Subject(s)
Wrist Joint , Wrist , Hand , Humans , Patient Reported Outcome Measures , Upper ExtremityABSTRACT
¼: Glenoid component wear and loosening are the principal failure modes of anatomic total shoulder arthroplasty (aTSA). ¼: The ream-and-run (RnR) procedure is an alternative glenohumeral arthroplasty for patients who wish to avoid the risks and limitations of a prosthetic glenoid component. ¼: During the RnR procedure, the arthritic glenoid is conservatively reamed to a single concavity, while the prosthetic humeral component and soft tissues are balanced to provide both mobility and stability of the joint. ¼: The success of the RnR procedure depends on careful patient selection, preoperative education and engagement, optimal surgical technique, targeted rehabilitation, and close postoperative communication between the surgeon and the patient. ¼: While the RnR procedure allows high levels of shoulder function in most patients, the recovery can be longer and more arduous than with aTSA. ¼: Patients who have undergone an RnR procedure occasionally require a second closed or open procedure to address refractory shoulder stiffness, infection, or persistent glenoid-sided pain. These second procedures are more common after the RnR than with aTSA.
Subject(s)
Hemiarthroplasty , Osteoarthritis , Shoulder Joint , Humans , Osteoarthritis/surgery , Shoulder/surgery , Shoulder Joint/surgery , Treatment OutcomeSubject(s)
Complex Regional Pain Syndromes , Fibromyalgia , Radius Fractures , Fracture Fixation, Internal , HumansABSTRACT
OBJECTIVE: The usefulness of MRI in costal cartilage injuries has not been shown. We report the MRI findings in a series of patients with costal cartilage injuries. CONCLUSION: MRI can be a useful technique in the diagnosis of costal cartilage injuries.
