Arthroscopic Management of Locked Posterior Shoulder Dislocations

The paper considers the development of Ciliatocardium ciliatum from the stage of straight hinge to juvenile. In the White Sea the spawning of C. ciliatum begins at the end of June, larvae at different stages of development occur in plankton until the end of September. The earliest of the larvae found had shell lengths of 123–130 µm. The paper first examined the anatomy and structure of the larval shell of C. ciliatum. During the development, the main stages of organogenesis were described and special attention was paid to the formation of the digestive and muscular systems. The digestive system begins to function when the larva reaches a size of 170–180 µm. The digestive gland has a two-blade shape and is shifted to the right side. The foot is formed at a size of 230 µm, the gill rudiments appear when the larva reaches 270 µm. The development of the larval shell and larval hinge of the mollusc is considered in detail. The development of the larval shell of C. ciliatum is similar to the development of other family members. Throughout all the larval stages, the shell has a rounded shape with a low umbos, and the prodissoconch II has a clearly visible concentric structure. The C. ciliatum larval hinge is characterized by weak differentiation and the absence of pronounced cardinal teeth typical for other Cardiidae. However, the lateral structures of the castle – ridges and flanges – are well developed. The ligament begins to form at a size of 240–250 µm and occupies a lateral position. The settlement of the cockle takes place in September in the subtidal zone. After the metamorphosis, a large radial sculpture is formed on the dissoconch and a number of small spikes are formed at the rib of the posterior shoulder.

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Immediate effects of two types of stretching techniques on glenohumeral internal rotation deficit and posterior shoulder tightness; a crossover randomised controlled trial.

10.35841/physical-therapy.1000106 ◽

2017 ◽

Vol 01 (01) ◽

Author(s):

Koya Mine

Keyword(s):

Randomised Controlled Trial ◽

Internal Rotation ◽

Controlled Trial ◽

Glenohumeral Internal Rotation Deficit ◽

Posterior Shoulder ◽

Randomised Controlled ◽

Posterior Shoulder Tightness

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Arthroscopic Management of Displaced Greater Tuberosity Fractures

Arthroscopy Techniques ◽

10.1016/j.eats.2020.12.006 ◽

2021 ◽

Vol 10 (4) ◽

pp. e1055-e1060

Author(s):

Andrew M. Holt ◽

Larry D. Field

Keyword(s):

Greater Tuberosity ◽

Arthroscopic Management

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Differences in Outcomes Between Anterior and Posterior Shoulder Instability After Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis

Orthopaedic Journal of Sports Medicine ◽

10.1177/23259671211006437 ◽

2021 ◽

Vol 9 (5) ◽

pp. 232596712110064

Author(s):

Matthew L. Vopat ◽

Reed G. Coda ◽

Nick E. Giusti ◽

Jordan Baker ◽

Armin Tarakemeh ◽

...

Keyword(s):

Systematic Review ◽

Shoulder Instability ◽

Anterior Shoulder Instability ◽

Posterior Shoulder Instability ◽

Anterior Instability ◽

Posterior Instability ◽

Female Patients ◽

Posterior Shoulder ◽

Male Patients ◽

Postoperative Instability

Background: The glenohumeral joint is one of the most frequently dislocated joints in the body, particularly in young, active adults. Purpose: To conduct a systematic review and meta-analysis to evaluate and compare outcomes between anterior versus posterior shoulder instability. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using the PubMed, Cochrane Library, and MEDLINE databases (from inception to September 2019) according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were included if they were published in the English language, contained outcomes after anterior or posterior shoulder instability, had at least 1 year of follow-up, and included arthroscopic soft tissue labral repair of either anterior or posterior instability. Outcomes including return-to-sport (RTS) rate, postoperative instability rate, and pre- and postoperative American Shoulder and Elbow Surgeons (ASES) scores were recorded and analyzed. Results: Overall, 39 studies were included (2077 patients; 1716 male patients and 361 female patients). Patients with anterior instability had a mean age of 23.45 ± 5.40 years (range, 11-72 years), while patients with posterior instability had a mean age of 23.08 ± 8.41 years (range, 13-61 years). The percentage of male patients with anterior instability was significantly higher than that of female patients (odds ratio [OR], 1.36; 95% CI, 1.04-1.77; P = .021). Compared with patients with posterior instability, those with anterior instability were significantly more likely to RTS (OR, 2.31; 95% CI, 1.76-3.04; P < .001), and they were significantly more likely to have postoperative instability (OR, 1.53; 95% CI, 1.07-2.23; P = .018). Patients with anterior instability also had significantly higher ASES scores than those with posterior instability (difference in means, 6.74; 95% CI, 4.71-8.77; P < .001). There were no significant differences found in postoperative complications between the anterior group (11 complications; 1.8%) and the posterior group (3 complications; 1.6%) (OR, 1.12; 95% CI, 0.29-6.30; P = .999). Conclusion: Patients with anterior shoulder instability had higher RTS rates but were more likely to have postoperative instability compared with posterior instability patients. Overall, male patients were significantly more likely to have anterior shoulder instability, while female patients were significantly more likely to have posterior shoulder instability.

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