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Subacromial Impingment and Confirmation Bias – PART 2: Alternative theories of “impingement” pain and specific anatomical findings
Shoulder impingement should no longer be considered a phenomenon of the acromion. Let’s make an accurate diagnosis and treat accordingly. Continue reading
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Subacromial Impingment and Confirmation Bias – PART 1: Background
Our understanding of Shoulder Impingement continues to evolve over time. Competing theories of the nature of its origin are presented here. Continue reading
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Physical Therapy and Reverse Shoulder Arthroplasty – Acromial Fracture
Acromial fracture after reverse shoulder might be related to early formal physical therapy Continue reading
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When to get help for your shoulder pain
Most shoulder pain is short lived and does not require urgent care. Be careful getting that MRI you want so much. Continue reading
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COR and the Iannotti Circle, part 2
THE SURGEON’S DUTIES how can surgeons better replicate the COR and the Iannotti Circle? In my last post, I presented information that lays out the importance of restoration of both the COR and the Iannotti circle in anatomic shoulder replacement. Related metrics, but separate. And both are likely important for optimizing outcomes of replacement. What Continue reading
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COR and the Iannotti circle
“A high position of the humeral component relative to the greater tuberosity was the most common problem with humeral component positioning” Franta, Lenters, Mounce, Neradilek, Matsen “SAFE” study JSES 2007 Glenoid side Shoulder surgeons have recognized the importance of glenoid component positioning in outcomes of anatomic shoulder arthroplasty. Many surgeons have bolstered their academic prowess Continue reading
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Glenoid Rim Loss in Instability
We should not forget about Open Bankart. A new systematic review by Min, et al., looked at relatively low quality level of evidence and summarized that a 16% loss of glenoid width places one at risk of failure with arthroscopic stabilization. Continue reading
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Frozen Shoulder (FS)/Adhesive Capsulitis
Frozen Shoulder is a common condition, with an unknown cause. The vast majority of patients will respond quite readily to a single intra-articular injection (best done under guidance) combined with a simple “4 quadrant” stretching program done frequently throughout the day. Continue reading
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Smoothness
Shoulder smoothness is another essential element for normal shoulder function. Loss of smoothness leads to some common, but treatable conditions. Continue reading
