tag:blogger.com,1999:blog-72415164240343909582024-02-07T20:09:30.968-08:00Cirugía de Hombro y del Manguito RotadorBibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.comBlogger475125tag:blogger.com,1999:blog-7241516424034390958.post-35888288714550659272015-07-14T20:10:00.000-07:002015-07-25T20:22:05.368-07:00EVALUATING THE PAINFUL TOTAL SHOULDER ARTHROPLASTY<div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://icjr.net/report_484_painful_tsa#.VaXOlPl_Okr" target="_blank">http://icjr.net/report_484_painful_tsa#.VaXOlPl_Okr</a><br />
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De:<br />
<span style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px;">Sumant “Butch” Krishan, MD, from Baylor University Medical Center in Dallas, and Lawrence V. Gulotta, MD, from Hospital for Special Surgery in New York, discuss their protocols for evaluating and treating a painful total shoulder arthroplasty (TSA) in the absence of loose components, as well as review their indications for revising a painful TSA.</span><br />
<br style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px;" />
<strong style="border: 0px; font-family: 'Open Sans', sans-serif; font-size: 13px; font-stretch: inherit; line-height: 16.8999996185303px; margin: 0px; padding: 0px; vertical-align: baseline;">RELATED: <a href="http://icjr.net/media/video.6032.htm?iframe=true&width=649&height=538" style="border: 0px; color: #807d62; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; font-weight: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Dr. Gulotta on dealing with the painful TSA, from ICJR’s Las Vegas Shoulder Course</a></strong><br />
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<span style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px;">Producer: Susan Doan-Johnson; Director and Post Production: Charles Maynard</span><br />
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<blockquote class="twitter-tweet" lang="es">
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Dr. Butch Krishnan & Dr. Lawrence Gulotta on evaluating & treating a painful TSA <a href="http://t.co/5bjrBhEzom">http://t.co/5bjrBhEzom</a> <a href="http://t.co/WCnTbOLOsD">pic.twitter.com/WCnTbOLOsD</a></div>
— ICJR (@ICJRortho) <a href="https://twitter.com/ICJRortho/status/620971053771198465">julio 14, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com1tag:blogger.com,1999:blog-7241516424034390958.post-17052292008757402832015-07-12T18:08:00.003-07:002015-07-12T18:08:23.039-07:00Reverse total shoulder arthroplasty- glenosphere dissociation and how to avoid it. <div dir="ltr" style="text-align: left;" trbidi="on">
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#Reverse total shoulder arthroplasty<br />
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://shoulderarthritis.blogspot.mx/2015/07/reverse-total-shoulder-arthroplasty_12.html" target="_blank">http://shoulderarthritis.blogspot.mx/2015/07/reverse-total-shoulder-arthroplasty_12.html</a></div>
<blockquote class="twitter-tweet" lang="es">
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Reverse total shoulder arthroplasty- glenosphere dissociation and how to avoid it. <a href="http://t.co/7PnJpRJLHl">http://t.co/7PnJpRJLHl</a></div>
— Dr Frederick Matsen (@shoulderarth) <a href="https://twitter.com/shoulderarth/status/620356668446998528">julio 12, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-77307165833465643232015-07-03T19:51:00.000-07:002015-07-03T19:51:51.708-07:00Reverse total shoulder for failed anatomic shoulder joint replacement arthroplasty<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://shoulderarthritis.blogspot.mx/2015/07/reverse-total-shoulder-for-failed.html" target="_blank">http://shoulderarthritis.blogspot.mx/2015/07/reverse-total-shoulder-for-failed.html</a><br />
<a href="https://twitter.com/shoulderarth/status/617160582949515264" target="_blank">https://twitter.com/shoulderarth/status/617160582949515264</a><br />
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<div class="Tweet-header u-cf" style="background-color: white; color: #1c2022; font-family: Helvetica, Roboto, 'Segoe UI', Calibri, sans-serif; font-size: 16px; line-height: 22.3999996185303px; margin-bottom: 0.85rem; padding-left: 45px; position: relative; white-space: nowrap; widows: 1;">
<div class="Tweet-author u-textTruncate h-card p-author" data-scribe="component:author" style="line-height: 0; margin-top: 2px; max-width: 100%; overflow: hidden !important; text-overflow: ellipsis !important; word-wrap: normal !important;">
<a aria-label="Dr Frederick Matsen (screen name: shoulderarth)" class="Tweet-authorLink Identity u-linkBlend" data-scribe="element:user_link" href="https://twitter.com/shoulderarth" style="background-color: transparent; line-height: 1.2; outline: 0px; text-decoration: inherit;"><span class="Tweet-authorAvatar Identity-avatar" style="background-color: transparent; border-radius: 4px; display: inline-block; height: 36px; left: 0px; overflow: hidden; position: absolute; top: 0px; width: 36px;"><img alt="" class="Avatar u-photo" data-scribe="element:avatar" data-src-2x="https://pbs.twimg.com/profile_images/1287063942/DrMatsen_bigger.jpg" src="https://pbs.twimg.com/profile_images/1287063942/DrMatsen_normal.jpg" style="border: 0px; max-height: 100%; max-width: 100%;" /></span><span class="Tweet-authorName Identity-name p-name customisable-highlight" data-scribe="element:name" style="font-weight: 700;">Dr Frederick Matsen</span> <span class="Tweet-authorScreenName Identity-screenName p-nickname" data-scribe="element:screen_name" style="color: #697882; font-size: 0.875rem;">@shoulderarth</span></a></div>
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http://shoulderarthritis.blogspot.mx/2015/07/reverse-total-shoulder-for-failed.html<a class="link customisable" data-expanded-url="http://shoulderarthritis.blogspot.com/2015/07/reverse-total-shoulder-for-failed.html" data-scribe="element:url" dir="ltr" href="http://t.co/bdRlKnTkXT" rel="nofollow" style="background-color: transparent; color: #2b7bb9; outline: 0px; text-decoration: none;" target="_blank" title="http://shoulderarthritis.blogspot.com/2015/07/reverse-total-shoulder-for-failed.html"><span class="u-hiddenVisually" style="border: 0px !important; clip: rect(1px 1px 1px 1px) !important; height: 1px !important; overflow: hidden !important; padding: 0px !important; position: absolute !important; width: 1px !important;">http://</span>shoulderarthritis.blogspot.com/2015/07/revers<span class="u-hiddenVisually" style="border: 0px !important; clip: rect(1px 1px 1px 1px) !important; height: 1px !important; overflow: hidden !important; padding: 0px !important; position: absolute !important; width: 1px !important;">e-total-shoulder-for-failed.html </span>…</a></div>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-87767766867636257422015-06-29T07:04:00.000-07:002015-06-29T07:04:13.645-07:00Fractures of The Distal Humerus: Rehab, Repair or Replace?<div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://eventcallregistration.com/reg/index.jsp?cid=55665t11" target="_blank">http://eventcallregistration.com/reg/index.jsp?cid=55665t11</a></div>
<blockquote class="twitter-tweet" lang="es">
<div dir="ltr" lang="cy">
Distal <a href="https://twitter.com/hashtag/Humerus?src=hash">#Humerus</a> Webinar, July 8: <a href="http://t.co/x7fj78xwcN">http://t.co/x7fj78xwcN</a> w/ Ken Egol <a href="https://twitter.com/HSpecialSurgery">@HSpecialSurgery</a> <a href="https://twitter.com/hashtag/trauma?src=hash">#trauma</a> <a href="https://twitter.com/hashtag/orthopedic?src=hash">#orthopedic</a> <a href="https://twitter.com/hashtag/surgery?src=hash">#surgery</a> <a href="http://t.co/V5dMZQksB1">pic.twitter.com/V5dMZQksB1</a></div>
— OTA (@OrthoTraumaAssn) <a href="https://twitter.com/OrthoTraumaAssn/status/615511278405095424">junio 29, 2015</a></blockquote>
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<script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script></div>
Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-84008276908010107392015-06-28T12:07:00.000-07:002015-06-28T12:08:32.492-07:00El uso de un antibiótico Funcional en el espaciador para el tratamiento de la artroplastia de hombro Infectado / Use of a Functional Antibiotic Spacer in Treating Infected Shoulder Arthroplasty<div dir="ltr" style="text-align: left;" trbidi="on">
<b>#artroplastia #shoulder #antibiotico</b><br />
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<b>Este artículo es originalmente publicado en:</b><br />
<b><a href="http://www.ncbi.nlm.nih.gov/pubmed/26091225" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/26091225</a></b><br />
<b><a href="http://www.healio.com/orthopedics/journals/ortho/2015-6-38-6/%7Be89756ac-5551-4c32-b3d6-7e0ba553149e%7D/use-of-a-functional-antibiotic-spacer-in-treating-infected-shoulder-arthroplasty" target="_blank">http://www.healio.com/orthopedics/journals/ortho/2015-6-38-6/%7Be89756ac-5551-4c32-b3d6-7e0ba553149e%7D/use-of-a-functional-antibiotic-spacer-in-treating-infected-shoulder-arthroplasty</a></b><br />
<b>De:</b><br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Levy%20JC%5BAuthor%5D&cauthor=true&cauthor_uid=26091225" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; outline: 0px;">Levy JC</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Triplet%20J%5BAuthor%5D&cauthor=true&cauthor_uid=26091225" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px;">Triplet J</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Everding%20N%5BAuthor%5D&cauthor=true&cauthor_uid=26091225" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px;">Everding N</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px;">.</span><br />
<span role="menubar" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px;"><a abstractlink="yes" alsec="jour" alterm="Orthopedics." aria-expanded="false" aria-haspopup="true" href="http://www.ncbi.nlm.nih.gov/pubmed/26091225#" role="menuitem" style="border-bottom-width: 0px; color: #660066; outline: 0px;" title="Orthopedics.">Orthopedics.</a></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px;"> 2015 Jun 1;38(6):e512-9. doi: 10.3928/01477447-20150603-60.</span><br />
