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Leslie Naggar
Arthroscopic treatment of greater tuberosity (GT) fractures has been previously described. Arthroscopy allows identifying and addressing coexisting injuries, such as rotator cuff tears, labrum, or superior labrum anterior and posterior lesions, which are often present. Fracture comminution precludes the use of rigid fracture fixation with screws and arthroscopic rotator cuff repair is performed instead. Recent articles have depicted the role of the balloon-shaped subacromial spacer in massive and irreparable rotator cuff tears...
September 2018: Joints
Pierluigi Antinolfi, Francesco Manfreda, Giacomo Placella, Julien Teodori, Giuliano Cerulli, Auro Caraffa
Total knee arthroplasty (TKA) is the best treatment for advanced knee osteoarthritis and it has proven to be durable and effective. Anterior knee pain (AKP) is still one of the most frequent complications after TKA, but sometimes no recognized macroscopic causes can be found. The correct treatment of patella is considered the key for a proper management of AKP. The inclusion of patellar resurfacing during TKA has been described as a potential method for the reduction of AKP. After surgeons started to resurface the patella, new complications emerged, such as component failure, instability, fracture, tendon rupture, and soft tissue impingement...
September 2018: Joints
Anna Palazzolo, Federica Rosso, Davide Edoardo Bonasia, Francesco Saccia, Roberto Rossi
Anterior cruciate ligament reconstruction (ACL-R) is a common surgical procedure, with good outcome in 75 to 97% of the cases. However, different complications have been described including infection, hemarthrosis, deep vein thrombosis (DVT), and pulmonary embolism (PE) with a rate ranging from 1 to 15%. There are few case reports in the literature describing rare complications after ACL-R and they can be divided into: (1) complications related to the fixation device (rupture, migration); (2) fractures (tibial or femoral side); (3) infections due to uncommon bacteria, mycobacterium, and mycosis; (4) rare vascular injuries; (5) nerve injuries; and (6) other rare complications...
September 2018: Joints
Alberto Grassi, Christian Carulli, Matteo Innocenti, Massimiliano Mosca, Stefano Zaffagnini, Corrado Bait
The purpose of this study was to analyze national surveys of orthopaedic surgeons on anterior cruciate ligament (ACL) reconstruction to determine their preferences related to the preferred graft, femoral tunnel positioning, fixation and tensioning methods, antibiotic and anti-thromboembolic prophylaxis, and use of tourniquet and drains. A systematic search of PubMed, Web of Science, and Cochrane Library was performed. Inclusion criteria were surveys of ACL reconstruction trends and preferences published in the past 5 years (2011-2016), involving members of national societies of orthopaedics...
September 2018: Joints
Giulio Maria Marcheggiani Muccioli, Enrico Guerra, Tommaso Roberti di Sarsina, Domenico Alesi, Stefano Fratini, Eugenio Cammisa, Vito Gaetano Rinaldi, Giada Lullini, Roberto Rotini, Stefano Zaffagnini
Periprosthetic shoulder infection (PSI) is an emerging pathology which requires many improvements in diagnosis and treatment to obtain a satisfying success rate. Different approaches have been described. This article summarizes current concepts of diagnostic process and main treatments described in the literature.
September 2018: Joints
Nicola Piolanti, Simone Polloni, Enrico Bonicoli, Michele Giuntoli, Michelangelo Scaglione, Pier Francesco Indelli
A new philosophy of science and medicine had spread throughout the 17th-century Italy: the "Scientific Revolution." Giovanni Alfonso Borelli (1608-1679) was one of the most charismatic and brilliant scientists of his generation in Europe. He extended to biology the rigorous analytic methods developed by his indirect mentor Galileo in the field of mechanics. In his masterpiece " De Motu Animalium ," Borelli analyzed structure, motion, balance, and forces concerning almost all the principal joints of the human body, in static and dynamic situations...
