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Total Shoulder Arthroplasty (Stemless) – Pitt Technique

Indications for Total Shoulder Arthroplasty Primary glenohumeral arthritis with intact rotator cuff Young, with good bone stock to support stemless humeral prosthesis Example: A patient with avascular necrosis (AVN) secondary to sickle cell in a relatively young patient may benefit from a stemless total shoulder arthroplasty (shoulder replacement) If limited to humeral side, you could consider a hemi in this…

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Rotator Cuff Surgery is Most Common Upper Extremity Ambulatory Orthopaedic Procedure

Screenshot-2017-01-28-13.07.17-e1485627573337-73x98 Rotator Cuff Surgery is Most Common Upper Extremity Ambulatory Orthopaedic Procedure Journal Club Sports Medicine | JC
Jain, N. B., Higgins, L. D., Losina, E., Collins, J., Blazar, P. E., & Katz, J. N. (2014). Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States. BMC Musculoskeletal Disorders, 15(1), 4.

This study analyzed data from the 2006 National Survey of Ambulatory Surgery to assess which surgeries were most commonly performed in ambulatory surgery centers (outpatient) in the United States. They included only upper extremity surgeries.

Key findings include:
  • Arthroscopic procedures were the most common
  • Arthroscopic rotator cuff surgery was the most common procedure
  • General shoulder arthroscopy, elbow arthroscopy, carpal tunnel release, and wrist arthroscopy were the next most common procedures
  • Rotator cuff repair was more common in males
  • Most shoulder arthroscopy (besides rotator cuff tears) was for impingement or instability (labral tears, etc)
  • The highest incidence of rotator cuff repair was in the 65-74 age range (28.3 per 10,000 persons)
  • Average surgery time for rotator cuff repair was 106 minutes


More information on rotator cuff surgeries from a rotator cuff surgeon and shoulder specialist

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