Actueel SNN

  Agreement between patient-based and clinician-based assessment of the shoulder


Background

Patient home-based self-assessments after shoulder surgery have the potential to aid clinicians in reducing clinic time and decreasing follow-up requirements. The purpose of this systematic review was to determine the correlation between patient-based and physician-assessed outcome measures for range of motion (ROM), strength, and shoulder function.

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Geplaatst door: Paul van der Tas op: 16 november 2017

  Epidemiology of glenohumeral dislocation and subsequent instability in an urban population


Background

Glenohumeral dislocation is the most commonly encountered adult joint instability. The epidemiology in the United Kingdom and worldwide is unclear and often limited to young, active groups that are not representative of general populations. Information regarding epidemiology and outcome from a first dislocation is useful for trauma service planning and patient counseling. We calculated the incidence of shoulder instability after a first dislocation in our urban population and investigated predictors of recurrent instability.

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Geplaatst door: Paul van der Tas op: 16 november 2017

  Is the pectoralis major tendon a reliable reference for restoration of humeral length with fracture hemiarthroplasty?


Background

The primary objective was to calculate and to apply the numeric value of the distance from the pectoralis major tendon insertion to the superior aspect of the humeral head (PMTD) without any radiation exposure or equipment through basic data such as age, sex, height, and weight of Asian populations.

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Geplaatst door: Paul van der Tas op: 16 november 2017

  Comparing daily shoulder motion and frequency after anatomic and reverse shoulder arthroplasty


Background

Both anatomic (TSA) and reverse total shoulder arthroplasty (RTSA) are common interventions for glenohumeral arthrosis, with the goal of relieving pain and restoring mobility. Understanding shoulder arthroplasty motion and frequency is of interest in evaluating effectiveness and in predicting bearing wear for implant development and optimization. The purpose of this study was to measure and compare the total daily shoulder motion of patients after TSA and RTSA.

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Geplaatst door: Paul van der Tas op: 16 november 2017

  Virtual reconstruction of glenoid bone defects using a statistical shape model


Background

Description of the native shape of a glenoid helps surgeons to preoperatively plan the position of a shoulder implant. A statistical shape model (SSM) can be used to virtually reconstruct a glenoid bone defect and to predict the inclination, version, and center position of the native glenoid. An SSM-based reconstruction method has already been developed for acetabular bone reconstruction. The goal of this study was to evaluate the SSM-based method for the reconstruction of glenoid bone defects and the prediction of native anatomic parameters.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  Clinical and radiographic outcomes after total shoulder arthroplasty with an anatomic press-fit short stem


Background

There is limited information assessing outcomes after total shoulder arthroplasty (TSA) with a press-fit short stem. The purpose of this study was to evaluate early clinical and radiographic outcomes and complications after TSA with an anatomic press-fit short stem.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  Performance of implant sonication culture for the diagnosis of periprosthetic shoulder infection


Background

Diagnosing infection after shoulder arthroplasty can be a challenge because of the high prevalence of low-virulence organisms, such as Propionibacterium acnes. The purpose of this study was to evaluate the utility of implant sonication fluid cultures in the diagnosis of periprosthetic joint infection compared with standard culture techniques in patients undergoing revision shoulder arthroplasty.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  The application of ultrasound elastography in the shoulder


Ultrasound elastography (EUS) is a recently developed method for the assessment of tissue elasticity by applying mechanical stress and subsequently analyzing tissue displacement with ultrasound. To date, mainly two different techniques are used in clinical practice: strain (compression) EUS and shear wave EUS. However, shear wave EUS has been shown to be more examiner independent and more reliable as this technique allows a quantitative measurement of tissue elasticity.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  A new scale measuring translation of the humeral head as a prognostic factor for the treatment of large and massive rotator cuff tears


Background

Failure rates after rotator cuff repair remain high in patients with massive tears. Although superior translation of the humeral head has been used to assess the severity of rotator cuff tears, the relevance of anterior migration of the humeral head to clinical outcomes has not been established. The purpose of this study was to investigate the potential role of the T-scale, a measure of the anterolateral translation of the humeral head, as a prognostic factor for rotator cuff repair.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  Comparing the coracoclavicular loop technique with a hook plate for the treatment of distal clavicle fractures


Background

Treatment of displaced distal clavicular fractures is still controversial. This study reports the utility of a new coracoclavicular (CC) loop technique for acute displaced distal clavicular fractures and compared its surgical outcomes with those of the hook plate method.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  Arthroscopic subscapularis repair using single-row mattress suture technique: clinical results and structural integrity


Background

Rupture of the subscapularis (SSC) tendon, isolated or combined, is rare, and the treatment modalities are controversial. The purpose of this study was to evaluate, by magnetic resonance imaging (MRI), the clinical outcomes and structural integrity of the SSC tendon after all-arthroscopic repair with single-row mattress suture for isolated or combined SSC tendon tears.

