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  • Open Acromioclavicular Joint Reconstruction With Semitendinosus Allograft Utilizing the Cerclage Technique

    Acromioclavicular (AC) joint injuries most commonly occur in young males after a direct injury at the acromion. General consensus stresses nonoperative treatment for type I and II injuries and surgical treatment for types IV through VI, whereas management of type III injuries is more controversial. If surgery is indicated, there are multiple techniques including hook plate, screw fixation, coracoclavicular fixation, and anatomic and nonanatomic reconstruction. The overall complication rate is high (14%), regardless of technique. In this Technical Note, we outline a technique for open repair of a chronic AC joint separation using a semitendinosus allograft using the cerclage for enhanced fixation.

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  • Does the use of periarticular anesthetic cocktail provide adequate pain control following shoulder arthroplasty?

    Interscalene nerve block and liposomal bupivacaine have been found to provide adequate pain control following shoulder arthroplasty. We hypothesized that local infiltration of a periarticular cocktail would provide equivalent pain control compared to interscalene nerve block and liposomal bupivacaine.

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  • Is patient-specific instrumentation better than standard instruments in shoulder arthroplasty?

    Although PSI has shown some success in hip and knee arthroplasty, it doesn’t necessarily demonstrate the same success rates in shoulder. Stephanie Muh, MD shares her preference for her practice and supports it by reviewing the study Accuracy of patient-specific instrumentation in shoulder arthroplasty: a systematic review and meta-analysis.

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  • Objective Assessment Of Sleep Quality In Patients With Rotator Cuff Tears

    Sleep dysfunction in patients with rotator cuff tears has been previously evaluated only using subjective measures. Objective parameters of sleep quality amongst rotator cuff tear patients are scarce in the literature. The aim of this study is to compare objective sleep data to historical controls and to subjective patient-reported sleep quality in patients with rotator cuff tears.

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  • Promis Cat Forms Demonstrate Responsiveness in Patients Following Arthroscopic Rotator Cuff Repair Across Numerous Health Domains

    Recent studies of patients with rotator cuff tears have demonstrated improved efficiency with Patient‐Reported Outcomes Measurement Information System (PROMIS) when compared with traditional patient‐reported outcome measures (PROM). However, these studies have been cross‐sectional in nature and the responsiveness of PROMIS computer adaptive test (CAT) forms has not been evaluated. The purpose of this study was to determine the responsiveness of PROMIS CAT assessments in patients undergoing arthroscopic rotator cuff repair.

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  • Scapular Fractures After RSA – The Bane of Our Existence

    The development of postoperative scapular spine or acromial base fractures remains a difficult problem to treat. With a reported incidence of 1-10% in the literature, there has been no consensus on the best treatment, and most authors report poor post-fracture functional outcomes.1-3 Both operative and nonoperative management of these fractures have been advocated with variable outcomes.

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