AnatomyDiseasesAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesAnthropology, Education, Sociology and Social PhenomenaHealth Care
HumerusShoulder FracturesShoulder JointShoulderHumeral FracturesShoulder PainShoulder DislocationBone PlatesArthroplasty, ReplacementHumeral HeadFracture Fixation, InternalFracture FixationRange of Motion, ArticularJoint ProsthesisFracture HealingFractures, UnunitedFractures, MalunitedCurettageArthroplastyFractures, ComminutedDiaphysesBone ScrewsBone WiresBone NailsBone CystsBone NeoplasmsScapulaProstheses and ImplantsHemiarthroplastyRecovery of FunctionRotator CuffOrthopedic ProceduresOsteonecrosisProsthesis ImplantationElbow JointBone TransplantationProsthesis DesignChondromaTreatment OutcomeSurgical Procedures, Minimally InvasiveBursitisReconstructive Surgical ProceduresBiomechanical PhenomenaInternal FixatorsOsteosarcomaPostoperative ComplicationsFollow-Up StudiesRetrospective StudiesFractures, BoneReoperationJoint CapsuleOsteoporosisTomography, X-Ray ComputedProspective StudiesJoint DiseasesJoint InstabilityBrachial PlexusEquipment Failure AnalysisAcromionAcromioclavicular JointManipulation, OrthopedicTendinopathyClavicleArthroscopyPeriarthritisPain MeasurementCadaverBaseballArmUlnaTime FactorsForelimbTendon InjuriesRotationNeck PainDeltoid MuscleCumulative Trauma DisordersRadial NerveBirth InjuriesMovement
ArthroplastyHead of theBoneOptions for proximal humerus fracturesAnatomicComplex proximal humerus fracturesSurgicalAspect of the humerusArthroscopyScapulaOutcomesClavicleBonySurgeryPlatingAmerican Shoulder and Elbow SurgeonsComplicationsTraumaAnatomyHumeral headArticularSymptomsFracture of the upperFixationGlenoid cavityLateralInstabilityElbow jointJointTendonDiagnosisGreater tuberosityInjuriesNeerAxillary arteryPatientsDistalPosteriorTotal shoulder replacementReplacementAbstractTreatmentMusclesTendinitisClassificationDeformityComputerized tomography2022ArthritisCadavericFractures resultBladeEpiphysealSocketTendons of the shoulder
Arthroplasty25
  • Background: Fracture reverse shoulder arthroplasty (fRSA) in geriatric, complex dislocated proximal humerus fractures is becoming the standard treatment next to conservative treatment. (amsterdamumc.org)
  • Cyanoacrylate microbial sealant may reduce the prevalence of positive cultures in revision shoulder arthroplasty. (llu.edu)
  • Evaluation of the learning curve for reverse shoulder arthroplasty. (llu.edu)
  • Arthritis and Arthroplasty: The Shoulder, ed. (llu.edu)
  • Chapter 9] In: Revision and Complex Shoulder Arthroplasty, Cofield RH & Sperling JW - eds. (llu.edu)
  • Shoulder Artrhoscopy and Arthroplasty: Current Concepts 2004: Sauramps Medical 2004, 2004. (llu.edu)
  • Background: Reverse total shoulder arthroplasty (RTSA) is an increasingly popular salvage treatment option for proximal humeral fracture (PHF) sequelae. (monash.edu)
  • The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
  • We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
  • BEDFORD, Mass., Sept. 19, 2023 (GLOBE NEWSWIRE) -- Anika Therapeutics, Inc. (NASDAQ: ANIK), a global joint preservation company, today announced the full market release of their RevoMotion Reverse Shoulder Arthroplasty System (RSA) at the 2023 Orthopaedic Summit (OSET) Annual Meeting on September 20-23 in Boston, MA. (klfy.com)
  • We're excited to participate in this year's OSET Annual Meeting, where we are showcasing our breakthrough new products focused on early intervention orthopedics, including the launch of our RevoMotion Reverse Shoulder Arthroplasty System, designed specifically to address clinical needs through a truly bone preserving design with simple and efficient instrumentation," said Cheryl R. Blanchard, Ph.D., Anika's President and CEO. (klfy.com)
  • Anika's cutting-edge shoulder portfolio, which also includes our recently launched X-Twist suture anchors, Tactoset HA-enhanced injectable bone substitute cleared for hardware augmentation, and OVOMotion with Inlay Glenoid Total Shoulder Arthroplasty, is further reinforced by the full market launch of RevoMotion. (klfy.com)
