Background Ipsilateral phrenic nerve blockade is a common adverse event after an interscalene brachial plexus block, which can result in respiratory deterioration in patients with preexisting pulmonary conditions. Diaphragm-sparing nerve block techniques are continuing to evolve, with the intention of providing satisfactory postoperative analgesia while minimizing hemidiaphragmatic paralysis af...

After injuries, following hip and knee surgery, or because of partial spinal cord lesion, people are dependent on walking aids like crutches to unload the lower extremities. However, the mechanical load, transferred to the shoulder, has only been calculated by mathematical models with strong varying results [1]. In vivo measurements of the shoulder joint loads are therefore necessary to improve...

Objectives This study aimed to determine the effects of soft tissue and bone widths patient's hip shoulder region on position postoperative acetabular inclination angles in lateral decubitus during replacement procedures. Materials Methods Seventy-three patients with primary coxarthrosis who underwent arthroplasty by a single experienced surgeon using water gauge assisted inclinometer were retr...

INTRODUCTION A computer model quantified glenoid base - plate surface contact area and the amount of humeral and glenoid bone removed by three different reverse shoulder prosthesis designs when implanted with various techniques. METHODS The computer model quantified differences in glenoid baseplate contact area and the cortical and cancellous humeral and glenoid bone removed to implant the 36...

PURPOSE To determine the most cost-effective treatment strategy for patients with massive rotator cuff tears and pseudoparalysis of the shoulder without osteoarthritis of the glenohumeral joint (PP without OA). Specifically, we aimed to compare arthroscopic rotator cuff repair (ARCR) versus reverse total shoulder arthroplasty (RTSA) and investigate the effect of patient age on this decision. ...

The amount of articular curvature mismatch providing optimal performance in total shoulder arthroplasty (TSA) is unknown. The objectives of this study were to quantify glenohumeral joint mechanics before and after TSA and to compare the performance of 3 glenoid components: (1) nonconforming, (2) conforming, and (3) a novel design featuring a conforming center extending into a nonconforming peri...

BACKGROUND The impact of infraglenoidal scapular notching in reversed total shoulder arthroplasty (RTSA) is still controversially discussed. Our goal was to evaluate its potential influence on subjective shoulder stability and clinical outcome. We hypothesized that subjective instability and clinical outcome after implantation of RTSA correlates with objective scapular notching. METHODS Sixty...

BACKGROUND Lateral offset center of rotation (COR) reduces the incidence of scapular notching and potentially increases external rotation range of motion (ROM) after reverse total shoulder arthroplasty (rTSA). The purpose of this study was to determine the biomechanical effects of changing COR on abduction and external rotation ROM, deltoid abduction force, and joint stability. MATERIALS AND ...