<b></b><br />
<b>Todos los derechos reservados para:</b><br />
<span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px;">Copyright 2015, SLACK Incorporated.</span><br />
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<h3 style="color: #985735; display: inline; font-family: arial, helvetica, clean, sans-serif; font-size: 1.0769em; line-height: 1.2857; margin: 0px;">
Abstract</h3>
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<abstracttext>Management of an infected shoulder arthroplasty remains challenging. Treatment goals include resolution of the infection, improvement in pain, and restoration of function. Two-stage revision with an antibiotic spacer and subsequent revision has shown variable success in achieving these goals. The practice of using a hemiarthroplasty and coating the stem with antibiotic cement without cementing the implant to the humerus (functional antibiotic spacer) during the first stage has the potential to achieve treatment goals without the need for a second revision. The goal of this study was to examine the outcomes of a maintained functional antibiotic spacer without a second revision for the management of infected shoulder arthroplasty. Fourteen patients with an infected shoulder arthroplasty underwent implantation of a functional antibiotic spacer, extensive surgical debridement, and a minimum of 6 weeks of treatment with postoperative intravenous antibiotics. The 9 patients who elected not to undergo revision surgery were included in this analysis. Pain scores, functional outcome scores, range of motion, strength, and patient satisfaction were measured for these patients at last follow-up and compared with preoperative scores. At an average follow-up of 25 months (range, 12-48 months), significant improvements were observed in functional outcome scores, shoulder abduction, and elevation, with a trend toward improvement in pain scores. One patient was unsatisfied with the result. No recurrent infection, progressive radiolucency, or change in position of the functional antibiotic spacer was observed. A functional antibiotic spacer effectively manages the infected shoulder arthroplasty while achieving significant improvements in function and motion. Patient satisfaction was high, with a relatively low rate of conversion to second-stage revision. [Orthopedics. 2015; 38(6):e512-e519.].</abstracttext></div>
<div style="margin-bottom: 0.5em;">
<abstracttext style="font-size: 13px; line-height: 17.9998016357422px;"><span style="font-family: arial, helvetica, clean, sans-serif;">El manejo de una artroplastia de hombro infectado sigue siendo un reto. Metas de tratamiento incluyen resolución de la infección, la mejora en el dolor, y la restauración de la función. Revisión de dos etapas con un separador de antibióticos y la revisión posterior ha mostrado resultados variables en la consecución de estos objetivos. La práctica de utilizar una hemiartroplastia y recubrir el vástago de cemento con antibiótico sin cementar el implante para el húmero (funcional spacer antibiótico) durante la primera etapa tiene el potencial de lograr los objetivos del tratamiento sin la necesidad de una segunda revisión. El objetivo de este estudio fue examinar los resultados de un espaciador antibiótico funcional mantenido sin una segunda revisión de la gestión de la artroplastia de hombro infectado. Catorce pacientes con un artroplastia de hombro infectada sometieron implantación de un espaciador funcionales antibióticos, extensa desbridamiento quirúrgica y un mínimo de 6 semanas de tratamiento con antibióticos intravenosos postoperatorios. Los 9 pacientes que no elegidos para someterse a la cirugía de revisión se incluyeron en este análisis. Las puntuaciones de dolor, puntuaciones de resultados funcionales, la amplitud de movimiento, la fuerza y la satisfacción del paciente se midieron para estos pacientes en el último seguimiento y se compararon con las puntuaciones preoperatorias. A un promedio de seguimiento de 25 meses (rango, 12-48 meses), se observaron mejoras significativas en las puntuaciones funcionales de resultado, la abducción del hombro, y la elevación, con una tendencia a la mejora en las puntuaciones de dolor. Un paciente fue insatisfecho con el resultado. No se observó infección recurrente, radiolucidez progresiva o cambio en la posición del espaciador antibiótico funcional. Un espaciador antibiótico funcional administra de manera eficaz la artroplastia de hombro infectado, mientras que el logro de mejoras significativas en la función y el movimiento. La satisfacción del paciente fue alta, con una tasa relativamente baja de la conversión a la revisión de la segunda etapa</span></abstracttext></div>
<div style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px; margin-bottom: 0.5em;">
Copyright 2015, SLACK Incorporated.</div>
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<dt style="display: inline; margin-bottom: 0px; margin-left: 0px !important; margin-right: 0px; margin-top: 0px; padding: 0px; white-space: nowrap;">PMID:</dt>
<dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">26091225</dd> <dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">[PubMed - in process]</dd></dl>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-63909631009580897072015-06-19T08:20:00.002-07:002015-06-19T08:20:39.194-07:00Actions of Shoulder Muscles / Actions Of The Muscles Around The Shoulder<div dir="ltr" style="text-align: left;" trbidi="on">
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://orthopaedicprinciples.com/2015/04/actions-of-shoulder-muscles/" target="_blank">http://orthopaedicprinciples.com/2015/04/actions-of-shoulder-muscles/</a><br />
<a href="https://youtu.be/PDHC3baqAwg" target="_blank">https://youtu.be/PDHC3baqAwg</a><br />
De:<br />
<span style="background-color: white; color: #222222; font-family: Roboto, sans-serif; font-size: 16px; line-height: 26px; widows: 1;">Prof Nabile Ebraheim</span><br />
<br />
Todos los derechos reservados para:<br />
<span style="background-color: white; color: #222222; font-family: Roboto, sans-serif; font-size: 16px; line-height: 26px; widows: 1;">Courtesy: Prof Nabile Ebraheim, University of Toledo,Ohio, USA</span><br />
<span style="background-color: white; color: #222222; font-family: Roboto, sans-serif; font-size: 16px; line-height: 26px; widows: 1;"><br /></span>
<div class="" id="watch-description-text" style="background-color: white; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #333333; font-family: Roboto, arial, sans-serif; font-size: 13px; line-height: 17px; margin: 0px; padding: 0px; widows: 1;">
<div id="eow-description" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; padding: 0px;">
Educational video describing actions of the muscles of the shoulder.<br /><br /><br />Become a friend on facebook:<br /><a class="yt-uix-redirect-link" dir="ltr" href="http://www.facebook.com/drebraheim" rel="nofollow" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="http://www.facebook.com/drebraheim">http://www.facebook.com/drebraheim</a><br /><br />Follow me on twitter:<br /><a class="yt-uix-redirect-link" dir="ltr" href="https://twitter.com/#!/DrEbraheim_UTMC" rel="nofollow" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="https://twitter.com/#!/DrEbraheim_UTMC">https://twitter.com/#!/DrEbraheim_UTMC</a><br /><br />Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:<br /><a class="yt-uix-redirect-link" dir="ltr" href="https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29" rel="nofollow" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none;" target="_blank" title="https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29">https://www.utfoundation.org/foundati...</a><br /><br />Background music provided as a free download from YouTube Audio Library.<br />Song Title: Every Step</div>
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<div id="watch-description-extras" style="background-color: white; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #333333; font-family: Roboto, arial, sans-serif; font-size: 13px; line-height: 17px; margin: 8px 0px 0px; padding: 0px; widows: 1;">
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<li class="watch-meta-item yt-uix-expander-body" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; clear: both; margin: 0px; padding: 0px;"><h4 class="title" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; float: left; font-size: 11px; line-height: 11px; margin: 0px 0px 5px; padding: 0px; width: 100px;">
Categoría</h4>
<ul class="content watch-info-tag-list" style="background: transparent; border: 0px; font-size: 11px; line-height: 11px; list-style: none; margin: 0px 0px 5px 110px; padding: 0px;">
<li style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; display: inline; margin: 0px; padding: 0px;"><a class=" yt-uix-sessionlink spf-link g-hovercard" data-name="" data-sessionlink="ei=ADOEVeeqCMbSrAbhzo8I" data-ytid="UC3yA8nDwraeOfnYfBWun83g" href="https://www.youtube.com/channel/UC3yA8nDwraeOfnYfBWun83g" style="background-color: transparent; background-position: initial initial; background-repeat: initial initial; border: 0px; color: #167ac6; cursor: pointer; margin: 0px; padding: 0px; text-decoration: none; white-space: nowrap;">Educación</a></li>
</ul>
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Licencia</h4>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-81502733973976728012015-06-15T10:14:00.001-07:002015-06-15T10:14:05.409-07:00Un caso de Inestabilidad multidireccional del hombro / A Case of Multidirectional Instability of the Shoulder<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<b>#Multidirectional Instability #shoulder </b><br />
<br />
Este artículo es originalmente publicado en:<br />
<a href="http://icjr.net/article_130_mdi_rgr#.VX8Ddfl_Okp" target="_blank">http://icjr.net/article_130_mdi_rgr#.VX8Ddfl_Okp</a><br />
De:<br />
<div style="border: 0px; font-family: 'Open Sans', sans-serif; font-size: 13px; font-stretch: inherit; line-height: 16.8999996185303px; margin-bottom: 15px; margin-top: 15px; padding: 0px; vertical-align: baseline; widows: 1;">