  • The system includes bone preserving glenoid and humeral designs intended to provide patient personalization via numerous humeral tray offerings which match the native anatomy, similar to other implant system designs in Anika's Arthrosurface Joint Solutions portfolio including the flagship OVOMotion® with Inlay Glenoid Total Shoulder Arthroplasty System. (klfy.com)
  • The RevoMotion Reverse Shoulder Arthroplasty System fills a vital place in Anika's shoulder arthroplasty portfolio, which now offers the full line of solutions to meet my patients' needs," said Christopher Baker, M.D., Florida Orthopaedic Institute, Tampa, Florida. (klfy.com)
  • This course is designed to provide an intensive update on shoulder and elbow topics across the spectrum of sports medicine, trauma, and arthroplasty through a combination of didactic presentations, interactive case-based panel discussions, and lively debates. (foreonline.org)
  • New for 2023: We've added a 4.5-hour bioksills lab, where you'll receive hands-on training in 3 procedures: open Latarjet, shoulder arthroplasty, and reverse for fracture. (foreonline.org)
  • GLOBAL UNITE is a system designed for fractures of the proximal humerus, with a unique feature being that it can later be converted to a reverse shoulder arthroplasty down the road. (medgadget.com)
  • Anika Therapeutics commenced full market release of the RevoMotion Reverse Shoulder Arthroplasty System (RSA). (orthoworld.com)
  • Stemless shoulder arthroplasty implants allow a surgeon to more accurately recreate a patient's normal anatomy because the implant is contained solely within the proximal humeral metaphysis. (medscape.com)
  • Canal sparing shoulder arthroplasty implants have been used since 2004, and currently six manufacturers have designs available. (medscape.com)
  • Stemless reverse shoulder arthroplasty offers the same potential benefits as anatomic stemless designs. (medscape.com)
  • The first shoulder arthroplasty dates back to 1893, performed by a French surgeon, Jules Emile Péan. (medscape.com)
  • [ 2 ] However, it was not until 1974 that Neer reported outcomes on the first total shoulder arthroplasty, consisting of a prosthetic glenoid component and the Vitallium humeral head. (medscape.com)
  • Although fairly rare, previous reports of stemmed implants have estimated the rate of intraoperative humeral fracture to be 1.5%, [ 4 ] and the rate of periprosthetic humeral fracture after anatomic shoulder arthroplasty to be 1.6% [ 5 ] to 2.4. (medscape.com)
  • The TESS was different from previous shoulder-stemmed arthroplasty systems in that the humeral component consisted of a highly porous coated 6-arm corolla to which the anatomic humeral head component is attached (Figure 1). (medscape.com)
Head of the7
  • It articulates with the head of the humerus, forming the glenohumeral joint, which serves as the main joint of the shoulder. (medscape.com)
  • It is the multiaxial ball-and-socket synovial joint formed by the articular surfaces of the glenoid cavity and the head of the humerus. (medscape.com)
  • The shoulder joint consists of the glenoid cavity of the scapula and the head of the humerus. (wikipedia.org)
  • This is the socket that holds the head of the humerus (the bone of the upper arm). (moviecultists.com)
  • A glenoid fracture can allow the head of the humerus to slip out of the socket. (moviecultists.com)
  • Anterior shoulder instability, also known as anterior glenohumeral instability, is a condition in which damage to the soft tissues or bone causes the head of the humerus (upper arm bone) to dislocate or sublux from the glenoid fossa, compromising the function of the shoulder. (drjonnzoma.com)
  • Posterior shoulder instability, also known as posterior glenohumeral instability, is a condition in which the head of the humerus (upper arm bone) dislocates or subluxes posteriorly from the glenoid (socket portion of the shoulder) as a result of significant trauma. (drjonnzoma.com)
Bone24
Options for proximal humerus fractures1
Anatomic4
  • The critical anatomic relations of the proximal humerus are those of the articular segment to the shaft and the tuberosities. (medscape.com)