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Geplaatst door: Paul van der Tas op: 24 oktober 2017

  15 december 2017: 3e CONGRES SNN - WSE (NOV) - JOINT TOGETHER III


Derde Nationale SCHOUDER congres Joint Together: “Flexibility matters”

SchouderNetwerken Nederland organiseert voor de 3e keer i.s.m. de Werkgroep Schouder Elleboog (WSE) van de Nederlandse Orthopedische Vereniging (NOV) een nationaal schoudercongres.

’s Morgens staan een aantal plenaire inspirerende lezingen op het programma met o.a. het laatste nieuws over schouderprothesiologie en de revalidatie door een befaamde Engelse orthopedisch chirurg. Een hele sessie over de zwemmersschouder met verassende elementen. Daarna zijn 3 jonge onderzoekers geselecteerd die hun ‘schouder’ onderzoek mogen presenteren voor de SNN abstract prijs.

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Geplaatst door: Paul van der Tas op: 2 oktober 2017

  The modified Latarjet procedure in female patients: clinical outcomes and complications


Background

The aim of this study was to assess the short- and medium-term complications and clinical outcomes of female patients after a modified Latarjet procedure. A review of the literature was also conducted for outcomes of the modified Latarjet procedure in female patients and differences reported between male and female patients.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  Surgical anatomy of the radial nerve in the deltopectoral approach for revision shoulder arthroplasty and periprosthetic fracture fixation: a cadaveric study


Background

Radial nerve injury is a rare but clinically significant complication of revision shoulder arthroplasty and fixation of native and periprosthetic proximal humeral fractures. Understanding of the anatomic relationship between the radial nerve as it enters the humeral spiral groove and anterior shoulder landmarks in a deltopectoral approach is necessary to avoid iatrogenic radial nerve injury.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  Knotless double-row SutureBridge rotator cuff repairs have improved self-reinforcement compared with double-row SutureBridge repairs with tied medial knots: a biomechanical study using an ovine model Geoffrey


Background

In double-row SutureBridge (Arthrex, Naples, FL, USA) rotator cuff repairs, increasing tendon load may generate progressively greater compression forces at the repair footprint (self-reinforcement). SutureBridge rotator cuff repairs using tied horizontal mattress sutures medially may limit this effect compared with a knotless construct.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  The effects of a conservative rehabilitation program for multidirectional instability of the shoulder


Background

Conservative management is commonly recommended as the first-line treatment for multidirectional instability (MDI) of the shoulder. Despite this, the evidence for efficacy of treatment is limited, and until recently, guidance for clinicians on conservative rehabilitation programs has been inadequate. This study evaluated the effectiveness of a physiotherapy-led exercise program for participants with MDI.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  Outcome of reverse shoulder arthroplasty with pedicled pectoralis transfer in patients with deltoid paralysis


Background

Management of shoulder arthritis associated with deltoid paralysis can be very challenging. The purpose of this study was to report the outcome of reverse shoulder arthroplasty with pedicled pectoralis transfer to reconstruct the anterior deltoid in patients with symptomatic shoulder arthritis and a paralyzed deltoid.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  Left-handed skeletally mature baseball players have smaller humeral retroversion in the throwing arm than right-handed players


Background

It is known that the humeral retroversion of baseball players is greater in the throwing arm than in the nonthrowing arm. An investigation measuring dry bone specimens also showed that the right humerus had greater retroversion than the left. Considering these facts, it was hypothesized that humeral retroversion would differ between right- and left-handed players. This study aimed to compare the bilateral humeral retroversion between right- and left-handed skeletally mature baseball players.

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Geplaatst door: Paul van der Tas op: 28 september 2017

  17e regionaal SchouderNetwerk een feit


Op 29 september 2016 heeft de vergadering van SchouderNetwerken Nederland besloten als 17e Regionaal SchouderNetwerk NoordHolland Noord toe telaten omdat zij voldoen aan alle toelatingseisen.

Geplaatst door: Paul van der Tas op: 30 september 2016