BACKGROUND Deep infection after primary reverse total shoulder arthroplasty is a devastating event and has an increased incidence compared with anatomic total shoulder arthroplasty. Recent reports in the hip and knee arthroplasty literature suggest that antibiotic-loaded bone cement may lower infection rates for primary arthroplasties. We conducted a retrospective cohort study to evaluate the e...

BACKGROUND A previous study revealed that patients perceived physician reimbursement to be much higher than current Medicare schedules for hip and knee replacement. The purpose of this study was to evaluate patient perception of surgeon reimbursement for total shoulder replacement (TSA) and rotator cuff repair (RCR). METHODS The study surveyed 250 patients. Patients were asked what they belie...

Metallosis after shoulder replacement has not previously been described in the literature. We report a patient who developed extensive metallosis after implantation of an uncemented Nottingham shoulder replacement. He underwent a revision procedure. Examination of the retrieved prosthesis showed that the titanium porous coating was separating from the humeral stem and becoming embedded in the u...

BACKGROUND AND PURPOSE Persistent postsurgical pain is a well-recognized problem after various types of surgery such as amputation and thoracotomy. The prevalence of persistent pain, and the extent to which it involves neuropathic pain, is highly dependent on the type of surgery. We investigated the prevalence of, characteristics of, and risk factors for persistent pain 1-2 years after shoulder...

Massive acromioclavicular joint (ACJ) cysts are an extremely rare cause of shoulder impairment and with limited consensus in its management. We present the first published case report of a patient with a massive ACJ cyst treated with a reverse total shoulder replacement with minimal ACJ excision arthroplasty.

BACKGROUND The presence of multiple allergies has been correlated with worse outcomes for patients undergoing hip and knee arthroplasty, but the effect of allergies has not yet been elucidated with respect to shoulder arthroplasty. PURPOSE/HYPOTHESIS The purpose of this study is to identify any discrepancies in shoulder arthroplasty outcomes with respect to reported drug allergies. We hypothe...

Shoulder arthroplasty is a demanding procedure with a known complication rate. Most complications are associated with the glenoid component, a fact that has stimulated investigation into that specific component of the implant. Avoiding glenoid component malposition is very important and is a key reason for recent developments in pre-operative planning and instrumentation to minimise risk.Patien...

This information is current as of October 19, 2006 Supplementary material http://www.ejbjs.org/cgi/content/full/88/10/2279/DC1 at translated abstracts are available for this article. This information can be accessed Commentary and Perspective, data tables, additional images, video clips and/or Reprints and Permissions Permissions] link. and click on the [Reprints and jbjs.org article, or locate...

SUMMARY The universally accepted method of measuring glenoid version to determine proper alignment of the glenoid component during total shoulder arthroplasty does not account for the complex and variable relationship of the glenoid vault with the scapular body. Existing evidence indicates that the glenoid and the scapular body development are controlled by independent genetic and biomechanical...

[This corrects the article on p. 213 in vol. 9, PMID: 28567225.].