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  • I would like to welcome you to my shoulder blog!his blog on a monthly

    I would like to welcome you to my shoulder blog!his blog on a monthly, if not more frequent, basis, I will be sharing some of my thoughts and philosophies on the shoulder, shoulder disorders, shoulder treatments, as well as interesting or unique events surrounding my practice of orthopaedic surgery.

    Caring for the shoulder – surgically, non-surgically, or otherwise – has been compared to making spaghetti sauce. If you were to poll 10 or even 100 different chefs on his/her recipe for spaghetti sauce, you are likely to obtain 100 different answers: One chef’s recipe may call for the tomatoes to be boiled for an additional 30 minutes, another may insist on 2 (and ONLY 2!) cloves of garlic, while another will insist that oregano is the key to success. When all is said and done, there will be more similarities than differences amongst the sauces, and each sauce will taste pretty darn good. But each chef will be convinced that their sauce is the best. And each will insist that their recipe is the only recipe that should be followed!

    In these pages to follow you will get a sense of the science, philosophies, and decision-making that I use to help make my “spaghetti sauce.” I hope that you enjoy them, and I hope that they will be able to help you.

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  • Several patient risk factors associated with discharge to post-acute care after TSA

    Results of this study cited several patient risk factors, including older age, number of comorbidities and procedure type, linked with an increased risk of discharge to a post-acute care facility after total shoulder arthroplasty.

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  • Study shows increase in arthroplasty as treatment of proximal humerus fragility fractures

    While nonoperative management of proximal humerus fragility fractures remains the most common treatment among elderly patients, there has been an increase in shoulder arthroplasty for this population, according to results.

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  • New procedure for massive rotator cuff tears restores stability better, say researchers

    Repairing massive rotator cuff tears is often a tricky proposition, especially for those who have failed prior surgery. Researchers presenting their work at the American Orthopaedic Society for Sports Medicine’s (AOSSM) Specialty Day today, discussed how a new arthroscopic procedure to treat large rotator cuff tears may help patients return to sports and work quicker. […]

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  • Arthroscopic superior capsule reconstruction for irreparable rotator cuff tears

    Superior capsule reconstruction (SCR) is a promising alternative treatment for irreparable posterosuperior rotator cuff tears. It utilizes a graft from the superior glenoid to the greater tuberosity to stabilize the humeral head. In a study by Mihata and colleagues of 23 patients who underwent SCR with a fascia lata autograft at a minimum of 2 […]

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  • Hemiarthroplasty, TSA yielded pain relief for patients with atraumatic osteonecrosis

    Patients with atraumatic osteonecrosis of the humeral head experienced lasting pain relief and improved range of motion after undergoing either hemiarthroplasty or total shoulder arthroplasty, according to results.

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  • I would like to welcome you to my shoulder blog!his blog on a monthly

    I would like to welcome you to my shoulder blog!his blog on a monthly, if not more frequent, basis, I will be sharing some of my thoughts and philosophies on the shoulder, shoulder disorders, shoulder treatments, as well as interesting or unique events surrounding my practice of orthopaedic surgery.



    Caring for the shoulder – surgically, non-surgically, or otherwise – has been compared to making spaghetti sauce. If you were to poll 10 or even 100 different chefs on his/her recipe for spaghetti sauce, you are likely to obtain 100 different answers: One chef’s recipe may call for the tomatoes to be boiled for an additional 30 minutes, another may insist on 2 (and ONLY 2!) cloves of garlic, while another will insist that oregano is the key to success. When all is said and done, there will be more similarities than differences amongst the sauces, and each sauce will taste pretty darn good. But each chef will be convinced that their sauce is the best. And each will insist that their recipe is the only recipe that should be followed!



    In these pages to follow you will get a sense of the science, philosophies, and decision-making that I use to help make my “spaghetti sauce.” I hope that you enjoy them, and I hope that they will be able to help you.

    Read More

  • Study: Arthroscopic needling yielded high rate of persistent rotator cuff defects

    Although arthroscopic needling provided good clinical outcomes, recently published results showed a high rate of persistent rotator cuff defects 1 year after surgery. Source: Healio Read More

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  • Malnourished patients had increased risk for short-term complications after TSA

    Patients who were malnourished prior to total shoulder arthroplasty experienced a significantly increased risk for blood transfusion, longer hospital stay and death within 30 days of surgery, according to results of this retrospective database study. Source: Healio Read More

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