<strong style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Author</strong></div>
<div style="border: 0px; font-family: 'Open Sans', sans-serif; font-size: 13px; font-stretch: inherit; line-height: 16.8999996185303px; margin-bottom: 15px; margin-top: 15px; padding: 0px; vertical-align: baseline; widows: 1;">
William Emper, MD</div>
<div style="border: 0px; font-family: 'Open Sans', sans-serif; font-size: 13px; font-stretch: inherit; line-height: 16.8999996185303px; margin-bottom: 15px; margin-top: 15px; padding: 0px; vertical-align: baseline; widows: 1;">
<strong style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Disclosures</strong></div>
<div style="border: 0px; font-family: 'Open Sans', sans-serif; font-size: 13px; font-stretch: inherit; line-height: 16.8999996185303px; margin-bottom: 15px; margin-top: 15px; padding: 0px; vertical-align: baseline; widows: 1;">
Dr. Emper has no disclosures relevant to this article.</div>
Todos los derechos reservados para:<br />
<span style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px; text-align: justify; widows: 1;">International Congress for Joint Reconstruction</span><br />
<span style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px; text-align: justify; widows: 1;"><br /></span>
<span style="font-family: 'Open Sans', sans-serif; font-size: 13px; line-height: 16.8999996185303px; text-align: justify; widows: 1;"><br /></span></div>
<blockquote class="twitter-tweet" lang="es">
<div dir="ltr" lang="en">
A Case of Multidirectional Instability of the Shoulder:
Author
William Emper, MD
Disclosures
<a href="http://t.co/VDFBRePKrX">http://t.co/VDFBRePKrX</a></div>
— Victor Ravens (@bibliomanazteca) <a href="https://twitter.com/bibliomanazteca/status/610494118607740928">junio 15, 2015</a></blockquote>
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<script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script></div>
Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-8407258456073301052015-06-14T10:37:00.001-07:002015-06-14T10:37:39.935-07:00Desgarres del manguito rotador- que desgarres del supraespinoso tienen más probabilidades de propagarse? / Rotator cuff tears - which supraspinatus tears are most likely to propagate?<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<b>#manguito rotador #rotator cuff #supraespinoso</b><br />
<b><br /></b>
<b><br /></b>
<br />
<b>Fuente</b><br />
<b>Este artículo es originalmente publicado en:</b><br />
<b><a href="http://shoulderarthritis.blogspot.mx/2015/06/rotator-cuff-tears-which-supraspinatus.html" target="_blank">http://shoulderarthritis.blogspot.mx/2015/06/rotator-cuff-tears-which-supraspinatus.html</a></b><br />
<b><br /></b>
<b>De:</b><br />
<a class="g-profile" data-gapiattached="true" data-gapiscan="true" data-onload="true" href="http://www.blogger.com/profile/16564855182992557306" rel="author" style="background-color: #f9f9f9; font-family: Arial, Tahoma, Helvetica, FreeSans, sans-serif; font-size: 12.6000003814697px; line-height: 20.1599998474121px; text-decoration: none; widows: 1;" title="author profile"><span itemprop="name"><span style="color: black;">Frederick A. Matsen III, M.D</span></span></a><br />
<br />
<b></b>
<b><br /></b>
<b><br /></b>
</div>
<blockquote class="twitter-tweet" lang="es">
<div dir="ltr" lang="en">
Rotator cuff tears - which supraspinatus tears are most likely to propagate? <a href="http://t.co/QfuMqXDIYo">http://t.co/QfuMqXDIYo</a></div>
— Dr Frederick Matsen (@shoulderarth) <a href="https://twitter.com/shoulderarth/status/610135135254503424">junio 14, 2015</a></blockquote>
<br />
<script async="" charset="utf-8" src="//platform.twitter.com/widgets.js"></script></div>
Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-11047988096518577362015-06-11T13:50:00.002-07:002015-06-11T13:50:24.640-07:00Rehabilitación tras reparación artroscópica del manguito / Delayed versus early motion after arthroscopic rotator cuff repair: a meta-analysis<div dir="ltr" style="text-align: left;" trbidi="on">
#reparación artroscopica #early motion<br />
<br />
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/25127908" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/25127908</a><br />
<a href="http://www.jshoulderelbow.org/article/S1058-2746(14)00318-8/abstract" target="_blank">http://www.jshoulderelbow.org/article/S1058-2746(14)00318-8/abstract</a><br />
<a href="http://www.anatomia-fisioterapia.es/22-systems/musculoskeletal/upper-extremity/shoulder/1185-rehabilitacion-tras-reparacion-artroscopica-del-manguito" target="_blank">http://www.anatomia-fisioterapia.es/22-systems/musculoskeletal/upper-extremity/shoulder/1185-rehabilitacion-tras-reparacion-artroscopica-del-manguito</a><br />
De:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Chan%20K%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; outline: dotted thin; widows: 1;">Chan K</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=MacDermid%20JC%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">MacDermid JC</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">2</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Hoppe%20DJ%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Hoppe DJ</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=%22Ayeni%20OR%22%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Ayeni OR</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Bhandari%20M%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Bhandari M</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Foote%20CJ%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Foote CJ</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Athwal%20GS%5BAuthor%5D&cauthor=true&cauthor_uid=25127908" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Athwal GS</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">3</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">.</span><br />
<span role="menubar" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"><a abstractlink="yes" alsec="jour" alterm="J Shoulder Elbow Surg." aria-expanded="false" aria-haspopup="true" href="http://www.ncbi.nlm.nih.gov/pubmed/25127908#" role="menuitem" style="border-bottom-width: 0px; color: #660066; outline: dotted thin;" title="Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.].">J Shoulder Elbow Surg.</a></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"> 2014 Nov;23(11):1631-9. doi: 10.1016/j.jse.2014.05.021. Epub 2014 Aug 13.</span><br />
Todos los derechos reservados para:<br />
<div>
<span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px; widows: 1;">Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</span></div>
<div>
<span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px; widows: 1;"><br /></span></div>
<div>
<div class="abstr" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px; margin: 1em auto auto; widows: 1;">
<h3 style="color: #985735; display: inline; font-size: 1.0769em; line-height: 1.2857; margin: 0px;">
Abstract</h3>
<div class="">
<h4 style="float: left; font-size: 1em; margin: 0px 0.25em 0px 0px; text-transform: uppercase;">
BACKGROUND:</h4>
<div style="margin-bottom: 0.5em;">
<abstracttext label="BACKGROUND" nlmcategory="BACKGROUND">We conducted a meta-analysis of randomized trials to compare delayed vs early motion therapy on function after arthroscopic rotator cuff repair.</abstracttext></div>
<h4 style="float: left; font-size: 1em; margin: 0px 0.25em 0px 0px; text-transform: uppercase;">
METHODS:</h4>
<div style="margin-bottom: 0.5em;">
<abstracttext label="METHODS" nlmcategory="METHODS">We searched 4 electronic databases (Medline, Embase, Cochrane, and Physiotherapy Evidence Database [PEDro]). The methodologic quality of the included studies was assessed, and the relevant data were extracted. Data were pooled for functional outcomes, rotator cuff tear recurrence, and shoulder range of motion. Complications were reported descriptively.</abstracttext></div>
<h4 style="float: left; font-size: 1em; margin: 0px 0.25em 0px 0px; text-transform: uppercase;">
RESULTS:</h4>
<div style="margin-bottom: 0.5em;">
<abstracttext label="RESULTS" nlmcategory="RESULTS">Three level I and 1 level II randomized trials were eligible and included. Pooled analysis revealed no statistically significant differences in American Shoulder and Elbow Surgeons scores between delayed vs early motion rehabilitation (mean difference [MD], 1.4; 95% confidence interval [CI], -1.8 to 4.7; P = .38, I(2) = 34%). The risk of retears after surgery did not differ statistically between treatment groups (risk ratio, 1.01; 95% CI, 0.63-1.64; P = .95). Early passive motion led to a statistically significant, although clinically unimportant, improvement in forward elevation between groups (MD, -1°; 95% CI, -2° to 0°; P = 0.04, I(2) = 0%). There was no difference in external rotation between treatment groups (MD, 1°; 95% CI, -2° to 4°; P = 0.63, I(2) = 0%). None of the included studies identified any cases of postoperative shoulder stiffness.</abstracttext></div>
<h4 style="float: left; font-size: 1em; margin: 0px 0.25em 0px 0px; text-transform: uppercase;">
CONCLUSIONS:</h4>
<div style="margin-bottom: 0.5em;">
<abstracttext label="CONCLUSIONS" nlmcategory="CONCLUSIONS">The current meta-analysis did not identify any significant differences in functional outcomes and relative risks of recurrent tears between delayed and early motion in patients undergoing arthroscopic rotator cuff repairs. A statistically significant difference in forward elevation range of motion was identified; however, this difference is likely clinically unimportant.</abstracttext></div>
<div style="margin-bottom: 0.5em;">
Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</div>
</div>
</div>
<div class="keywords" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.923em; margin: 1.8em auto auto; widows: 1;">
<h4 style="float: left; font-size: 1em; margin: 0px 0.35em 0px 0px; text-transform: uppercase;">
KEYWORDS:</h4>
<div style="margin-bottom: 0.5em; margin-top: 0.5em;">
Rotator cuff; motion; rehabilitation; shoulder; therapy</div>
</div>
<div class="aux" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 1.4em; margin: 1.2em auto auto; widows: 1;">
