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Conversion to reverse shoulder arthroplasty fifty-one years after shoulder arthrodesis:A case report

world Journal of Orthopedics 2020年第10期11卷 465-472页

作者： Melissa N dogger Annelies F van Bemmel tjarco d.w alta Arthur van Noort department of Orthopedic Surgery Spaarne GasthuisHoofddorp 2134 TMNetherlands

BACKGROUNd Patients with a shoulder arthrodesis generally experience restriction in range of motion and limitations in activities of daily *** addition,up to one-third of the patients deals with serious peri scapular *** conversion of a shoulder arthrodesis in a reverse shoulder arthroplasty(RSA)has been described as an effective treatment to achieve better function and decreased pain,although literature is *** present the case of a conversion from a painful shoulder arthrodesis to RSA,after a 51 years *** SUMMARY A 71-year-old male presented.with severe peri scapular pain and limited function 51 years after shoulder *** workup showed a normal bone stock of the glenoid and an intact axillary nerve,but atrophic posterior part of the deltoid *** shoulder arthrodesis was successfully converted to *** months postoperative the patient was very *** has no pain at rest,nor with exercise and experienced definite improvements in activities of daily living,despite his limited range of *** Conversion from shoulder arthrodesis to a RSA can be performed safely,with a high chance of peri scapular pain relief;even after a longstanding arthrodesis.

关键词： Shoulder arthrodesis Conversion Reverse shoulder arthroplasty Electromyography Case report

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New insights in the treatment of acromioclavicular separation

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world Journal of Orthopedics 2017年第12期8卷 861-873页

作者： Christiaan J A van Bergen Annelies F van Bemmel tjarco d.w alta Arthur van Noort department of Orthopaedic Surgery Amphia Hospital department of Orthopaedic Surgery Spaarne GasthuisHoofddorp 2134 TM

A direct force on the superior aspect of the shoulder may cause acromioclavicular(AC) dislocation or separation. Severe dislocations can lead to chronic impairment, especially in the athlete and high-demand manual laborer. The dislocation is classified according to Rockwood. Types Ⅰ?and Ⅱ are treated nonoperatively, while types Ⅳ, Ⅴ and Ⅵ are generally treated operatively. Controversy exists regarding the optimal treatment of type Ⅲ dislocations in the high-demand patient. Recent evidence suggests that these should be treated nonoperatively initially. Classic surgical techniques were associated.with high complication rates, including recurrent dislocations and hardware breakage. In recent years, many new techniques have been introduced in order to improve the outcomes. Arthroscopic reconstruction or repair techniques have promising short-term results. This article aims to provide a current concepts review on the treatment of AC dislocations with emphasis on recent developments.

关键词： Acromioclavicular dislocation Rockwood classification Coracoclavicular ligament reconstruction Hookplate Arthroscopically assisted acromioclavicular reconstruction weaver and dunn procedure Conoid and trapezoid ligaments

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