  • These run sheets included name, age, chief complaint, anatomic location of injuries, medications administered, procedures performed, and a full narrative describing the initial scene, patient's account of the incident, services provided, and ongoing condition of the patient while en route to the hospital. (cdc.gov)
  • Dr. Elhassan has been innovative in the field of upper extremity surgery and he has developed numerous novel procedures (20 new surgical procedures for the shoulder, elbow and wrist) through dedicated anatomic and biomechanical studies. (massgeneral.org)
  • Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities. (bvsalud.org)
Complex proximal humerus fractures1
  • performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
Surgical6
  • There are both non-surgical and surgical options for treatment of proximal humerus fractures. (wikipedia.org)
  • Rotator cuff tears are frequent shoulder problems that are usually dealt with surgical repair. (wjgnet.com)
  • Breakout session will highlight issues commonly encountered in the surgical management of intra-articular distal humerus fractures with regard to surgical exposure, implant choice and avoidable pitfalls. (newswise.com)
  • In this study, we want to assess whether the different surgical approach, deltopectoral and transdeltoid approach, used for the stabilization of the fracture proximal humerus effects on the outcome of the surgery. (ijoro.org)
  • Hepp P, Theopold J, Voigt C, Engel T, Josten C, Lill H. The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome. (ijoro.org)
  • The surgical neck of the humerus is fractured. (msdmanuals.com)
Aspect of the humerus2
  • External rotation will best demonstrate the greater tuberosity of the humerus because it allows for a better view of the lateral aspect of the humerus. (proprofs.com)
  • A large (approx 6.9 × 6.1-cm) rounded area of greater radiolucency with poorly defined distal margins, consistent with an osteolytic lesion (black arrows), is evident in the proximal aspect of the humerus. (avma.org)
Arthroscopy4
  • Summary: Patients using cannabis use fewer opioids following shoulder arthroscopy. (isakos.com)
  • Despite the increasing frequency of use among patients, there is a paucity of data on the influence of cannabis on shoulder arthroscopy, particularly with regard to complications. (isakos.com)
  • Patients who underwent shoulder arthroscopy with reported cannabis use were identified using Common Procedural Terminology (CPT) codes and the appropriate International Classification of Diseases (ICD) codes. (isakos.com)
  • Surgeons at Florida Orthopaedic Institute use shoulder arthroscopy to examine and repair various problems inside and around the shoulder joint, using very small incisions. (floridaortho.com)
Scapula8
Outcomes6
  • The functional outcomes (Constant Shoulder Score, Oxford Shoulder Score, and range of motion), complications, and operation time of fRSA were assessed with linear regression plots and cumulative summation analysis to establish whether a learning curve was present. (amsterdamumc.org)
  • I am evaluating predictive factors of outcomes after shoulder replacement surgeries to better counsel patients ahead of time. (dukehealth.org)
  • However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)
  • Secondary outcomes include the Disabilities of Arm Shoulder and Hand ( Quick DASH) score, the EQ-5D-5 L score, pain, extent of recovery and complications. (springer.com)
  • Functional outcomes for surgically treated 3- and 4- part proximal humerus fractures. (ijoro.org)
  • Long-term outcomes of stemless reverse shoulder implants are not known. (medscape.com)
Clavicle4
  • Bony injuries were more common above the waistline as 39/45 (86.7%) fractures occurred to the clavicle, shoulder/proximal humerus, hand, or head. (cdc.gov)
  • Clavicle and humerus fractures can occur by a direct hit from a motor vehicle accident, collision or fall. (orthoshah.com)
  • The proximal one is under the clavicle at the midpoint. (medscape.com)
  • The boundaries of the infraclavicular fossa are the pectoralis minor and major anteriorly, ribs medially, clavicle and coracoid process superiorly, and humerus laterally. (medscape.com)
Bony2