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<dl class="rprtid" style="display: inline; font-size: 0.8465em; line-height: 1.4em; margin: 0px 15px 0px 0px;">
<dt style="display: inline; margin-bottom: 0px; margin-left: 0px !important; margin-right: 0px; margin-top: 0px; padding: 0px; white-space: nowrap;">PMID:</dt>
<dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">25127908</dd> <dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">[PubMed - indexed for MEDLINE]</dd></dl>
</div>
<div class="resc" style="color: #575757;">
<dl class="rprtid" style="display: inline; font-size: 0.8465em; line-height: 1.4em; margin: 0px 15px 0px 0px;"><dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;"><br /></dd></dl>
</div>
<div class="resc" style="color: #575757;">
<dl class="rprtid" style="display: inline; font-size: 0.8465em; line-height: 1.4em; margin: 0px 15px 0px 0px;"><dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;"><h1 style="color: #611235; font-family: Ubuntu; font-size: 1.5em; font-weight: 400; line-height: 1.5em; margin: 25px 0px 15px; padding-left: 20px; padding-right: 20px; text-rendering: optimizelegibility; white-space: normal;">
Rehabilitación tras reparación artroscópica del manguito</h1>
<div style="color: #5c626b; font-family: Ubuntu; font-size: 16px; line-height: 24px; white-space: normal;">
<div style="line-height: 32px; margin-bottom: 15px; padding-left: 20px; padding-right: 20px;">
Hasta la fecha, no está claro que tipo de rehabilitación tras la reparación del manguito rotador condice a los resultados más beneficiosos – no habiendo llegado aún a un consenso en la duración de la inmovilización. La rigidez post-cirugía puede disminuir cuando la movilización comienza en una fase temprana aunque un período más largo de restricción de movilidad podría facilitar la curación tendón/hueso.</div>
</div>
<div style="color: #5c626b; font-family: Ubuntu; font-size: 16px; line-height: 24px; white-space: normal;">
<div style="line-height: 32px; margin-bottom: 15px; padding-left: 20px; padding-right: 20px;">
En esta revisión sistemática con meta-análisis, se incluyó 4 RCT comparando la movilidad temprana con la atrasada. Las medidas de resultado fueron la escala ASES, la escala Constant-Murley, tests simples de hombro, el índice Western Ontario Rotator Cuff y el cuestionario DASH. Se incluyó además en el análisis, el número de recaídas con rotura completa y el ROM de hombro (flexión anterior y rotación externa).</div>
</div>
<div style="color: #5c626b; font-family: Ubuntu; font-size: 16px; line-height: 24px; white-space: normal;">
<div style="line-height: 32px; margin-bottom: 15px; padding-left: 20px; padding-right: 20px;">
No hubo diferencias significativas en las medidas de resultado, riesgo de roturas recurrentes o ROM de hombro en rotación externa en ambos supuestos. La flexión anterior fue significativamente mayor (pero no clínicamente relevante) en aquellos que recibieron movilización precoz. Basándonos en estos resultados se puede concluir que no existieron diferencias sustanciales a favor de uno de los protocolos de rehabilitación.</div>
</div>
<div style="color: #5c626b; font-family: Ubuntu; font-size: 16px; line-height: 24px; white-space: normal;">
<div style="line-height: 32px; margin-bottom: 15px; padding-left: 20px; padding-right: 20px;">
<em style="color: #da8668;">> De: Chan et al., J Shoulder Elbow Surg 23 (2015) 1631-1639. Todos los derechos reservados: the Journal of Shoulder and Elbow Surgery Board of Trustees. <a href="http://www.ncbi.nlm.nih.gov/pubmed/25127908" style="background: transparent; color: #611235; cursor: pointer; text-decoration: none;" target="_blank">Pincha aquí para acceder al resumen de Pubmed.</a>. Traducido por Francisco Jimeno Serrano.</em></div>
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</dd></dl>
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<dl class="rprtid" style="display: inline; font-size: 0.8465em; line-height: 1.4em; margin: 0px 15px 0px 0px;"><dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;"><br /></dd></dl>
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<dl class="rprtid" style="display: inline; font-size: 0.8465em; line-height: 1.4em; margin: 0px 15px 0px 0px;"><dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;"><br /></dd></dl>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-74609192267784146682015-06-06T09:24:00.001-07:002015-06-06T09:24:26.920-07:00Shoulder joint replacement for arthritis - when is the right time to have surgery? FAQ<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://shoulderarthritis.blogspot.mx/2015/06/shoulder-joint-replacement-for.html" target="_blank">http://shoulderarthritis.blogspot.mx/2015/06/shoulder-joint-replacement-for.html</a><br />
<br />
<br />
<br />
<br />
<br /></div>
<blockquote class="twitter-tweet" lang="es">
<div dir="ltr" lang="en">
Shoulder joint replacement for arthritis - when is the right time to have surgery? FAQ <a href="http://t.co/qnYxqhUmGD">http://t.co/qnYxqhUmGD</a></div>
— Dr Frederick Matsen (@shoulderarth) <a href="https://twitter.com/shoulderarth/status/607202429013250048">junio 6, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-24362736474960276472015-06-03T08:14:00.000-07:002015-06-03T08:14:50.946-07:00Shoulder arthritis - many different types<div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
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<a href="http://shoulderarthritis.blogspot.mx/2015/06/shoulder-arthritis-many-different-types.html" target="_blank">http://shoulderarthritis.blogspot.mx/2015/06/shoulder-arthritis-many-different-types.html</a><br />
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Shoulder joint replacement - many different types of arthritis</h3>
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<b>Degenerative Joint Disease</b><br /><br />Degenerative joint disease is also known as osteoarthritis, osteoarthrosis or wear and tear arthritis. The pathogenesis of this condition results from the age-related loss of the ability of articular cartilage to sustain itself against seemingly minor mechanical imbalances and years of use. Degenerative joint disease typically affects healthy and active individuals. In our practice, most patients with degenerative glenohumeral degenerative joint disease are of Northern European ancestry in contrast to those of Asian, Southern European, Hispanic and African ancestry. In degenerative joint disease the glenoid cartilage and subchondral bone are progressively lost - either concentrically medially (more characteristic of female shoulders and those with inflammatory arthritis) or eccentrically posteriorly, with the articular cartilage often left intact anteriorly (more characteristic of male shoulders and those with degenerative joint disease or capsulorrhaphy arthropathy). The concern with the eccentric wear pattern is that the diminished articular contact area results in increased force/unit area leading to increased posterior wear which in turn leads to even less contact area. The cartilage of the humeral head is eroded in a Friar Tuck pattern of central baldness, often surrounded by a rim of remaining cartilage and osteophytes</div>
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Shoulder arthritis - many different types <a href="http://t.co/t4hcjqZC46">http://t.co/t4hcjqZC46</a></div>
— Dr Frederick Matsen (@shoulderarth) <a href="https://twitter.com/shoulderarth/status/606103461025832960">junio 3, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-72806528471367778442015-06-01T18:20:00.002-07:002015-06-01T18:20:11.332-07:00Suprascapular Nerve Palsy<div dir="ltr" style="text-align: left;" trbidi="on">
#Suprascapular Nerve Palsy<br />
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-79103448764196832392015-05-28T20:17:00.001-07:002015-05-28T20:17:08.339-07:00Rotator Cuff MRI <div dir="ltr" style="text-align: left;" trbidi="on">
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Educational video describing MRI imaging of the rotator cuff.<br />
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com1tag:blogger.com,1999:blog-7241516424034390958.post-20783069294048227862015-05-26T21:15:00.001-07:002015-05-26T21:15:46.329-07:00Reverse total shoulder results and complications<div dir="ltr" style="text-align: left;" trbidi="on">
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://shoulderarthritis.blogspot.mx/2015/05/reverse-total-shoulder-results-and.html?utm_source=twitterfeed&utm_medium=twitter" target="_blank">http://shoulderarthritis.blogspot.mx/2015/05/reverse-total-shoulder-results-and.html?utm_source=twitterfeed&utm_medium=twitter</a><br />
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De:<br />
<h1 style="background-color: white; color: #ff6600; font-family: 'Open Sans', arial, sans-serif; font-size: 20px; font-weight: 300; line-height: 1.29; margin: 20px 0px; padding: 0px; widows: 1;">
Frederick A. Matsen III, M.D.</h1>
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Reverse total shoulder results and complications</h1>
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<span style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;">The reverse total shoulder offers a treatment option for a problem that previously had none: the unstable, cuff deficient shoulder. There are now substantial reports of the use of this type of prosthesis to manage a wide range of pathologies, including rotator cuff deficiency without arthritis (see example below in which pseudoparalysis after an attempted tuberosity and cuff repair was treated with a reverse total shoulder)</span><br />
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<a class="readableLinkWithLargeImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiLWXLTDDXyQaxL-71e7G_6fvaVX7KA0Kt0S6SJSlbL5rti4cS-A8nA5SWI1Et6PiL0avxicawD45CFLHmJ82jIQ39lnPPSbNBLJj37F9_jhd1DquXdFG09y-vuDt8WXkJNVbGIqTd_hw/s1600/Fig+93a+xray+reverse+PTA+pre+3669818AP.jpg" style="border: 0px; color: #1f0909; display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><div class="readableLargeImageContainer float" style="border: 0px; float: left; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 1em 0px 0px; padding: 0px; text-align: center; vertical-align: baseline;">
