oxford elbow score, Quick disabilities of the arm shoulder and hand and single assessment numeric evaluation used for elbow trauma
The minimal important difference and smallest detectable change of the Oxford elbow score, Quick disabilities of the arm shoulder and hand and single assessment numeric evaluation used for elbow trauma Open
View article: Ultrasonographic examination of acute soft tissue lesions in the elbow has good inter-rater reliability and acceptable agreement with magnetic resonance imaging
Ultrasonographic examination of acute soft tissue lesions in the elbow has good inter-rater reliability and acceptable agreement with magnetic resonance imaging Open
View article: What keeps a shoulder stable – Is there an ideal method for anterior stabilisation?
What keeps a shoulder stable – Is there an ideal method for anterior stabilisation? Open
The gleno-humeral joint is by far the most mobile in the human body but also afflicted by dislocations, predominantly anterior. Surgical stabilisation is often successful but failures not uncommon. The following review describes potential …
View article: 2021 SECEC Annual Meeting Best Paper Award: Elbow hemiarthroplasty and total elbow arthroplasty provided a similar functional outcome for unreconstructable distal humeral fractures in patients aged 60 years or older: a multicenter randomized controlled trial
2021 SECEC Annual Meeting Best Paper Award: Elbow hemiarthroplasty and total elbow arthroplasty provided a similar functional outcome for unreconstructable distal humeral fractures in patients aged 60 years or older: a multicenter randomized controlled trial Open
View article: Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears
Factors associated with healing failure after early repair of acute, trauma-related rotator cuff tears Open
Older age, increased FI of the supraspinatus muscle, and a tear including disruption of the rotator cable increased the risk of healing failure after early arthroscopic repair in patients with trauma-related full-thickness rotator cuff tea…
View article: The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period
The Oxford Elbow Score demonstrated good measurement properties when used with a shortened 7-day recall period Open
View article: The Choice of Antibiotic Prophylaxis Influences the Infection Reoperation Rate in Primary Shoulder Arthroplasty: Analysis From the Swedish Shoulder Arthroplasty Register
The Choice of Antibiotic Prophylaxis Influences the Infection Reoperation Rate in Primary Shoulder Arthroplasty: Analysis From the Swedish Shoulder Arthroplasty Register Open
Background Periprosthetic joint infection is a serious complication and a major reason for revision surgery after primary shoulder arthroplasty. The prophylactic antibiotics for primary shoulder arthroplasty that have predominantly been us…
View article: Poor reliability and reproducibility of 3 different radiographical classification systems for distal ulna fractures
Poor reliability and reproducibility of 3 different radiographical classification systems for distal ulna fractures Open
Background and purpose: Classification of fractures can be valuable for research purposes but also in clinical work. Especially with are fractures, such as distal ulna fractures, a treatment algorithm based on a classification can be helpf…
View article: Distal ulna fractures in adults—subcapitular, transverse fractures did not benefit from surgical treatment
Distal ulna fractures in adults—subcapitular, transverse fractures did not benefit from surgical treatment Open
View article: Scandinavian Olecranon Research in the Elderly (SCORE): protocol for a non-inferiority, randomised, controlled, multicentre trial comparing operative and conservative treatment of olecranon fractures in the elderly
Scandinavian Olecranon Research in the Elderly (SCORE): protocol for a non-inferiority, randomised, controlled, multicentre trial comparing operative and conservative treatment of olecranon fractures in the elderly Open
Introduction The incidence of olecranon fractures is growing in the elderly population. The traditional operative approach is giving way among the elderly to conservative treatment, which seems to provide a comparable functional outcome wi…
View article: The Adolfsson-Björnsson Activity Scale (ABAS) Improves Description of Patient Characteristics
The Adolfsson-Björnsson Activity Scale (ABAS) Improves Description of Patient Characteristics Open
Background and purpose: Age and gender have been regarded important for surgical decision making and used as inclusion criteria for clinical trials. Individual demands and level of activity have been less considered. A self-administered sc…
View article: Neither critical shoulder angle nor acromion index were related with specific pathology 20 years later!