  • The greater and lesser tuberosities are bony landmarks of the proximal humerus and serve as attachment sites for musculature. (wikipedia.org)
  • Because there is not bony stability, the shoulder relies on a complex arrangement of ligaments which individually tighten at specific limits to maintain the humeral head on the glenoid (socket). (coloradosportsdoctor.com)
Surgery24
Plating2
  • Plating of proximal humeral fractures. (ijoro.org)
  • Locked plating for proximal humeral fractures: Differences between the deltopectoral and deltoid-splitting approaches. (ijoro.org)
American Shoulder and Elbow Surgeons1
  • The current consensus definition of a frozen shoulder by the American Shoulder and Elbow Surgeons is "a condition of uncertain etiology characterized by significant restriction of both active and passive shoulder motion that occurs in the absence of a known intrinsic shoulder disorder. (medscape.com)
Complications1
  • Your physician will most likely refer you to a physical therapist for instruction on proper exercises and early motion of the shoulder to prevent complications. (orthoshah.com)
Trauma3
  • Trauma may cause a fracture of the humerus (ball) or the glenoid (socket) of the shoulder joint. (moviecultists.com)
  • Osteoarthritis in younger people can be a result of an injury or trauma, such as a fractured or dislocated shoulder, known as posttraumatic arthritis. (floridaortho.com)
  • Aging, trauma or sports activities can cause injuries and disorders that can range from minor sprains or strains to severe shoulder trauma. (drjonnzoma.com)
Anatomy6
Humeral head3
Articular4
Symptoms9
  • Symptoms include pain, swelling, and a decreased ability to move the shoulder. (wikipedia.org)
  • Typical signs and symptoms include pain, swelling, bruising, and limited range of motion at the shoulder. (wikipedia.org)
  • Classically, symptoms of primary frozen shoulder have been divided into three phases: freezing (painful), frozen (stiffening), and thawing. (medscape.com)
  • Despite these criteria, diagnosing FSS can be controversial because there is little consensus on the specific shoulder motion restrictions or duration of symptoms needed to qualify a patient as having a frozen shoulder. (medscape.com)
  • Based on a series of 233 patients with a mean follow-up of 4.4 years from onset of symptoms, 59% had normal or near normal shoulders, 35% had mild-to-moderate symptoms with pain being the most common complaint and 6% had severe symptoms at follow-up [ 4 ]. (springer.com)
  • Symptoms of a glenoid fracture include shoulder pain , swelling, deformity at the site of the fracture and inability to move the arm. (moviecultists.com)
  • Symptoms include shoulder pain and weakness. (floridaortho.com)
  • Pain while (and after) moving the shoulder, pain while sleeping and a limited range of motion are common symptoms. (floridaortho.com)
  • The most common symptoms of shoulder dislocation include pain and shoulder joint instability. (johnconwaymd.com)
Fracture of the upper2
  • Which of the following projection would be used if there was an obvious fracture of the upper humerus? (proprofs.com)
  • Epidemiology of fracture of the upper end of the humerus. (ijoro.org)
Fixation4
  • Postoperative shoulder abduction and internal rotation can be protective against varus failure following proximal humeral fracture fixation as these positions decrease tension on the supraspinatus and subscapularis muscles . (bvsalud.org)
  • In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
  • Open reduction and internal fixation of proximal humeral fractures with use of the locking proximal humerus plate. (ijoro.org)
  • This nail has 4 cannulated proximal screws to provide fixation perpendicular to fracture lines and to avoid reduction loss due to the pull-out force of rotator cuff. (who.int)
Glenoid cavity1
  • Overhanging the glenoid cavity is a beaklike projection, the coracoid process , which completes the shoulder socket. (moviecultists.com)
Lateral5
  • The standard x-ray views of the shoulder include a true anterior-posterior view, a lateral (Y or outlet) view, and an axillary view. (wikipedia.org)
