JSES reviews, reports, and techniques最新文献

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Intra-articular exostosis on the glenoid neck in a patient with hereditary multiple exostoses: a case report 一名遗传性多发性骨赘患者的盂颈关节内骨赘：病例报告

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.010

引用次数: 0

Surgical fixation of periprosthetic humeral shaft fracture about a short-stem anatomic total shoulder arthroplasty with a proximal humeral locking plate: surgical technique and report of 3 cases 肱骨近端锁定钢板短柄解剖全肩关节置换术治疗肱骨假体周围骨折:手术技术及3例报告

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2023.07.004

引用次数: 0

Distal humerus fractures: review of literature, tips, and tricks 肱骨远端骨折：文献综述、技巧和窍门

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2023.11.004

引用次数: 0

Reverse shoulder arthroplasty for two-parts proximal humerus fractures with “shish-kebab” technique 采用 "shish-kebab "技术对肱骨近端两部分骨折进行反向肩关节置换术

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.05.005

Paolofrancesco Malfi MD, Roberto de Giovanni MD, Alessio Bernasconi MD, Valentina Rossi MD, Riccardo Grasso MD, Andrea Cozzolino MD

引用次数: 0

Outcomes and return to sport after osteochondral autograft transplantation for osteochondritis dissecans of the capitellum: a systematic review 骨软骨自体移植治疗帽状腱膜骨软骨炎后的疗效和恢复运动情况：系统性综述

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.02.011

Background

Capitellar osteochondritis dissecans (OCD) lesions are common in athletes. Osteochondral autograft transfer (OAT) is one possible treatment option, though outcomes including return to sport (RTS) data are limited to small series. The purpose of this study was to systematically review RTS following OAT for capitellar OCD lesions. Our secondary objectives were to evaluate patient-reported outcomes (PROs), range of motion (ROM), and complications after OAT.

Methods

PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature were searched for peer-reviewed articles on “osteochondral autograft transfer” and related terms for capitellar OCD lesions. Articles were included if they reported an RTS rate and had a follow-up time point of at least 12 months. Data on RTS rates, PRO measures, complications, and ROM were extracted. Articles were assessed for methodological quality using the Methodological Index for Non-randomized Studies criteria.

Results

Six hundred sixty-six articles were retrieved, and 24 articles (470 patients) met the inclusion criteria. In total, 454/470 patients (97%) returned to sports following OAT for OCD. The RTS rate ranged from 79% to 100%. Return to previous level of performance ranged from 10% to 100%. Timmerman-Andrews postoperative scores (range = 169-193) were most often reported, with 87% of patients showing scores within the excellent range. Disabilities of the Arm, Shoulder, and Hand and Japanese Orthopedic Association scores were also excellent postoperatively for all studies reporting, with higher scores among centralized lesions vs. lateral.

Conclusions

Following OAT for capitellar OCD lesions, RTS rates are high; however, athletes should be counseled on the potential of a return to lower performance or the need to change positions. Lateral lesion location may negatively impact outcomes. PRO scores are typically excellent and postoperative ROM consistently improves. This information helps counsel patients regarding expectations and outcomes of OAT for OCD of the capitellum.

背景髌骨软骨炎（OCD）病变在运动员中很常见。骨软骨自体移植（OAT）是一种可行的治疗方法，但包括恢复运动（RTS）数据在内的治疗结果仅限于小规模系列研究。本研究的目的是系统回顾OAT治疗帽状腱膜OCD病变后的RTS情况。我们的次要目标是评估患者报告的结果（PROs）、运动范围（ROM）以及OAT后的并发症。方法在PubMed、Embase和《护理与专职医疗文献累积索引》中检索了关于 "骨软骨自体移植物移植 "以及髌骨OCD病变相关术语的同行评议文章。如果文章报告了RTS率，且随访时间点至少为12个月，则被纳入其中。提取了有关RTS率、PRO指标、并发症和ROM的数据。采用非随机研究方法指数标准对文章进行方法学质量评估。结果共检索到66篇文章，24篇文章（470名患者）符合纳入标准。总共有 454/470 名患者（97%）在 OAT 治疗强迫症后重返运动场。运动康复率从 79% 到 100% 不等。恢复到以前水平的比例从 10% 到 100% 不等。蒂默曼-安德鲁斯（Timmerman-Andrews）术后评分（范围 = 169-193）最常见，87% 的患者评分在优秀范围内。在所有报告的研究中，手臂、肩部和手部残疾以及日本骨科协会的术后评分也都很优秀，集中性病变与外侧性病变相比，得分更高。结论髌骨OCD病变OAT术后，RTS率很高；但是，应告知运动员可能会恢复到较低水平或需要改变体位。外侧病变位置可能会对治疗效果产生负面影响。PRO评分通常很高，术后ROM持续改善。这些信息有助于就帽状腱膜外伤的 OAT 预期和疗效为患者提供咨询。

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引用次数: 0

Latissimus dorsi and teres major transfer in reverse shoulder arthroplasty: A systematic review 反向肩关节置换术中的背阔肌和大圆肌转移：系统性综述

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.015

Background

This paper aims to conduct a systematic review of the current literature to evaluate the clinical outcomes of concurrent latissimus dorsi and teres major (LD/TM) tendon transfer in reverse shoulder arthroplasty (RSA), and to compare that to isolated RSA.