<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiLWXLTDDXyQaxL-71e7G_6fvaVX7KA0Kt0S6SJSlbL5rti4cS-A8nA5SWI1Et6PiL0avxicawD45CFLHmJ82jIQ39lnPPSbNBLJj37F9_jhd1DquXdFG09y-vuDt8WXkJNVbGIqTd_hw/s320/Fig+93a+xray+reverse+PTA+pre+3669818AP.jpg" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgA6EJ1TEmAKrn-g1Z_phaisJEfBBevwgQepEfbQwlKOJHkNgcKgQ0Cm7d2xO4stVoTNcFpuUWF1gWtQHIpuQaWkQ0M6vhvxDAtdwI2iW1ole15GEjgFworVeTHyVTixdw3XKyquYXDm4M/s320/Fig+93b+xray+reverse+PTA+post+3669818AP2.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
<a class="readableLinkWithLargeImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgA6EJ1TEmAKrn-g1Z_phaisJEfBBevwgQepEfbQwlKOJHkNgcKgQ0Cm7d2xO4stVoTNcFpuUWF1gWtQHIpuQaWkQ0M6vhvxDAtdwI2iW1ole15GEjgFworVeTHyVTixdw3XKyquYXDm4M/s1600/Fig+93b+xray+reverse+PTA+post+3669818AP2.tif" style="border: 0px; color: #1f0909; display: block; font-family: 'PT Serif'; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline; widows: 1;" target="_blank"></a><br style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;" /><br style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;" /><span style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;">rotator cuff tear arthropathy, rheumatoid arthritis, failed anatomic arthroplasties, arthritis with glenoid bone deficiency, fractures and post traumatic arthritis (as shown in the example below - not that cement was required because the humeral shaft did not allow a secure press fit) </span><br />
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcKrxGh5x_r4oNPmOg38Co-9LVQ5nq6MyTx0RWgQ4LnzPeV-0gAVsLoGd3ORGljb7IC3mI23fPiZzI1ojISS5L48aRs9PjfOEHYheFmjCQbsXc05o45LjAguXTVnm1XqGZIz9feUnf0aA/s320/Fig+184a+U5925763+PTA+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPlb-2ht4ot4kn3wq-cPthARJKob3q1i72fiRBQ4AZ8EuSVJUNtEQ5q6-vD7JfuHWdpWD5mluZD-odx_GPCYibyv-P19SGBVN-fb3XUAvaYVZ3u04vcVGfRFcurNDIJ8pc_8A77KLiopQ/s320/Fig+184b+U5925763+PTA+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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There are several important failure modes after reverse total shoulder. Infection is one of the more common and is probably related to the fact that many reverse total shoulders are performed as revisions after multiple prior surgeries coupled with the dead space created when the humerus is displaced distally by the procedure. As with anatomic shoulders, <i style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Propionibacterium </i>is a frequently cultured organism from failed reverse total shoulders, which can present with loosening in the absence of the usual clinical signs of infection<br /><br />The infection with <i style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;">Propionibacterium </i>in the x-ray on the left was treated with a single stage exchange to a long stem prosthesis. The patient is currently asymptomatic six years after the revision. </div>
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Instability can result from falls, suboptimal component selection, component malposition, bulky tissues in the posterior shoulder, leverage of the humeral component against the glenoid , or lack of sufficient compressive effect by the deltoid. </div>
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Early closed reduction can be successful. Recurrent or chronic instability may require surgical revision. The case below shows a failed anatomic prosthesis for fracture with anterosuperior escape that was treated with a reverse that dislocated recurrently. </div>
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<span style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;"> </span><a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJSke-MIISN4bb-aycZKHZQzEZcoLJNcXn3ZvT_QeSK1jWq6I8CxTgYA2tc3wxLGnoklJG1wuioPjD4YLRsc2Tc-hIdBAqeSq4DjbBw-UWc62H3YNsAfJJUKYmPvJLq7k7OrWitrj9h7g/s1600/Fig+91b+xray+Reverse+disloc+3+fx+p3224953rev+disloc.tif" style="border: 0px; color: #1f0909; font-family: 'PT Serif'; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline; widows: 1;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJSke-MIISN4bb-aycZKHZQzEZcoLJNcXn3ZvT_QeSK1jWq6I8CxTgYA2tc3wxLGnoklJG1wuioPjD4YLRsc2Tc-hIdBAqeSq4DjbBw-UWc62H3YNsAfJJUKYmPvJLq7k7OrWitrj9h7g/s200/Fig+91b+xray+Reverse+disloc+3+fx+p3224953rev+disloc.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="119" /></a><a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQF94Mx776dN3L-u77jqZmiSxZ_wQ4Zzsgg52Pl-cFs0QeWbKkmfEOmTHsXnAhxNahlU2ZAmXNePi6g5T4b0fE9H11ji4cCugl_9jVOElwSL3wz2So1YMoulRz9fkFppixk2nuF1JN4As/s1600/Fig+91c+xray+Reverse+disloc+4+fx+p3224953rev+disloc.tif" style="border: 0px; color: #1f0909; font-family: 'PT Serif'; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline; widows: 1;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQF94Mx776dN3L-u77jqZmiSxZ_wQ4Zzsgg52Pl-cFs0QeWbKkmfEOmTHsXnAhxNahlU2ZAmXNePi6g5T4b0fE9H11ji4cCugl_9jVOElwSL3wz2So1YMoulRz9fkFppixk2nuF1JN4As/s200/Fig+91c+xray+Reverse+disloc+4+fx+p3224953rev+disloc.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="126" /></a><br style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;" /><br style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;" /><span style="color: #1f0909; font-family: 'PT Serif'; font-size: 16px; line-height: 24px; widows: 1;">The prosthesis was revised to a hemiarthroplasty that was unsatisfactory. Finally a successful revision was accomplished by the removal of posterior scar tissue and revision to a reverse with a 40 mm set of components.</span><br />
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Shown below is another example where stability was restored by changing to a larger diameter of curvature and increasing the thickness of the polyethylene and humeral cup.</div>
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The risk of humeral fracture is increased in revision surgery, by falls and when the humeral component fixation results in an abrupt transition between a cemented or press fit diaphyseal stem tip and osteopenic bone distal to the prosthetic tip These fractures deserve a trial at closed management.<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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in that surgical revision can be very complex<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlDP-gqxxBV_EFrfqggs_FuS96WBzwkACBrsEQ-r5oJguKeUv2AvL52z7TcfAqF0RJeD0P_PTgx8A9YOCyVPLZxe4AB41dU9d45q0yngUz8hromw-5DAh3IA9V4S4hCuy-vsDP1SYJsnI/s320/Fig+162a+U2734818+fx+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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<a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiT62Q_hrKqA13ZaLCxfoE9CnubdSQCy7b1A2pPz4S9iBVR4WaHkmM5vK-wpqhnx6KXvHhKDFLn1Sglzi1n2AVBzwDMw7SH-gQISHEszNF9Zk1827OApaTCT2WIh1OapDECt4DRgFivxxI/s1600/Fig+162b+U2734818+fracture+rev+ORIF+ap.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiT62Q_hrKqA13ZaLCxfoE9CnubdSQCy7b1A2pPz4S9iBVR4WaHkmM5vK-wpqhnx6KXvHhKDFLn1Sglzi1n2AVBzwDMw7SH-gQISHEszNF9Zk1827OApaTCT2WIh1OapDECt4DRgFivxxI/s320/Fig+162b+U2734818+fracture+rev+ORIF+ap.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="132" /></a><br /><br />Scapular and acromial fractures can result from excessive deltoid tension producing a fatigue fracture or from bone weakened by screw placement. These fractures are preferably treated non-operatively.</div>
<a class="readableLinkWithLargeImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGzddUMgsg5OTXCp5t9s3DRDaAJArheuBuDF_wRlhynRoLfIYyvG8-1OViu2X5AOvlo5rWtJbQGm25fRZ8WlU8ZbxXhJQ0TDnaHr_XpKoXzNlFIA_KNxOgq4LZQgyIcMmxJslXv1YqeyI/s1600/Fig+134c+U2574631.tif" style="border: 0px; color: #1f0909; display: block; font-family: 'PT Serif'; font-size: 16px; font-stretch: inherit; line-height: 24px; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline; widows: 1;" target="_blank"></a><br />
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Scapular notching is a prominent complication, particularly common in prosthetic designs that medialize the humerus or when the glenoid component is positioned high on the glenoid bone.<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
<a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigWtWfkdHguQypqUplLtmTfCBaKGMex6cZ4IccvlYhlTyeHx7ueA5TUposQTVvQKN1RejlHT4LGYCsKQX2Sn4unJpIGEJegeixk0UlrXow7drnF7bAl4NXc2qVxdKSBYRoEgxgemZTwLY/s1600/Fig+148a+U2519427+notching+acrom+fx.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigWtWfkdHguQypqUplLtmTfCBaKGMex6cZ4IccvlYhlTyeHx7ueA5TUposQTVvQKN1RejlHT4LGYCsKQX2Sn4unJpIGEJegeixk0UlrXow7drnF7bAl4NXc2qVxdKSBYRoEgxgemZTwLY/s200/Fig+148a+U2519427+notching+acrom+fx.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="161" /></a></div>
<a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyKRRpAIx2EZDLUdwuYVuwIk-hR2OAqvwOYZz430FEQzdR66EmE328TNCKfThMKtzAQd-j4_dllumxcxBH_QlOVijXHACnG265meBe5FVgSHip0VESHZwU9lJYn4REiwkDYrJtNWDmIS4/s1600/Fig+148c+U2519427+notching+loose+glen.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyKRRpAIx2EZDLUdwuYVuwIk-hR2OAqvwOYZz430FEQzdR66EmE328TNCKfThMKtzAQd-j4_dllumxcxBH_QlOVijXHACnG265meBe5FVgSHip0VESHZwU9lJYn4REiwkDYrJtNWDmIS4/s200/Fig+148c+U2519427+notching+loose+glen.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="116" /></a><a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6JcU9bZ9zprZZ5UdghBu9a6xIizJDAl2gFd5uzEBa3FlxZ4FamqUS8ws8aN823Jrlz0bINGt1k8iGNoQAgzuAta2yzbne5-VI9wriaIPahwRpMLW7VHSnnsh65_16sa89C-Gt4ziUhN4/s1600/Fig+145+U2444446+notching.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh6JcU9bZ9zprZZ5UdghBu9a6xIizJDAl2gFd5uzEBa3FlxZ4FamqUS8ws8aN823Jrlz0bINGt1k8iGNoQAgzuAta2yzbne5-VI9wriaIPahwRpMLW7VHSnnsh65_16sa89C-Gt4ziUhN4/s200/Fig+145+U2444446+notching.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="153" /></a><br /><br /><br />The issues with notching are not so much the ‘notch’ in the scapula but the radiographically unseen damage to the polyethylene of the humeral component<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
