Shoulder/Elbow

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Single-dose interscalene block and general anesthesia relieved pain after rotator cuff repair

June 21, 2017

Use of a single-dose interscalene block and general anesthesia during arthroscopic rotator cuff repair effectively relieved pain without any complications, according to results of this study.

Researchers randomly assigned 62 patients with rotator cuff tears to be treated with either a single-dose interscalene block and general anesthesia or general anesthesia alone. Researchers measured preoperative pain scores on the day of surgery, at 1 hour and 6 hours postoperatively and then every 6 hours until 3 days postoperatively. Researchers also evaluated the stress biomarkers insulin, dehydroepiandrosterone sulfate and fibrinogen preoperatively on the day of surgery and postoperatively at 18 hours, 42 hours and 66 hours through blood sampling.

In the JournalsFrom OT Europe

Study: 3-D CT scans reliably measured linear bone loss on the glenoid

June 20, 2017
Recently published results showed that despite the reliability and reproducibility of 3-D CT scans for measuring linear bone loss on the glenoid, there was a high level…
In the JournalsPerspective

Greater BMI strongly associated with risk of revision shoulder surgery, postoperative complications

June 15, 2017
Patients who underwent shoulder arthroplasty and had a higher BMI had a strong association with increased rates of revision surgical procedures and postoperative…
Surgical Technique

Noninvasive device helps with elective, traumatic shoulder incision closure

Orthopedics Today, June 2017
Matthew Binkley, MD; Matthew J. Albrecht, PA-C; Uma Srikumaran, MD, MBA
Although wound closure is often considered a routine part of orthopedic surgery, complications such as surgical site infection, wound dehiscence and scarring can occur…
Feature Article

Outcome of Reverse Shoulder Arthroplasty for Patients With Parkinson's Disease: A Matched Cohort Study

Orthopedics
Online Advanced Release, May 15, 2017
Parkinson's disease (PD) is a progressive neurologic disorder that affects the musculoskeletal system. Currently, the…
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CME

Operative Management Options for Traumatic Anterior Shoulder Instability in Patients Younger Than 30 Years: September 2015

Anterior instability of the glenohumeral joint is a relatively common problem in the young population. Identification…
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VIDEO: Presenter discusses treatment options for distal bicep ruptures

February 13, 2017
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Single-dose interscalene block and general anesthesia relieved pain after rotator cuff repair

June 21, 2017
Use of a single-dose interscalene block and general anesthesia during arthroscopic rotator cuff repair effectively relieved pain without any…

Tips & Techniques

A Single-Incision Technique for Distal Biceps Repair Using a Flexible Reamer

Orthopedics
Online Advanced Release, June 21, 2017
Distal biceps tendon ruptures are rare injuries that usually occur in middle-aged men. Most of these injuries are repaired acutely to restore…

Tips & Techniques

All-Arthroscopic Superior Shoulder Capsule Reconstruction With Partial Rotator Cuff Repair

Orthopedics
Online Advanced Release, June 21, 2017
Massive irreparable rotator cuff tears are difficult to treat. Although several treatment options exist, none provides superior long-term results…

In the JournalsFrom OT Europe

Study: 3-D CT scans reliably measured linear bone loss on the glenoid

June 20, 2017
Recently published results showed that despite the reliability and reproducibility of 3-D CT scans for measuring linear bone loss on the glenoid…

Feature Article

Pain and Opioid Use After Total Shoulder Arthroplasty With Injectable Liposomal Bupivacaine Versus Interscalene Block

Orthopedics
Online Advanced Release, June 15, 2017
Postoperative pain control is a significant concern after total shoulder arthroplasty. Injectable periarticular liposomal bupivacaine, which has been…

In the JournalsPerspective

Greater BMI strongly associated with risk of revision shoulder surgery, postoperative complications

June 15, 2017
Patients who underwent shoulder arthroplasty and had a higher BMI had a strong association with increased rates of revision surgical procedures and…

Surgical Technique

Noninvasive device helps with elective, traumatic shoulder incision closure

Orthopedics Today, June 2017
Matthew Binkley, MD; Matthew J. Albrecht, PA-C; Uma Srikumaran, MD, MBA
Although wound closure is often considered a routine part of orthopedic surgery, complications such as surgical site infection, wound dehiscence and…

Perspective

Compared with other tests, supine Napoleon test better detected subscapularis tears

Orthopedics Today, June 2017
In results of a study of 130 patients scheduled to undergo arthroscopic rotator cuff tear repair surgery, the supine Napoleon test was superior to…

Point/Counter

What is the best current delivery method to ensure mesenchymal stem cells get to the intended target in the shoulder?

Orthopedics Today, June 2017
The best delivery method into the shoulder for mesenchymal stem cells (MSCs), PRP or other substances is based on the injection technique. The…

Patients with epilepsy had high risk for post-shoulder arthroplasty complications

Orthopedics Today, June 2017
After shoulder arthroplasty, patients with epilepsy were at a higher risk for early postoperative complications and increased resource use, according…

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