RESUMEN
PURPOSE: Reverse shoulder arthroplasty (RSA) as an alternative to hemiarthroplasty (HA) as treatment for proximal humerus fractures has prompted a re-evaluation of utilization trends. METHODS: Operative treatment for proximal humeral fractures were analyzed using a New York State database. RESULTS: After introduction as an ICD-9 code, RSA increased to 39.3% (m = +5.2%/year, r = 0.984). When stratifying by age ≥65, HA decreased to 7.7% (m = -2.8%/year, r = 0.962) while RSA increased to 50.6% (m = +6.4%/year, r = 0.985). CONCLUSION: RSA overtook HA as the arthroplasty procedure of choice for proximal humerus fractures. In patients ≥65, RSA passed ORIF as the most prevalent procedure in 2017. LEVEL OF EVIDENCE: III, Descriptive Epidemiology Study, Large Database Analysis.
RESUMEN
The diagnosis and management of SLAP lesions in the overhead athlete remains a challenge for the sports medicine specialist due to variable anatomy, changes with aging, concomitant pathology, lack of dependable physical findings on examination, and lack of sensitivity and specificity with imaging studies. This article presents a comprehensive review of the epidemiology, relevant anatomy, proposed pathogenesis, diagnostic approach, and outcomes of nonoperative and operative management of SLAP lesions in the overhead athlete.
Asunto(s)
Atletas , Traumatismos en Atletas , Diagnóstico por Imagen/métodos , Lesiones del Hombro , Artroscopía , Traumatismos en Atletas/diagnóstico , Traumatismos en Atletas/epidemiología , Traumatismos en Atletas/fisiopatología , Fenómenos Biomecánicos , Salud Global , Humanos , Incidencia , Articulación del Hombro/fisiopatologíaRESUMEN
Stingers or burners are common in athletes, especially football players. They represent a traction, compression, or direct blow to the upper roots of the brachial plexus. They are usually transient and resolve quickly. Cervical canal stenosis with concurrent degenerative disc disease may predispose an athlete to this injury. Return-to-play criteria are largely based on the number of previous episodes and the duration of symptoms. These criteria also require appropriate consideration of any underlying pathological conditions. Appropriate counseling, including modification of tackling and addition of protective gear, in conjunction with complete rehabilitation, may be effective in preventing this condition or decreasing the rate of recurrence. The athlete, family, and coaches need to understand that recurrence remains unpredictable.