Fractures around the acromion are a known complication of reverse total shoulder arthroplasty. The literature provides limited data on the risk factors associated with this complication as well as the ultimate outcomes after nonoperative treatment. The goal of this study was to report clinical outcomes in patients with acromial fractures after nonoperatively treated reverse total shoulder arthr...

OBJECTIVE The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'...

AO clavicular hook plate fixation provides more rigid fixation and good bony union rates for Neer type II distal clavicular fractures. However, the hook may cause rotator cuff tears and subacromial impingement, which adversely affect the clinical results. T-plate fixation is another surgical method of treatment for unstable clavicle fractures, and its clinical efficacy has been demonstrated. Th...

Anterior shoulder dislocations are commonly associated with humeral greater tuberosity fractures (w16% of cases), which include Hill-Sachs lesions. The second most common fracture associated with an anterior shoulder dislocation is a fracture of the anterior glenoid (i.e., bony Bankart lesion). By comparison, a coracoid fracture occurring in association with an anterior shoulder dislocation is ...

We sought to determine whether post-reduction radiographs add clinically important information to what is seen on pre-reduction X-rays in Emergency Department (ED) patients with anterior shoulder dislocations. In this prospective, observational study, clinicians recorded preliminary pre-reduction and post-reduction X-ray readings on patients with shoulder dislocations. The films were subsequent...

BACKGROUND The substantial increase in the utilization of shoulder arthroplasty in the United States during the past decade is partly attributable to the growing acceptance of reverse shoulder arthroplasty (RSA). This study compared the national utilization of and indications for shoulder hemiarthroplasty, total shoulder arthroplasty (TSA), and RSA. METHODS The Nationwide Inpatient Sample was...

We reviewed 67 consecutive patients with fractures of the coracoid process, classifying them by the relationship between the fracture site and the coracoclavicular ligament. The 53 type-I fractures were behind the attachment of this ligament, and the 11 type-II fractures were anterior to it. The relationship of three fractures was uncertain. Type-I fractures were associated with a wide variety ...

Background and purpose - For more than half a century, stemmed hemiarthroplasty (SHA) has been used in the treatment of comminuted and displaced fractures of the proximal humerus. Reverse shoulder arthroplasty (RSA) has been increasingly popular in cases where it is difficult to obtain satisfactory fixation of the tuberosities. We report revision rates and reasons for revision after shoulder ar...

This edition includes ten new chapters – total elbow arthroplasty, revised shoulder arthroplasty, proximal humerus hemiarthroplasty, extra articular proximal tibial fractures, submuscularis locked plating, subtrochanteric femur fractures, ankle fractures, calcaneal fractures, tibial pilon fractures, and staged ORIF. Seventeen chapters have been rewritten by new contributing authors and leaders ...