BACKGROUND It has been recognized that there is a distinction between shoulder laxity and shoulder instability and that there is a wide range of normal shoulder laxities. Our goals were (1) to evaluate if the ability to subluxate the shoulder over the glenoid rim in patients under anesthesia would be more prevalent than the inability to do so, (2) to determine if patients with a diagnosis of in...

OBJECTIVES (1) To analyze the birth weight of obstetric brachial plexus injury (OBPI) patients requiring one or more reconstructive surgeries and (2) to analyze whether there is any difference in the severity of the injury, and the outcome of the surgery between the macrosomic and nonmacrosomic OBPI patients. STUDY DESIGN An observational cohort study was performed on 100 consecutive patients...

OBJECTIVE To compare health-related quality of life in patients having no neck dissection and those having a selective dissection, with particular reference to shoulder dysfunction. DESIGN Prospective study. SETTING Regional Maxillofacial Unit, University Hospital Aintree, Liverpool, England. PATIENTS Two hundred seventy-eight consecutive patients undergoing primary surgery for previously...

BACKGROUND Quality of life has become a major issue in determining the outcome of treatment in head and neck surgery with curative intent. The aim of our study was to determine which factors in the postoperative care, especially shoulder and neck morbidity, are related to quality of life and how these outcomes compared between patients who had undergone surgery and a control group. METHODS We...

Introduction Continuous interscalene nerve blockade (CISNB) has been shown to reduce postoperative pain and morphine usage after a wide range of shoulder operations (1&2). Recent trends to minimally invasive shoulder surgery are expected to be associated with shorter postoperative stays. This study compared the length of stay using CISNB as the primary postoperative analgesia with other forms o...

OBJECTIVE Upper limb lymphedema is a common complication after radical mastectomy in patients with breast cancer. In this study, we examined the efficacy of self-manual lymph drainage (MLD) after modified radical mastectomy for the prevention of upper limb lymphedema, scar formation, or shoulder joint dysfunction in breast cancer patients. METHODS Breast cancer patients scheduled for modified...

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1 Measurement properties of the Western Ontario Shoulder Instability Index 1 in Dutch patients with shoulder instability 2 3 Just A. van der Linde, MD*, W. Jaap Willems, MD, PhD¶, Derk A. van Kampen, MD, PhD^, 4 Loes W.A.H. van Beers, MSc*, Derek F.P. van Deurzen, MD*, Caroline B. Terwee, PhD§ 5 6 * Department of Orthopaedic Surgery and Traumatology, Onze Lieve Vrouwe Gasthuis, 7 Amsterdam, the...

Displaced fracture of the acromion without associated shoulder injury occurs rarely. A 31-year-old gentleman presented with an isolated acromion fracture resulting from a direct trauma to the top of his left shoulder. Open reduction and internal fixation using multiple pins was performed and the fracture was closed without complications. The patient achieved excellent shoulder function and rank...