Pop Art

Les lesions de espatlla en el Valles es un tema calent , Els mercats volen comprar deute Tauli . A veure qui arriba primer no qui ho fa millor. Recordeu que els humans son dats al culte de la vanitat personal.

EFORT

Seguim pensant que la EFORT es un bon lloc on presentar els treballs de recerca i fer algun curs. Tot i que cada any es van fent mes serioses les sessions en tema de espatlla-colze son fluixes. He vist algun xines amb presentacions infumables.

Glenoid Track

Contact between the glenoid and humeral headin abducton , external totation, and horizontal extension: Glenoid track. Nobuyuki Yamamoto. JSES , Vol 15, Nº 5,  2007
Defineix la zona del cap huemral on articula amb la glena en flexio rotacio externa com el glenoid Track i equival al 84% de l'amplada de la glena. en aquesta zona es on hi ha la lesio de Hill-Sachs ó de Malgaine per els Fracofons. Si la lesio de Hill - Sachs s'exten medialment al glenoid track hi ha risc de "egagement" i luxacio

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fractura coracoides i convulsions

Inestabilidad anterior del hombro asociada a  falta de unión de la coracoides en pacientes con 

un trastorno convulsivo C. Michael Robinson, 

Journal of Bone and Joint Surgery .  2012; 94: E40 6.1   doi: 10.2106/JBJS.K.00188

En conclusión, nuestro estudio identificó una relación no reconocida previamente entre la fractura de coracoides falta de unión y de la  inestabilidad anterior recurrente del hombro en pacientes con un trastorno convulsivo. 

No se encontró en los otros pacientes con inestabilidad  glenohumeral anterior traumática una fractura de la apófisis coracoides. Se recomienda un alto índice de sospecha en el tratamiento de pacientes con un trastorno convulsivo que tienen inestabilidad anterior del hombro, y recomendamos hacer una TC preoperatoria, si hay una fuerte  probabilidad de que una transferencia coracoides se utilice en la cirugía. Esto permite el diagnóstico 

de una fractura coracoides i ò seudoartrosis previa a la cirugía y ayuda a determinar si hay hueso suficiente para permitir un procedimiento de Latarjet. Deben ser consideradas técnicas  alternativas si la falta de unión de la coracoides es muy distal.

Acromion tipo 1,2,3 y 5 .....

Journal of Shoulder and Elbow Surgery

Article in Press

Relationship of radiographic acromial characteristics and rotator cuff disease: a prospective investigation of clinical, radiographic, and sonographic findings

Nady Hamid, MD, Reza Omid, MD, Ken Yamaguchi, MD
Conclusions 
1.-The presence of an acromial spur at the acromial insertion of the coracoacromial ligament is highly associated with the presence of a full-thickness rotator cuff tear in both symptomatic and asymptomatic subjects, even after controlling for confounding variables such as age and sex. 
2.-Spurs measuring greater than 5 mm are associated with larger rotator cuff tears. 
3.-Acromial morphology is an unreliable classification system with poor interobserver reliability. (***)
4.-The acromial index is associated with the development of pain in previously asymptomatic shoulders, but shows no association with the presence of rotator cuff disease.

(***) Reflexionem d'una vegada  la class de Bigliani no es útil en el maneig de les lesions del manegot.

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment:

Rotator Cuff Tear Arthropathy: Evaluation, Diagnosis, and Treatment: 
AAOS Exhibit Selection
J Bone Joint Surg Am.  2012;94(6):E34 1-11  doi:10.2106/jbjs.k.00746Denis Nam, MD; Travis G. Maak, MD; Bradley S. Raphael, MD; Christopher K. Kepler, MD; Michael B. Cross, MD; Russell F. Warren, MD


Un resum molt ben fet sobre la ARTROSI PER RUPTURA DEL MANEGOT. Serán les proximes pròtesi i cal estar al dia de lo que insistirá la industria en que posem als pacients...

Espatlla "capturada"

Tot hi havent passat 13 anys de la seua descripció el terme es "enginyos". Espatlla capturada per diferenciar-la de la espatlla "capsulitica" ó congelada dels saxons.

Captured shoulder: a complication of rotator cuff surgery.

Mormino MA, Gross RM, McCarthy JA.

Source

Creighton-Nebraska Health Foundation, Orthopaedic Residency Program, Omaha, USA.

Abstract

Thirteen patients who developed restrictive subdeltoid adhesions after rotator cuff repair were identified. These patients underwent second-look arthroscopy and takedown of adhesions at an average of 37 weeks after their index surgery. Clinical findings include pain and restricted motion that does not yield to manipulation under anesthesia. Arthroscopic findings are subdeltoid adhesions and a chondral lesion (companion lesion) of the humeral head articular surface. Patients were reevaluated at 26 weeks after their release of adhesions. Prerelease and postrelease University of California, Los Angeles (UCLA) scores average 14.8 and 30.1, respectively. Prerelease and postrelease UCLA pain scores averaged 2.6 and 7.7, respectively. Prerelease and postrelease range of motion was as follows: Flexion, 141/158; abduction, 123/141; internal rotation, 47/69; and external rotation, 53/74. The authors have proposed a theory to explain the clinical and arthroscopic findings in this subgroup of patients who are dissatisfied after rotator cuff repair. A technique for and the results of release of the subdeltoid adhesions also are reported.