<a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVPjIpnw0UvvYYEMGyC5mJcQP45hpkHH3UvgT2OKHSvTkKpfWTqqyNCCOmmDgS3GO9N5AZD8Fy9dguO-2gnM2NpT9yU2dvLJ3vmq31dMYXcc4EgHbAOujPAgMlY4MAL4OQhcKV7VAOn3c/s1600/Fig+62a+photo+poly+damage+reverse.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjVPjIpnw0UvvYYEMGyC5mJcQP45hpkHH3UvgT2OKHSvTkKpfWTqqyNCCOmmDgS3GO9N5AZD8Fy9dguO-2gnM2NpT9yU2dvLJ3vmq31dMYXcc4EgHbAOujPAgMlY4MAL4OQhcKV7VAOn3c/s200/Fig+62a+photo+poly+damage+reverse.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="156" /></a><a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPQZc1JWGVPQVc4IEN3yNH15h4DNY_nHyNeA1b3Bnx0L7QmhKAnfpZbws8Odu5fFQJVRHBwbBFvhX24XU4eTknmsTFG4ZljcKkoVrAlF2yh0nJ9TlAx33eQyGaSNMtanjOTfsJALWNRLo/s1600/Fig+62b+photo+poly+damage+reverse.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="160" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPQZc1JWGVPQVc4IEN3yNH15h4DNY_nHyNeA1b3Bnx0L7QmhKAnfpZbws8Odu5fFQJVRHBwbBFvhX24XU4eTknmsTFG4ZljcKkoVrAlF2yh0nJ9TlAx33eQyGaSNMtanjOTfsJALWNRLo/s200/Fig+62b+photo+poly+damage+reverse.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="200" /></a><a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgK6kSv-6vQsJA3esOYtcywX6cC_p_RRXK4j3W4pbmWVgRQi7KfW7iDMxx7WI8NilqPAePY3bqCvMBb6DU4f03pC7TE8Q4ODF0bZOxrebusmQ0z0wTarEhuoWrMoNoc6SfNrwXGF_SapPY/s1600/Fig+62c+photo+poly+damage+reverse.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgK6kSv-6vQsJA3esOYtcywX6cC_p_RRXK4j3W4pbmWVgRQi7KfW7iDMxx7WI8NilqPAePY3bqCvMBb6DU4f03pC7TE8Q4ODF0bZOxrebusmQ0z0wTarEhuoWrMoNoc6SfNrwXGF_SapPY/s200/Fig+62c+photo+poly+damage+reverse.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="200" /></a></div>
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and to glenoid component fixation </div>
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<a class="readableLinkWithMediumImage" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5WJnOcK2600vK_Cn6tWN49zI4lcJGtpjMVirFsPIchbTxj2Gcr4BFxq4DFYiY13yC05tpSk0ptNJ6AScMu_EhzSoYSPi6dz9EOwmEIO8DCEi4_fmH5ZRcFWUjqe7Os68-EIy5d9W62bU/s1600/Fig+153+U2519427+notching+loss+of+glenbone.tif" style="border: 0px; color: #1f0909; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; text-decoration: none; vertical-align: baseline;" target="_blank"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj5WJnOcK2600vK_Cn6tWN49zI4lcJGtpjMVirFsPIchbTxj2Gcr4BFxq4DFYiY13yC05tpSk0ptNJ6AScMu_EhzSoYSPi6dz9EOwmEIO8DCEi4_fmH5ZRcFWUjqe7Os68-EIy5d9W62bU/s200/Fig+153+U2519427+notching+loss+of+glenbone.tif" style="border: 0px rgb(31, 9, 9); font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; padding: 0px; vertical-align: baseline;" width="195" /></a></div>
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Notching may also be associated with unwanted bone formation that limits the range of motion </div>
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8CKWVpI3FsMwIRoweUxBKeQU1yXaBpnkLQLvw2RDIcOfQ5TumtRRZSN3_TOCQPlLHnKYifzXfm1QOuJvYkem6W4PS6qcinQvpfjINNi-C3a4tFOiPCpGwxCUIHVB1VaNG32z1mpMXk8E/s320/Fig+191+U9868553+unwanted+bone+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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Humeral component failure may result from dissociation of the cup from the stem<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCINPyz-ji6M3MFAYmTEDJe4C4YJkaWQJEvctXLWzYPRNR-Zo-RXY3TTEEcVs2LjPEiIQiKnbk4aTHhJCXuGT3pu354jD8_fXBqEW2Lo6bNJ7z4KJQmvSnTNfdjCWvxNZIJtbQOVcR4gY/s320/Fig+155+U2539983+dissoc+hum+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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Glenoid failure may result from glenosphere-baseplate dissociation,<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi01vjbeVeKC0-hMTs0M-WWMQF6ua43mNnGwlitys_591gDMBrAhdspViF3waLrAMLbrxrzL1by4_HpLwf88XHQtybpBmgVedDEdBCEjPegoaqjC5xZ8jLIk4Q1xYBr54sEh9A8ouyka2Y/s320/Fig+94+xray+reverse+glenoshpere+dissoc+3357454.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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glenoid fracture,<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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<img src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgLK0mc7AHiqNScILCnROGeRzgHw4Ee7PbU-PAsYSO8e5fIynej8MXwLCtf4oeP_7CzNEPaOE0-RS4jcdMMMGo5pMKkEYSpJdl2v-0p7gic_Ex0ukzLfz7PzF96bSCFEsgo5NnExhc2xJM/s320/Fig+185+U6745747+glenoid+fx+after+rsa.tif" style="border: 0px rgb(31, 9, 9); display: block; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px; max-width: 100%; padding: 0px; vertical-align: baseline;" /></div>
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or failure of fixation<div style="border: 0px; font-family: inherit; font-size: inherit; font-stretch: inherit; font-style: inherit; font-variant: inherit; line-height: inherit; margin: 0px 0px 1.5em; padding: 0px; vertical-align: baseline;">
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While some cases can be reconstructed, others require salvage conversion to a hemiarthroplasty after glenoid component removal; the clinical results of this conversion are generally poor.<br /><br />Neurologic lesions can result from dissection, retraction or over lengthening of the arm. Finally, there has been some concern about loss of active external rotation with reverse total designs that medialize the tuberosity, prompting consideration of latissimus dorsi transfers; this problem seems less of an issue with those designs that maintain ‘East-West” tensioning of the residual cuff posteriorly.</div>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-89832630047042361822015-05-24T08:52:00.004-07:002015-05-24T08:52:48.599-07:00Pectoralis Muscle Anatomy & Function<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: #333333; font-family: Roboto, arial, sans-serif; font-size: x-small;"><span style="line-height: 17px;">Fuente</span></span></div>
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<span style="color: #333333; font-family: Roboto, arial, sans-serif; font-size: x-small;"><span style="line-height: 17px;">Este artículo es originalmente publicado en:</span></span></div>
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<span style="color: #333333; font-family: Roboto, arial, sans-serif; font-size: x-small;"><span style="line-height: 17px;"><a href="https://www.youtube.com/watch?v=BFqS7LgWlRE" target="_blank">https://www.youtube.com/watch?v=BFqS7LgWlRE</a></span></span></div>
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Educational video describing the muscle anatomy and function of the Pectoralis Muscles.<br />
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-51794905384769635432015-05-15T06:53:00.003-07:002015-05-15T06:53:41.329-07:00Reconstrucción Mínimamente invasiva Tipo IV aguda y Separacion Tipo V acromioclavicular / Minimally Invasive Reconstruction of Acute Type IV and Type V Acromioclavicular Separations<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<br />
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/25901627" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/25901627</a><br />
<a href="http://www.healio.com/orthopedics/journals/ortho/2015-4-38-4/%7Bc905d521-004a-4066-a11d-3efdc3ac6527%7D/minimally-invasive-reconstruction-of-acute-type-iv-and-type-v-acromioclavicular-separations#?ecp=318F9B42-3E81-E311-ADF0-A4BADB296AA8" target="_blank">http://www.healio.com/orthopedics/journals/ortho/2015-4-38-4/%7Bc905d521-004a-4066-a11d-3efdc3ac6527%7D/minimally-invasive-reconstruction-of-acute-type-iv-and-type-v-acromioclavicular-separations#?ecp=318F9B42-3E81-E311-ADF0-A4BADB296AA8</a><br />
De:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Katsenis%20DL%5BAuthor%5D&cauthor=true&cauthor_uid=25901627" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; outline: dotted thin; widows: 1;">Katsenis DL</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Stamoulis%20D%5BAuthor%5D&cauthor=true&cauthor_uid=25901627" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Stamoulis D</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Begkas%20D%5BAuthor%5D&cauthor=true&cauthor_uid=25901627" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Begkas D</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Tsamados%20S%5BAuthor%5D&cauthor=true&cauthor_uid=25901627" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Tsamados S</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">.</span><br />
<span role="menubar" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"><a abstractlink="yes" alsec="jour" alterm="Orthopedics." aria-expanded="false" aria-haspopup="true" href="http://www.ncbi.nlm.nih.gov/pubmed/25901627#" role="menuitem" style="border-bottom-width: 0px; color: #660066; outline: dotted thin;" title="Orthopedics.">Orthopedics.</a></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"> 2015 Apr 1;38(4):e324-30. doi: 10.3928/01477447-20150402-62.</span><br />
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<span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.9998016357422px; widows: 1;">Copyright 2015, SLACK Incorporated.</span><br />
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<div class="abstr" style="margin: 1em auto auto;">