September 2018: Joints
Tommaso Bonanzinga, Piergiuseppe Tanzi, Maria Pia Neri, Francesco Iacono, Claudio Mazzola, Alberto Belluati, Andrea Colombelli, Stefano Zaffagnini, Maurilio Marcacci
Purpose  The purpose of this study was to compare, in terms of blood loss and implant alignment, a new generation of smart extramedullary (EM) cutting guides with the conventional intramedullary (IM) guide for total knee arthroplasty (TKA). The hypothesis was that the EM system would result in less blood loss and fewer days of hospitalization, while ensuring equal or higher accuracy in the alignment of the femoral implant. Methods  Thirty-six patients were enrolled for the present study: 18 patients underwent TKA using the EM guide and for the other 18 patients the IM guide was used...
September 2018: Joints
Jennifer I Etcheson, Chukwuweike U Gwam, Nicole E George, Naval Walia, Christophe Jerjian, Ga-Ram Han, Sana Virani, Seth J Miller, Ronald E Delanois
Purpose  The purpose of the present study was to assess perception of pain and pain management in smokers versus nonsmokers who received a total hip arthroplasty (THA). Methods  Patients who underwent THA from 2010 to 2016 were propensity score matched 1:1 based on race, body mass index, age, and sex. This yielded 124 smokers and 124 nonsmokers. Pain intensity was quantified using area under the curve for visual analog scale pain scores. Opioid consumption was determined using a morphine milliequivalent (mEq) conversion algorithm...
September 2018: Joints
Angelo De Carli, Edoardo Monaco, Daniele Mazza, Giuseppe Argento, Andrea Redler, Lorenzo Proietti, Edoardo Gaj, Andrea Ferretti
Purpose  The purpose of this study was to describe the anatomy of the anterolateral ligament (ALL) of the knee by the use of 1.5 Tesla (T) magnetic resonance imaging (MRI) in a series of young patients without knee injuries. Methods  Subjects aged 18 years or older without an anterior cruciate ligament injury, as confirmed on MRI, were included. MRI examinations were all performed on 1.5 T scans. The ALL was defined as the low signal band originating from the region of the lateral epicondyle of the femur, crossing the proximal surface of the lateral collateral ligament, deep to the iliotibial band, and inserting onto the tibia between the Gerdy's tubercle and the fibular head...
September 2018: Joints
Roberta Monesi, Maria Grazia Benedetti, Alessandro Zati, Daniela Vigna, Domenico Romanello, Alberto Monello, Roberto Rotini
Purpose  There is still conflicting evidence to support postoperative rehabilitation protocols using immobilization following rotator cuff repair over early motion. The objective of the study was to evaluate the evolution of pain, shoulder function, and patients' perception of their health status up to 1 year after cuff rotator repair and a standard postoperative rehabilitation protocol consisting of 4 weeks of immobilization followed by a 2-week assisted controlled rehabilitation. Methods  Descriptive, longitudinal, uncontrolled case-series study was performed on 49 patients who underwent arthroscopic rotator cuff repair following traumatic or degenerative lesions...
September 2018: Joints
Redha Alwan Hasan Alhashimi
Purpose  This study aims to identify the prevalence of frozen shoulder (FS) among diabetic patients and its relation to demographic features. Methods  This observational study of 216 patients randomly included those with diabetes mellitus (DM) attending the Misan Rheumatology and Medical Rehabilitation Department at Al-Sadder Teaching Hospital in Misan Province of Iraq and was conducted during the period from April 2014 to March 2015. Detailed medical histories were taken from patients and scratch test and hemoglobin A 1C were used in diagnostic procedure to confirm diagnosis of FS and DM, respectively...
September 2018: Joints
Alessandro Castagna, Eugenio Cesari, Berardo Di Matteo, Marcello Osimani, Raffaele Garofalo, Elizaveta Kon, Maurilio Marcacci, Claudio Chillemi
Purpose  The aim of the present retrospective study is to describe the results obtained at 2-year follow-up by using a porcine dermis-derived collagen membrane implanted as augmentation to treat large rotator cuff tears. Methods  Thirty-five patients in total were included according to the following criteria: large or massive rotator cuff tear, confirmed during surgery, measuring between 3 and 5 cm in width and stage 1 to 2 fatty infiltration documented at magnetic resonance imaging (MRI). Patients underwent arthroscopic repair of the cuff augmented by the implantation of a porcine dermal collagen membrane...
September 2018: Joints
Giuseppe Milano
No abstract text is available yet for this article.