  • The greater tuberosity is located on the lateral side of the humerus, so external rotation will provide a more direct view of this structure compared to the other views listed. (proprofs.com)
  • Little leaguer's shoulder, a stress fracture of the proximal humerus that presents as lateral shoulder pain, usually is self-limited. (nih.gov)
  • A Velpeau sling (flexed shoulder,humerus bandaged to the chest wall, then flexed elbow and antebrachium bandaged to the thorax) is used for medial luxation, while a non-weight bearing bandage in physiologic position is used for lateral luxation. (vin.com)
  • Isiklar Z, Kormaz F, Gogus A, Kara A. Comparison of deltopectoral versus lateral deltoid split approach in operative treatment of proximal humeral fractures. (ijoro.org)
Instability1
Elbow joint1
Joint23
Tendon3
  • Each head tendon is attached to a different part of the shoulder socket. (livestrong.com)
  • He is considered the world expert in the evaluation and management of scapulothoracic disorders, and tendon transfers around the shoulder and elbow. (massgeneral.org)
  • The long head of the biceps tendon is a tough band of connective fibrous tissue that attaches the long head of the biceps to the top of the shoulder socket. (johnconwaymd.com)
Diagnosis2
  • The loss of passive range of motion (ROM) is a critical element in establishing the diagnosis of a true frozen shoulder. (medscape.com)
  • We will conduct a randomised controlled trial (RCT) of 500 adult patients with a clinical diagnosis of frozen shoulder, and who have radiographs that exclude other pathology. (springer.com)
Greater tuberosity3
Injuries4
  • Shoulder injuries most commonly occur in athletes participating in sports such as swimming, tennis, pitching, and weightlifting. (drjonnzoma.com)
  • Shoulder injuries in baseball players are usually associated with pitching. (drjonnzoma.com)
  • Early treatment is necessary to prevent serious shoulder injuries. (johnconwaymd.com)
  • The immediate mode of treatment recommended for shoulder injuries is rest, ice, compression and elevation (RICE). (johnconwaymd.com)
Neer2
  • The Neer classification of proximal humerus fractures is the most commonly used classification system. (wikipedia.org)
  • Inclusion criteria: Patients with displaced three-part proximal humerus fractures based on Neer classification will be included. (who.int)
Axillary artery1
  • citation needed] The anterior and posterior humeral circumflex arteries branch off of the axillary artery to provide the majority of the blood supply to the proximal humerus. (wikipedia.org)
Patients11
  • Methods: All patients with a dislocated multipart proximal humerus fracture that were treated with an fRSA between 2013 and 2019 in a specialized institution were included. (amsterdamumc.org)
  • Therefore, patients with those conditions should not be classified as having a frozen shoulder. (medscape.com)
  • Lundberg divided patients who met the pain and motion requirements of frozen shoulder into two groups: primary and secondary. (medscape.com)
  • Patients with primary frozen shoulder have no significant findings in the history, clinical examination, or radiographic evaluation to explain their motion loss and pain. (medscape.com)
  • Frozen shoulder syndrome (FSS) usually affects patients aged 40-60 years. (medscape.com)
  • PATIENTS AND METHODS: 7 patients were included and underwent 9 primary total shoulder arthroplasties. (imperial.ac.uk)
  • The care and outcome of patients, specifically those with complex shoulder and elbow problems, improved significantly because of these innovations. (massgeneral.org)
  • A total of 30 patients with fracture proximal humerus 2, 3 and 4-part were included in this study and were divided into 2 groups. (ijoro.org)
  • As a leading shoulder doctor in Colorado Springs, I have the privilege of treating many shoulder patients, all of whom have many great questions. (coloradosportsdoctor.com)
  • Proximal humeral fractures are especially common among older patients. (msdmanuals.com)
  • Adherence to the intervention will be confirmed via checking randomization result in REDCap (Research Electronic Data Capture) where patients and treating members are aware of group allocation) and shoulder radiography during operation. (who.int)
