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At least 775 records · Page 43Linked to original sources
PubMed1987

[Replacement of the head of the humerus as a rescue operation following dislocated compound fractures of the shoulder joint].

Results after conservative or surgical treatment of comminuted fractures of the head of the humerus are often unsatisfactory and complicated by pain and a severely decreased range of motion. In these patients good results have been obtained by replacement of the humeral head with the Isoelastic Humeral Head Prosthesis. Fourteen cases are reported and their results discussed.

Adult↗
PubMed1996

[Critical considerations in arthroscopic stabilization of the unstable shoulder joint].

There is increasing interest in arthroscopic techniques for stabilisation of unstable glenohumeral joints. Consequently, plenty of new surgical techniques are developed over the last few years. However, most of the authors just report on short term results. In the presented paper, the current indications for surgical treatment in shoulder instability are discussed. The different arthroscopic techniques are described in detail. The advantages and disadvantages in relation to the conventional open Bankart-operation are presented, and the technique related risks are discussed in detail. Considering the recent information in the literature and the personal experience, the open Bankart-procedure still serves as the golden standard.

Arthroscopes↗
PubMed1992

[Stabilization of the injured shoulder joint with PDS cord].

A successful treatment of the acromioclavicular separation is the repair of the acromioclavicular and coracoclavicular (CC-)ligaments and a stable reduction of the acromioclavicular (AC-)joint. To avoid dangerous breakage and migration of the K-wire an abduction humeral splint is necessary immobilizing the injured shoulder for 5-6 weeks. In the years 1987-1989 40 patients suffering AC-separation were treated (34 Tossy III separations, 4 Tossy II separations, 2 Tossy I separations). In these cases a stable reduction was achieved by a transarticular K-wire fixation and a combination of AC- and CC-fixation by loops. In 1987 wire loop was used. In 1988 a combination of wire and Polydioxanon (PDS) loops was used. The PDS-loop, a slowly resorbable suture material, fixed the CC-ligament. In 1989 the AC-joint was stabilized by a PDS-loop as well. The examination of 31 patients 6-24 months after the operation showed good clinical results no matter whether PDS-loops or wire loops were used. The advantage of the transarticular K-wire fixation in combination with PDS-loops was the easy removal, which could be done in mostly of the cases as an outpatient procedure. An operation of the AC-Tossy III separation on patients beyond their 4. decade should be well considered. A long time of treatment, remaining pain and a limitation of shoulder movement must be expected.

Acromioclavicular Joint↗