<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br />Abstract<br /><br /><br />The goal of this study was to evaluate the midterm radiologic, clinical, and functional results of the early reconstruction of the severe acromioclavicular joint dislocation using the flipptack fixation button technique. Between December 2006 and December 2009, one hundred thirty-five consecutive patients with acromioclavicular joint separations were admitted to the authors' institution. Fifty patients were included in the study. According to Rockwood classification, 29 (58%) dislocations were type IV and 21 (42%) were type V. Surgery was performed at an average of 4.2 days (range, 0-12 days) after dislocation. All dislocations were treated with the flipptack fixation button technique. All patients were evaluated at a final postoperative follow-up of 42 months (range, 36-49 months). The clinical outcome was assessed using the Constant score. The functional limitation was assessed using the bother index of the short Musculoskeletal Function Assessment. Radiographs taken immediately postoperatively and at the final follow-up assessed acromioclavicular joint reduction, coracoclavicular distance, and joint arthrosis. At the final follow-up, mean Constant score was 93.04 (range, 84-100). The average (±SD) short Musculoskeletal Function Assessment bother index was 20.88±8.95 (range, 2.0-49). No statistically significant difference was found between the acromioclavicular joint dislocation type and the clinical result (P=.227; chi-square, 6.910, Kruskal Wallis test). The regression of the coracoclavicular distance at final follow-up was not statistically significant (P=.276; chi-square, 6.319, Kruskal Wallis test). The flipptack fixation button technique is an effective alternative for the treatment of severe acromioclavicular joint dislocation. Because all objectives of the treatment were obtained, the results do not deteriorate over time. [Orthopedics. 2015; 38(4):e324-e330.].<br /><br />Resumen<br />El objetivo de este estudio fue evaluar los resultados radiológicos de mitad de período, clínicos y funcionales de la temprana reconstrucción de la severa </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">luxación </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">acromioclavicular de la articulación mediante la técnica botón de fijación flipptack. Entre diciembre de 2006 y diciembre de 2009, ciento Treinta y cinco pacientes consecutivos con </span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">separaciones conjuntas</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;"> acromioclaviculares fueron admitidos en la institución de los autores. Cincuenta pacientes se incluyeron en el estudio. Según la clasificación Rockwood, 29 (58%) fueron dislocaciones de tipo IV y 21 (42%) fueron de tipo V. La cirugía se realizó en un promedio de 4,2 días (rango, 0-12 días) después de la dislocación. Todas las dislocaciones fueron tratados con la técnica botón de fijación flipptack. Todos los pacientes fueron evaluados en una final de seguimiento postoperatorio de 42 meses (rango, 36-49 meses). La evolución clínica se evaluó mediante la puntuación de Constant. La limitación funcional se evaluó mediante el índice de molestia de corto Evaluación función musculoesquelética. Las radiografías tomadas inmediatamente después de la operación y al final del seguimiento evaluado acromioclavicular reducción conjunta, distancia coracoclavicular y artrosis articular. Al final del seguimiento, la puntuación media constante era 93,04 (rango, 84-100). La media (± DE) de corto Evaluación Función musculoesqueléticos molesta índice fue de 20,88 ± 8,95 (rango, 2,0-49). No se encontraron diferencias estadísticamente significativas entre el tipo de luxación de la articulación acromioclavicular y el resultado clínico (p = 0,227; chi-cuadrado, 6.910, Kruskal Wallis test). La regresión de la distancia coracoclavicular al final del seguimiento no fue estadísticamente significativa (p = 0,276; chi-cuadrado, 6.319, Kruskal Wallis test). La técnica botón de fijación flipptack es una alternativa eficaz para el tratamiento de la luxación de la articulación acromioclavicular severa. Debido a que se obtuvieron todos los objetivos del tratamiento, los resultados no se deterioran con el tiempo</span></div>
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Copyright 2015, SLACK Incorporated.</div>
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<dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">25901627</dd> <dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">[PubMed - in process]</dd></dl>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-80608388960257282592015-05-14T12:24:00.001-07:002015-05-14T12:24:17.524-07:00Revisión test para #impingements de #hombro y lesiones asociadas de bursa, tendón o labrum<div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
#impingements #hombro #shoulder #pinzamiento<br />
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/23633343" target="_blank">http://www.ncbi.nlm.nih.gov/pubmed/23633343</a><br />
<a href="http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007427.pub2/abstract;jsessionid=6E46497074CA1E349114ED9D3E70140A.f03t04" target="_blank">http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007427.pub2/abstract;jsessionid=6E46497074CA1E349114ED9D3E70140A.f03t04</a><br />
De:<br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Hanchard%20NC%5BAuthor%5D&cauthor=true&cauthor_uid=23633343" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; outline: dotted thin; widows: 1;">Hanchard NC</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 0.8461em; line-height: 1.6363em; position: relative; top: -0.5em; vertical-align: baseline; widows: 1;">1</span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Lenza%20M%5BAuthor%5D&cauthor=true&cauthor_uid=23633343" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Lenza M</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Handoll%20HH%5BAuthor%5D&cauthor=true&cauthor_uid=23633343" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Handoll HH</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">, </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Takwoingi%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=23633343" style="background-color: white; border-bottom-width: 0px; color: #660066; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">Takwoingi Y</a><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.9989995956421px; line-height: 16.6138153076172px; widows: 1;">.</span><br />
<span role="menubar" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"><a abstractlink="yes" alsec="jour" alterm="Cochrane Database Syst Rev." aria-expanded="false" aria-haspopup="true" href="http://www.ncbi.nlm.nih.gov/pubmed/23633343#" role="menuitem" style="border-bottom-width: 0px; color: #660066; outline: dotted thin;" title="The Cochrane database of systematic reviews.">Cochrane Database Syst Rev.</a></span><span style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 11.0045003890991px; line-height: 15.9565258026123px; widows: 1;"> 2013 Apr 30;4:CD007427. doi: 10.1002/14651858.CD007427.pub2.</span><br />
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<span style="background-color: white; color: #252525; font-family: Arial, 'Lucida Grande', Geneva, Verdana, Helvetica, 'Lucida Sans Unicode', sans-serif; font-size: 11px; font-weight: bold; line-height: 11px; widows: 1;">Copyright © 1999–2015 John Wiley & Sons, Inc. All Rights Reserved</span><br />
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<blockquote class="twitter-tweet" lang="es">
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Revisión test para <a href="https://twitter.com/hashtag/impingements?src=hash">#impingements</a> de <a href="https://twitter.com/hashtag/hombro?src=hash">#hombro</a> y lesiones asociadas de bursa, tendón o labrum <a href="https://twitter.com/hashtag/Art%C3%ADculoFisio?src=hash">#ArtículoFisio</a>: <a href="http://t.co/LBK5R8TiiO">http://t.co/LBK5R8TiiO</a></div>
— Eva Sierra (@esiesil) <a href="https://twitter.com/esiesil/status/475962390576898049">junio 9, 2014</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-26988894519563430082015-05-13T06:43:00.004-07:002015-05-13T06:43:51.006-07:00Video: Ladermann compares arthroscopic and open latarjet with learning curve analysis <div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.healio.com/orthopedics/arthroscopy/news/online/%7Bfeced1ca-1846-4c84-81b1-d1cb7f572e3c%7D/video-ladermann-compares-arthroscopic-and-open-latarjet-with-learning-curve-analysis" target="_blank">http://www.healio.com/orthopedics/arthroscopy/news/online/%7Bfeced1ca-1846-4c84-81b1-d1cb7f572e3c%7D/video-ladermann-compares-arthroscopic-and-open-latarjet-with-learning-curve-analysis</a><br />
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Video: Ladermann compares arthroscopic and open latarjet with learning curve analysis <a href="http://t.co/F8R6OAW8cu">http://t.co/F8R6OAW8cu</a></div>
— Orthopedics Today (@OrthoToday) <a href="https://twitter.com/OrthoToday/status/598477764363034625">Mayo 13, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-39661102725971416292015-05-11T16:02:00.001-07:002015-05-11T16:02:31.331-07:00I-4 Efecto de las pulsaciones de ultrasonido de baja intensidad (LIPUS) en la expresión de Sclerostin en el proceso de osificación endocondral / I-4 Effect of Low-Intensity Pulsed Ultrasound (LIPUS) on Expression of Sclerostin in the Process of Endochondral Ossification<div dir="ltr" style="text-align: left;" trbidi="on">
<b>#LIPUS #osificacion endocondral #sclerostin<br /><br />Fuente<br />Este artículo es originalmente publicado en:<br /><a href="http://www.ncbi.nlm.nih.gov/pubmed/25900755">http://www.ncbi.nlm.nih.gov/pubmed/25900755</a><br /><a href="http://journals.lww.com/jorthotrauma/Abstract/2015/05000/I_4_Effect_of_Low_Intensity_Pulsed_Ultrasound.18.aspx">http://journals.lww.com/jorthotrauma/Abstract/2015/05000/I_4_Effect_of_Low_Intensity_Pulsed_Ultrasound.18.aspx</a><br />De:<br /><a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Kumagai%20K%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Kumagai K</a>1, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Akamatsu%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Akamatsu Y</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Kobayashi%20H%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Kobayashi H</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Kusayama%20Y%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Kusayama Y</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Mitsuhashi%20S%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Mitsuhashi S</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Kobayashi%20A%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Kobayashi A</a>, <a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Saito%20T%5BAuthor%5D&cauthor=true&cauthor_uid=25900755">Saito T</a>.<br /><a href="http://www.ncbi.nlm.nih.gov/pubmed/25900755#">J Orthop Trauma.</a> 2015 May;29(5):S3. doi: 10.1097/01.bot.0000462955.71988.6d.