Source: Medical News Today
New research suggests that exercise programs aimed at preventing falls in older adults may also prevent injuries caused by falls. This is according to a study published in the BMJ.
These injuries can have serious implications on a person’s mobility and independence, increasing the risk of discharge to a nursing home, as well as incurring high economic costs.
Researchers found improved function at short-term follow-up in younger patients with arthritis or rotator cuff deficiency undergoing reverse shoulder arthroplasty, but noted that patient satisfaction was lower than previous reports of satisfaction in older patients.
“Reverse shoulder arthroplasty RSA as a reconstructive procedure improved function at the time of short-term follow-up in our young patients with glenohumeral arthritis and rotator cuff deficiency,” Stephanie J. Muh, MD, and colleagues wrote in the study abstract. “Objective outcomes in our patient cohort were similar to those in previously reported studies.”
Muh and colleagues retrospectively analyzed 66 patients who were mean 52.2 years old and had rotator cuff deficiency, a failed primary shoulder arthroplasty, osteoarthritis and a mass rotator cuff disorder, rheumatoid arthritis, post-traumatic arthritis or other miscellaneous diagnoses, according to the abstract. Of these patients, 67% had undergone at least one previous surgery and 46% had multiple previous procedures
At mean 36.5-month follow-up, the average external rotation improved from 10Â° to 19.6Â°, and mean active forward arm elevation improved from 54.6Â° preoperatively to 134Â° postoperatively, according to the abstract. Patients were very satisfied or satisfied in 81% of cases. The mean VAS score improved from 7.5 points to 3 points and the mean American Shoulder and Elbow Surgeons score improved from 40 points to 72.4 points. At final follow-up, scapular notching was evident in 43% of cases and there was a 15% complication rate.
Disclosures: Gobezie and Edwards are paid consultants for and receive institutional funding from Tornier. Edwards received funds to travel to meetings from Tornier.
Researchers from the Steadman Philippon Research Institute analyzed patient expectations before arthroscopic shoulder surgery and found that while the main expectation of all patients was return to sport, secondary expectations varied in importance depending on the reason why patients sought treatment.
“Elevated importance of specific expectation questions did not universally correlate with worse preoperative subjective scoring systems,” Ryan J. Warth, MD, and colleagues from the Steadman Philippon Research Institute in Vail, Colo., wrote in the study. “Whereas return to sport was the most important expectation overall, the importance of other expectations varied by patients’ reasons for seeking treatment. The current questionnaire may have limited use in patients with shoulder instability.”
Warth and colleagues evaluated QuickDASH, American Shoulder and Elbow Surgeons (ASES) pain and function and SF-12 mental and physical component scores collected from 313 patients, according to the abstract. The expectation data was also collected from patients in the form of a questionnaire that asked for their expectations in relation to their reason for seeking treatment.
Return to sport and for the shoulder to return to pre-injury levels of pain and function were the most important reasons for the surgery; however, the reasons for seeking treatment influenced preoperative expectations. Patients with subluxation were more likely to have fewer expectations than other patients overall, and patients who wanted return to sport were more likely to have higher ASES pain scores, according to the abstract.
Disclosure: Millett is a consultant for Arthrex and has stock options in Game Ready and VuMedi. This study was funded by the Steadman Philippon Research Institute.
Patients with obesity undergo a disproportionately higher number of elective orthopaedic surgeries in the U.S.
Total shoulder arthroplasty is an excellent procedure for pain relief and functional improvement in patients with shoulder arthritis.
A total shoulder replacement was able to provide this patient population (normal BMI) with improved shoulder function which resulted in a better physical function.
Source: The Vancouver Sun
Nearly a decade has passed since Lynne Robson’s first encounter with frozen shoulder. But she remembers in exquisite detail the limitations it imposed and the pain it caused her.
Pulling on a winter coat was excruciating. Robson could only wear clothing with front closures, because reaching behind her back to hook a bra, for instance, required a range of movement she no longer had.
Blow-drying her hair – pretty much a requirement for a TV reporter, which Robson was at the time â€” was impossibility.