Distal1
  • Because an abnormality in type II collagen should affect the molecules throughout the body, it remains unclear how the currently defined abnormality can translate into major structural abnormalities of the vertebrae and capital femoral epiphysis while leaving the distal femur, proximal tibia, and other regions structurally unaffected. (medscape.com)
Posterior2
  • These fractures are often caused by posterior shoulder dislocations or traumatic muscle contractions by electrical shock or convulsions. (adamjohannsenmd.com)
  • The term SLAP (superior -labrum anterior-posterior) lesion or SLAP tear refers to an injury of the superior labrum of the shoulder. (drjonnzoma.com)
Total shoulder replacement4
  • BACKGROUND: Glenoid loosening remains a concern in anatomical total shoulder replacement. (imperial.ac.uk)
  • In some cases, you might need a total shoulder replacement. (moviecultists.com)
  • The number one indication to actually go ahead with total shoulder replacement is pain, and usually it's pain that's affecting all aspects of life. (coloradosportsdoctor.com)
  • If conservative measures such as physical therapy, anti-inflammatory medication and activity modifications fail to provide enough relief, total shoulder replacement is the procedure of choice. (coloradosportsdoctor.com)
Replacement4
  • Indications for Prosthetic Replacement in Proximal Humeral Fractures. (llu.edu)
  • The new launches includes the new AOX Polyethylene, an anti-oxidant polyethylene liner for knee replacements, RECLAIM and GRIPTION TF, new systems for revision hip replacements, TRUMATCH, and a personalized knee replacement system and GLOBAL UNITE and GLOBAL STEPTECH, new solutions for shoulder replacement and fractures. (medgadget.com)
  • The last two product announcements, GLOBAL UNITE and GLOBAL STEPTECH address shoulder replacement. (medgadget.com)
  • Interestingly, symptomatic arthritis requiring replacement is not as common in the shoulder as it is in the hip or knee. (coloradosportsdoctor.com)
Abstract1
  • He has presented at countless meetings both nationally, as well as internationally, and he has won numerous awards for best abstract, paper, poster, video and podium presentation in national and international hand and shoulder and elbow societies. (massgeneral.org)
Treatment7
  • Typical non-operative treatment consists of shoulder immobilization with a sling. (wikipedia.org)
  • In 1869, to improve treatment, Krocher classified fractures of the proximal humerus. (medscape.com)
  • Successful treatment of fractures of the proximal humerus (ie, that portion involving the glenohumeral articulation) presents a challenge for physicians. (medscape.com)
  • My research interests include the further understanding of shoulder pathologies, such as rotator cuff tears and outcome-based research evaluating our treatment strategies. (dukehealth.org)
  • Treatment of proximal humeralfractures-A review of current concepts enlightened by basic principles. (ijoro.org)
  • The treatment for a shoulder fracture is based on the type of fracture. (orthoshah.com)
  • Often, the first treatment for shoulder problems is RICE. (medlineplus.gov)
Muscles4
Tendinitis2
Classification1
  • In 1934, Codman developed a classification that divided the proximal humerus into four parts on the basis of epiphyseal lines. (medscape.com)
Deformity1
  • Muscular forces drive proximal humeral fracture deformity , yet it is unknown if arm position can help mitigate such forces. (bvsalud.org)
Computerized tomography1
  • A proximal humerus fracture is diagnosed by a physical examination, X-ray of the affected area and/or computerized tomography (CT) scan. (adamjohannsenmd.com)
20221
Arthritis1
  • Shoulder arthritis can affect your range of motion and ability to do everyday things. (floridaortho.com)
Cadaveric1
  • A medial wedge osteotomy was performed in eight cadaveric shoulders to simulate a two-part fracture. (bvsalud.org)
Fractures result1
Blade1
Epiphyseal1
  • SED is a generalized dysplasia with primary involvement of the vertebrae and proximal epiphyseal centers. (medscape.com)
Socket1
Tendons of the shoulder1