Introduction. Acromioclavicular joint has an important role in the shoulder function. Loss of function due to injury or disease affects biomechanics shoulder. The aim this study was evaluate results surgical treatment acromioclavicular injuries, identify risk groups within age groups, and indicate most common mechanisms injury. Material Methods. A retrospective included 20 patients with We anal...

We performed eight osteochondral autologous transplantations from the knee joint to the shoulder. All patients (six men, two women; mean age 43.1 years) were documented prospectively. In each patient the stage of the osteochondral lesion was Outerbridge grade IV with a mean size of the affected area of 150 mm2. All patients were assessed by using the Constant score for the shoulder and the Lysh...

BACKGROUND Obtaining patient satisfaction is a key goal of surgical treatment. It was the purpose of this study to identify pre-, peri- and postoperative factors determining patient satisfaction after shoulder surgery, quantify their relative importance and thereby allow the surgeon to focus on parameters, which will influence patient satisfaction. METHODS We retrospectively reviewed 505 pati...

Objective To determine whether frozen shoulder heals equally well in patients with and without diabetes and whether dependency on insulin affects the outcome. Methods We retrospectively examined 178 patients with idiopathic frozen shoulder; 27 patients had diabetes. We evaluated range of motion, pain, and functional results. The mean follow-up was 9.7 years (SD, 7.1 years). Results In the prese...

BACKGROUND The ideal fixation technique for the treatment of proximal humeral fractures remains unclear. In the present study, we evaluated the experience of three surgeons with the treatment of two-part surgical neck fractures with angular-stable intramedullary fixation. METHODS Forty-eight patients with forty-eight Neer two-part surgical neck proximal humeral fractures were managed with loc...

Our aim in this prospective study was to evaluate the outcome of total shoulder replacement in the treatment of young and middle-aged active patients with primary glenohumeral osteoarthritis. We reviewed 21 patients (21 shoulders) with a mean age of 55 years (37 to 60). The mean follow-up was seven years (5 to 9). The same anatomical, third-generation, cemented implant had been used in all pati...

BACKGROUND Few randomized controlled trials have compared operative with nonoperative treatment of clavicular fractures. METHODS Patients with displaced midshaft clavicular fractures were randomized either to nonoperative treatment with a sling or to operative treatment with a stainless steel 3.5-mm reconstruction plate. Outcome measures were the Constant shoulder score, DASH (Disabilities of...

Nowadays, the exact efficacy of intramedullary devices fixation and plate fixation for adult displaced midshaft clavicle fractures (DMCF) is still debated. This study aims to re-assess the functional outcomes and complications of the two optimal surgical approaches. Cochrane Central Register of Controlled Trials, EMABASE, and PubMed databases were searched for the literature that studied the ef...

BACKGROUND Revision in failed shoulder arthroplasty often requires removal of the humeral component with a significant risk of fracture and bone loss. Newer modular systems allow conversion from anatomic to reverse shoulder arthroplasty with retention of a well-fixed humeral stem. We report on a prospectively evaluated series of conversions from hemiarthroplasty to reverse shoulder arthroplasty...

BACKGROUND Fracture sequelae of the proximal part of the humerus are challenging conditions, and various treatment options have been described. The purpose of this multicenter study was to analyze the clinical and radiographic outcomes as well as the complications following semiconstrained reverse total shoulder arthroplasty for the treatment of nonunion of a surgical neck fracture of the proxi...