<br />Todos los derechos reservados para:<br /><a href="http://journals.lww.com/jorthotrauma/_layouts/oaks.journals/copyright.aspx">Copyright © 2015</a> <a href="http://www.wolterskluwerhealth.com/pages/welcome.aspx">Wolters Kluwer Health, Inc.</a> All rights reserved.</b><br /><div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br />Abstract<br /><br />OBJECTIVE:<br /><br />We have previously demonstrated that LIPUS inhibited expression of sclerostin and stimulated new bone formation in a mouse osteotomy model. To further address effect of LIPUS on endochondral ossification, expression of sclerostin was examined in vitro.<br /></span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">RESULTS:</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">Sclerostin was identified in the culture media at 3 and 5 weeks, and the concentration in LIPUS group was significantly less than that in the control group. PCR analysis demonstrated that sclerostin gene expression was significantly decreased in the LIPUS group in comparison to the control group at 3 and 5 weeks. And gene expressions of Col2a1 and Col10a1 were significantly decreased in the LIPUS group at 5 weeks.</span><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /></span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">CONCLUSIONS:</span><span style="font-family: 'Helvetica Neue', Arial, Helvetica, sans-serif;">This study suggested that expression of sclerostin in the process of endochondral ossification was inhibited by LIPUS treatment.</span><span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br /><br />Resumen</span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;"><br />OBJETIVO:<br />Hemos demostrado previamente que LIPUS inhibió la expresión de esclerostina y estimuló la formación de hueso nuevo en un modelo de ratón de la osteotomía. Para mayor efecto dirección del LIPUS en la osificación endocondral, la expresión de esclerostina fue examinada in vitro.<br /></span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">RESULTADOS:<br />La esclerostina fue identificada en los medios de cultivo a los 3 y 5 semanas, y la concentración en el grupo LIPUS fue significativamente menor que en el grupo control. El análisis por PCR demostró que la expresión de genes esclerostina se redujo significativamente en el grupo LIPUS en comparación con el grupo control a los 3 y 5 semanas. Y las expresiones de genes de Col2a1 y Col10a1 se redujeron significativamente en el grupo LIPUS a las 5 semanas.<br /></span></div>
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<span style="font-family: Helvetica Neue, Arial, Helvetica, sans-serif;">CONCLUSIONES:<br />Este estudio sugiere que la expresión de esclerostina en el proceso de osificación endocondral fue inhibida por el tratamiento LIPUS.</span><div class="aux" style="background-color: white; font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 1.4em; margin: 1.2em auto auto; widows: 1;">
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<dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">25900755</dd> <dd style="display: inline; margin: 0px; padding: 0px; white-space: nowrap;">[PubMed - in process]</dd></dl>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-28053841120534712302015-05-09T05:47:00.002-07:002015-05-09T05:47:32.768-07:00Fracturas del húmero distal.<div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.slideshare.net/JenaroMD/fracturas-del-hmero-distal-curso-de-instruccin-sociedad-espaola-ciruga-hombro-y-codo" target="_blank">http://www.slideshare.net/JenaroMD/fracturas-del-hmero-distal-curso-de-instruccin-sociedad-espaola-ciruga-hombro-y-codo</a><br />
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<a class="author-photo-wrapper" href="http://www.slideshare.net/JenaroMD?utm_campaign=profiletracking&utm_medium=sssite&utm_source=ssslideview" itemprop="url" style="background-color: transparent; box-sizing: border-box; color: #008ed2; line-height: inherit; text-decoration: none;" title="JenaroMD"><img alt="Jenaro Fernández-Valencia" class="author-photo" itemprop="image" src="http://cdn.slidesharecdn.com/profile-photo-JenaroMD-48x48.jpg?cb=1393319648" style="border: none; box-sizing: border-box; display: inline-block; height: auto; max-width: 100%; vertical-align: middle;" /></a></div>
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<a class="j-author-name" data-ga-action="authorlinkclick" data-ga-cat="bigfoot_slideview" href="http://www.slideshare.net/JenaroMD?utm_campaign=profiletracking&utm_medium=sssite&utm_source=ssslideview" itemprop="name" rel="author" style="background-color: transparent; box-sizing: border-box; color: #008ed2; line-height: inherit; text-decoration: none;" title="JenaroMD">Jenaro Fernández-Valencia </a></h2>
<a class="j-slideshare j-author-slideshows" href="http://www.slideshare.net/JenaroMD/presentations" style="background-color: transparent; box-sizing: border-box; color: #008ed2; line-height: inherit; text-decoration: none;" title="SlideShares">(4 SlideShares)</a> <small class="lighter-color-text" itemprop="jobTitle" style="box-sizing: border-box; color: #97928c; font-size: 12.8800001144409px; line-height: inherit;">, Especialista Senior en Cirugía Ortopédica y Traumatología. Unidad de Cadera.</small> <small class="lighter-color-text" style="box-sizing: border-box; color: #97928c; font-size: 12.8800001144409px; line-height: inherit;">at <span itemprop="worksFor" style="box-sizing: border-box;">Unidad de Cadera. Servicio COT. Hospital Clínic Barcelona (Spain)</span></small></div>
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Comparto una presentación del 2008 que me encargaron para el Curso de Instrucción SECHC: Fracturas del húmero distal.
<a href="http://t.co/ka20fdo5Sf">http://t.co/ka20fdo5Sf</a></div>
— Jenaro Fdez-Valencia (@JenaroFV_MD) <a href="https://twitter.com/JenaroFV_MD/status/423626603436847106">enero 16, 2014</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-28295565889046094032015-05-07T11:10:00.001-07:002015-05-07T11:10:19.266-07:00FRACTURAS DEL COMPLEJO ARTICULAR DEL HOMBRO<div dir="ltr" style="text-align: left;" trbidi="on">
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#hombro #shoulder #fracturas<br />
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.fisioterapia-online.com/articulos/fracturas-del-complejo-articular-del-hombro" target="_blank">http://www.fisioterapia-online.com/articulos/fracturas-del-complejo-articular-del-hombro</a><br />
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Fracturas del complejo articular del hombro. <a href="http://t.co/oZzbP9WvUi">http://t.co/oZzbP9WvUi</a></div>
— fisioterapia-online (@fisio_online) <a href="https://twitter.com/fisio_online/status/594979830841610240">Mayo 3, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-11860783594977558662015-05-07T07:13:00.001-07:002015-05-07T07:13:28.623-07:00Las lesiones del hombro de la articulación AC son bastante comunes. Ellos pueden ser el resultado de una dura caída o de un evento traumático / Shoulder injuries of the AC joint are quite common. They can result from a hard fall or from a traumatic event.<div dir="ltr" style="text-align: left;" trbidi="on">
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Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://drmillett.com/ac-joint-injury/" target="_blank">http://drmillett.com/ac-joint-injury/</a><br />
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Shoulder injuries of the AC joint are quite common. They can result from a hard fall or from a traumatic event. <a href="http://t.co/Wxpw5dGhPI">http://t.co/Wxpw5dGhPI</a></div>
— Peter Millett, MD (@MillettMD) <a href="https://twitter.com/MillettMD/status/596302487927300096">Mayo 7, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-55883154878126550972015-05-06T16:58:00.002-07:002015-05-06T16:58:55.649-07:00Breve video que explica cómo se producen las lesiones del manguito rotador <div dir="ltr" style="text-align: left;" trbidi="on">
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Breve video que explica cómo se producen las lesiones del manguito rotador <a href="https://twitter.com/hashtag/hombrodoloroso?src=hash">#hombrodoloroso</a> <a href="https://t.co/0KGG2LCeWb">https://t.co/0KGG2LCeWb</a> vía <a href="https://twitter.com/YouTube">@YouTube</a></div>
— Enrique SainzMurieta (@drSainzdMurieta) <a href="https://twitter.com/drSainzdMurieta/status/595265005827837952">Mayo 4, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-70199998746641808112015-05-06T16:56:00.002-07:002015-05-06T16:56:41.000-07:00El médico Neal ElAtrache confirmó, tras resonancia magnética, que Many Pacquiao tiene un desgarro en el manguito rotador y será operado<div dir="ltr" style="text-align: left;" trbidi="on">
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El médico Neal ElAtrache confirmó, tras resonancia magnética, que Mnany Pacquiao tiene un desgarro en el manguito rotador y será operado</div>
— Cesar A Londoño (@cesaralo) <a href="https://twitter.com/cesaralo/status/595596577428897793">Mayo 5, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0tag:blogger.com,1999:blog-7241516424034390958.post-8714986719232442532015-04-29T16:28:00.001-07:002015-04-29T16:28:16.562-07:00Predictors of Clinical Outcomes of Arthroscopic Rotator Cuff Repair: A Pilot Study<div dir="ltr" style="text-align: left;" trbidi="on">
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#arthroscopic #rotator cuff<br />
Fuente<br />
Este artículo es originalmente publicado en:<br />
<a href="http://www.shoulderdoc.co.uk/news/view/1663" target="_blank">http://www.shoulderdoc.co.uk/news/view/1663</a><br />
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Predictors of Clinical Outcomes of Arthroscopic Rotator Cuff Repair: A Pilot Study - <a href="http://t.co/JbpeQXQNQl">http://t.co/JbpeQXQNQl</a> <a href="http://t.co/r4UXSkFg6D">pic.twitter.com/r4UXSkFg6D</a><br />
— ShoulderDoc (@theshoulderdoc) <a href="https://twitter.com/theshoulderdoc/status/592782581420142593">abril 27, 2015</a></blockquote>
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Bibliomanaztecahttp://www.blogger.com/profile/07981814126161504219noreply@blogger.com0