September 2018: Joints
Valter Santilli, Massimiliano Mangone, Marco Paoloni, Francesco Agostini, Federica Alviti, Andrea Bernetti
No abstract text is available yet for this article.
June 2018: Joints
Daniele Fabbri, Riccardo Orsini, Antonio Moroni
Stress fractures of the proximal femur are described in athletes and military personnel. In most cases, they are not treated surgically, except when they are at the top of the femoral neck and with cortical involvement. The return to sports is not recommended in patients with hip replacement, especially for the high rate of revision of implants in the younger patients. One of the major complications of hip resurfacing (HR) is the medial fracture of the femoral neck, which usually occurs within 9 weeks after surgery...
June 2018: Joints
Ibrahim Akkawi, Hassan Zmerly
Osteoporosis is a worldwide disease characterized by reduction of bone mass and alteration of bone architecture resulting in increased bone fragility and increased fracture risk. Causes of osteoporosis include increasing age, female sex, postmenopausal status, hypogonadism or premature ovarian failure, low body mass index, ethnic background, rheumatoid arthritis, low bone mineral density (BMD), vitamin D deficiency, low calcium intake, hyperkyphosis, current smoking, alcohol abuse, immobilization, and long-term use of certain medications...
June 2018: Joints
Marco Cianforlini, Serena Ulisse, Valentino Coppa, Marco Grassi, Marco Rotini, Antonio Gigante
Purpose  The objective of this study was to investigate the ability of elastosonography (USE) in the identification of different grades of muscular injuries, comparing its effectiveness with traditional ultrasound (US) survey and by relating the results to the clinical classification of muscular pain. Methods  In the period between August 2014 and May 2016, we conducted a prospective cohort study on a population of 34 young male professional athletes belonging to the same under-17 football club (Ancona 1905)...
June 2018: Joints
Armando Macera, Christian Carulli, Luigi Sirleo, Massimo Innocenti
Purpose  The purpose of this study was to determinate the overall postoperative complication and reoperation rates related to open reduction and internal fixation (ORIF) of ankle fractures. Methods  All patients who had undergone an ankle fracture operation at our institution from January 2005 through December 2013 were identified by querying the hospital surgical procedure database for diagnoses codes. Medical records, surgical procedure, and outpatient control reports were reviewed to collect pre-, intra-, and postoperative details...
June 2018: Joints
Christian Carulli, Filippo Tonelli, Tommaso Melani, Michele Pietragalla, Alioscia Giancarlo Domenico De Renzis, Giuseppe Caracchini, Massimo Innocenti
Purpose  The aim of this study was to assess the diagnostic accuracy of magnetic resonance arthrography (MRA) in the detection of intra-articular lesions of the hip in patients affected by femoroacetabular impingement (FAI) by using arthroscopy as reference standard. Methods  Twenty-nine consecutive hip arthroscopies performed in 24 patients were considered for the study. Patients had a mean age of 38.3 years. Ultrasound-guided 1.5-T MRA was performed with precontrast short tau inversion recovery, T1-weighted and PD coronal, T1-weighted, and T2-weighted axial with 3-mm-thick slice sequences, and postcontrast T1-weighted fat saturation MRA (Fat-SAT) axial, coronal and oblique sagittal, and T1-weighted Vibe 3D coronal sequences with MPR sagittal, axial, and radial reconstructions with 2-mm-thick slice and coronal density protonil (DP) Fat-SAT...
June 2018: Joints
Gabriele Thiébat, Paolo Capitani, Laura de Girolamo, Carlotta Perucca Orfei, Francesca Facchini, Herbert Schoenhuber, Marco Viganò
Purpose  The purpose of this study is to investigate the in vitro biocompatibility of three different suture anchors (all-suture anchor, metal anchor, and polyetheretherketone anchor), commonly used for the rotator cuff repair. Methods  To assess the biocompatibility of the anchors, the possible cytotoxicity and the immunogenicity of the devices were assessed by cell viability assay and cell count on cultures of bone marrow stem cells (BMSCs) and peripheral blood leucocytes (PBLs), respectively. The possible inhibitory effect of the devices on BMSCs osteogenic potential was evaluated by alkaline phosphatase activity and matrix deposition assay...
June 2018: Joints
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