Methods

A comprehensive search on PubMeb, Web of Science, Embase and CINAHL was performed from inception up to January 20, 2023, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Cohort studies, case-control studies, randomized controlled trials and case series that were written in English, which involved patients who underwent RSA with LD/TM transfer were included. Quality of studies was appraised using the Cochrane Risk Of Bias In Nonrandomized Studies of Interventions tool. Systematic review of Constant-Murley Score (CMS) and range of movement (ROM) was conducted.

Results

Eight studies with a total of 265 patients were included. The average mean follow-up time was 42.5 months, with a range of 6 months to 136 months. Of the studies that reported outcomes of RSA with LD/TM transfer, five reported the CMS, five reported external rotation (ER) ROM and six reported forward flexion ROM. Comparing postoperative to preoperative scores, there was an improvement above the minimal clinically important difference for CMS (mean difference (MD) range = 22.40 to 41.80), ER (MD range = 29° to 36°) and forward flexion (MD range = 50° to 75°). Three studies that compared postoperative ER between RSA with and without LD/TM reported no significant difference.

Conclusion

RSA with LD/TM transfer has good clinical outcomes postoperatively, but there is insufficient comparative data to suggest that it is superior or inferior to an isolated RSA.

背景本文旨在对现有文献进行系统性综述，以评估反向肩关节置换术（RSA）中同时进行背阔肌和大圆肌（LD/TM）肌腱转移的临床疗效，并将其与孤立肩关节置换术（RSA）进行比较。研究纳入了用英语撰写的队列研究、病例对照研究、随机对照试验和病例系列研究，这些研究均涉及接受 RSA 和 LD/TM 转移的患者。研究质量采用 Cochrane Risk Of Bias In Non-Randomized Studies of Interventions 工具进行评估。对康斯坦茨-默里评分（CMS）和活动范围（ROM）进行了系统回顾。平均随访时间为 42.5 个月，从 6 个月到 136 个月不等。在报告RSA与LD/TM转移结果的研究中，5项报告了CMS，5项报告了外旋（ER）ROM，6项报告了前屈ROM。将术后评分与术前评分进行比较，发现CMS（平均差（MD）范围=22.40至41.80）、ER（MD范围=29°至36°）和前屈（MD范围=50°至75°）的改善幅度超过了最小临床重要性差异。有三项研究比较了有 LD/TM 和无 LD/TM 的 RSA 术后 ER，结果显示两者无显著差异。

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引用次数: 0

Paralysis of the trapezius muscle: evaluation and surgical management 斜方肌麻痹：评估与手术治疗

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.014

Background

Paralysis of the trapezius muscle most commonly results from iatrogenic injury to the spinal accessory nerve.

Methods

The clinical presentation and physical examination findings of trapezius palsy have been well characterized, but unfortunately the diagnosis of this condition is oftentimes missed or delayed, sometimes leading to unnecessary surgery on the rotator cuff or tendon of the long head of the biceps.

Results

The diagnosis can be confirmed using electromyography with nerve conduction studies. Although nonoperative treatment may help some patients with temporary neurapraxia of the spinal accessory nerve, nerve repair with or without nerve grafting should be performed soon for patients suspected of a nerve transection. Nerve transfers can be considered within the first year after the injury when nerve repair and grafting cannot be completed. For chronic trapezius palsy, transfer of the levator scapulae and rhomboids has been refined and represents a very successful surgical procedure. Rarely, scapulothoracic arthrodesis is considered for individuals with failed tendon transfers or multiple nerve involvement.

Conclusion

Trapezius palsy is oftentimes missed. An accurate diagnosis allows consideration of various treatment modalities that have been reported to provide good outcomes for properly selected patients.

方法斜方肌麻痹的临床表现和体格检查结果已得到很好的描述，但不幸的是，这种情况的诊断往往被漏诊或延误，有时会导致不必要的肩袖或肱二头肌长头肌腱手术。虽然非手术治疗可以帮助一些脊髓副神经暂时性神经瘫痪的患者，但对于怀疑神经横断的患者，应尽快进行神经修复术或神经移植术。如果神经修复和移植无法完成，可考虑在伤后一年内进行神经转移。对于慢性斜方肌麻痹，肩胛提肌和菱形肌的转移已得到改进，是一种非常成功的手术方法。对于肌腱转移失败或多处神经受累的患者，很少会考虑肩胛胸关节置换术。准确的诊断有助于考虑各种治疗方法，据报道，经过适当选择的患者可获得良好的疗效。

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引用次数: 0

Chronic recurrent shoulder instability treated with a hemiarthroplasty, Glenojet allograft glenoid reconstruction, and anterior capsular reconstruction: a case report 用半关节成形术、Glenojet异体盂成形术和前关节囊成形术治疗慢性复发性肩关节不稳定：病例报告

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.05.004

Matthew Glazier DO , Morgan Turnow DO , Peter Spencer BS , Vishvam Metha BS , Hunter Pharis DO , Nathaniel Long DO , Stephen Wiseman DO

引用次数: 0

Posterior shoulder dislocation with acromion fracture: a case that illustrates a possible mechanism of posterior shoulder instability 肩关节后脱位伴肩峰骨折：一个说明肩关节后脱位可能机制的病例

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.04.007

Richard W. Nyffeler MD , Iina Raass MD , Bettina Haupt-Bertschy MSc, PT

引用次数: 0

Selective endoscopic neurotomy of the upper and lower subscapular nerves in a patient with dyskinetic cerebral palsy: a case report 一名运动障碍型脑瘫患者的肩胛下神经上、下部选择性内窥镜神经切除术：病例报告

Q4 Medicine

JSES reviews, reports, and techniques

Pub Date : 2024-08-01 DOI: 10.1016/j.xrrt.2024.03.004

引用次数: 0

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