Neither critical shoulder angle nor acromion index were related with specific pathology 20 years later! Open
Purpose The critical shoulder angle (CSA) and the acromion index (AI) are measurements of acromial shape reported as predictors of degenerative rotator cuff tears (RCT) and glenohumeral osteoarthritis (GH OA). Whether they are the cause or…
View article: Fluoroscopy of the Elbow
Fluoroscopy of the Elbow Open
Background: Despite new 3-dimensional imaging modalities, 2-dimensional fluoroscopy remains the standard intraoperative imaging modality. The elbow has complex anatomy, and defined standard fluoroscopic projections are lacking. Therefore, …
View article: The minimal important change for the seven-item disability of the arm, shoulder, and hand (DASH 7) questionnaire – Assessing shoulder function in patients with subacromial pain
The minimal important change for the seven-item disability of the arm, shoulder, and hand (DASH 7) questionnaire – Assessing shoulder function in patients with subacromial pain Open
The DASH 7 is responsive to change over time and can discriminate between patients considered to be improved and patients considered not improved. These MIC values for patients with subacromial pain in the primary care setting can be used …
View article: Union of Scaphoid Waist Fractures in Adults Despite No or Minimal Immobilization—a Report of Five Cases
Union of Scaphoid Waist Fractures in Adults Despite No or Minimal Immobilization—a Report of Five Cases Open
Traditionally scaphoid waist fractures have been treated with a long period, 10–12 weeks, of immobilization in a plaster cast until radiological union. The long period of immobilization sometimes infers great discomfort for the patients. T…
View article: Incidence of distal ulna fractures in a Swedish county: 74/100,000 person-years, most of them treated non-operatively
Incidence of distal ulna fractures in a Swedish county: 74/100,000 person-years, most of them treated non-operatively Open
Background and purpose - Fractures of the distal ulna can occur in isolation or in conjunction with a distal radius fracture. They may result in incongruence and instability of the distal radioulnar joint. We investigated the incidence of …
View article: Post-traumatic stiff elbow
Post-traumatic stiff elbow Open
Post-traumatic and post-operative stiffness of the elbow joint is relatively common and may in pronounced cases markedly interfere with normal upper extremity function. Soft-tissue contractures and heterotopic bone formation are two major …
View article: 20-Year outcome of TFCC repairs
20-Year outcome of TFCC repairs Open
The aims of this study were to investigate the functional result and rate of osteoarthritis 15-25 years after a TFCC-repair. Forty-seven patients completed the questionnaire Patient Rated Wrist Evaluation (PRWE), and 43 had new X-rays. Fif…
View article: Association of Insulin‐like Growth Factor‐1, Bone Mass and Inflammation to Low‐energy Distal Radius Fractures and Fracture Healing in Elderly Women Attending Emergency Care
Association of Insulin‐like Growth Factor‐1, Bone Mass and Inflammation to Low‐energy Distal Radius Fractures and Fracture Healing in Elderly Women Attending Emergency Care Open
Objective Elderly patients suffer fractures through low‐energy mechanisms. The distal radius is the most frequent fracture localization. Insulin‐like growth factor‐1 ( IGF 1) plays an important role in the maintenance of bone mass and its …
View article: Specific exercises for subacromial pain
Specific exercises for subacromial pain Open
Background and purpose — We have previously shown that specific exercises reduced the need for surgery in subacromial pain patients at 1-year follow-up. We have now investigated whether this result was maintained after 5 years and compa…
View article: The Effect of Price on Surgeons’ Choice of Implants: A Randomized Controlled Survey
The Effect of Price on Surgeons’ Choice of Implants: A Randomized Controlled Survey Open
View article: A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7
A short activity-related scale for measuring shoulder function in patients with subacromial pain: the DASH 7 Open
View article: A radial head prosthesis appears to be unnecessary in Mason-IV fracture dislocation
A radial head prosthesis appears to be unnecessary in Mason-IV fracture dislocation Open
Background and purpose - Previous reports on elbow injuries with concomitant comminute radial head fracture are difficult to interpret, since they include an array of different soft-tissue and bony injuries around the elbow. We focused on …
View article: Clinical and structural outcome 22 years after acromioplasty without tendon repair in patients with subacromial pain and cuff tears
Clinical and structural outcome 22 years after acromioplasty without tendon repair in patients with subacromial pain and cuff tears Open