Introduction Shoulder neuroarthropathy is a rare joint degeneration mostly related to syringomyelia. An X-ray is a basic tool to stage the advancement of shoulder destruction in shoulder neuroarthropathy. Aim We aimed to create and verify the reliability of our own radiographic classification of shoulder degeneration (NGH) and to correlate it with clinical features. Material and methods The study included 39 cases (45 shoulders with neuroarthropathy secondary to syringomyelia) collected from a systematic literature review and our own pooled series of 10 cases. We found 34 papers, all being case reports or case series. Inclusion criteria were an X-ray in two projections and the availability of clinical data. Our NGH classification was as follows: for glenoid (G) and head (H), three stages were distinguished: G0/H0, no X-ray changes; G1/H1, partial degeneration; and G2/H2, total degeneration. Results The statistical analysis showed almost perfect agreement between the evaluators for the humeral head and glenoid in both measurements and almost perfect compatibility. The majority of patients had total head degeneration without correlation with a range of motion. The glenoid condition was various and had no statistical influence on shoulder function. Both the G and H stages had an impact on the incidence of swelling and weakness. Conclusions These findings indicate that our NGH classification is highly reliable for staging shoulder degeneration related to syringomyelia. The classification seemed to correlate with the clinical condition partly. Under this system, patients with stages G0 and G1 can still qualify for reverse shoulder arthroplasty.

There is a very large discrepancy when it comes to the management of the first-time anterior shoulder instability (FTASD) among orthopaedic surgeons all over the world. Such discrepancies have been also observed in Poland regarding the management after FTASD, hence an attempt was made to introduce recommendations and standardize the procedures. Guidelines of management after FTASD in European countries have been introduced so far in the UK and the Netherlands, which resulted in a change of behavior. The authors of the recommendations were committed to expanding the knowledge about FTASD and implementing in Poland the most effective model of management. The aim of this study is to present and discuss the results of a survey conducted among members of the Polish Shoulder and Elbow Society (PSES) on diagnostics, conservative and surgical treatment in the case of FTASD. The results of this survey, together with the results of the conducted DELPHI study, will be used to develop recommendations of the PSES for the management of FTASD

Overloads within the musculoskeletal and nervous systems are common in instrumental musicians.In their exceptional work, they are exposed to a number of physical and mental overloads associated with the stress accompanying the profession. It is estimated that 32%-86% of professional musicians during their careers experience various types of pain. Characteristic health problems in this professional group include overuse syndromes, focal dystonia, osteoarthritis of the hands, joint laxity and nerve entrapment syndromes.

Arthroscopic Bankart and Coracoid Transfer are the most common procedures. Results of Bankart technique differ depending on the surgeon’s experience (type of anchors used, qualification, long learning curve). Performing Arthroscopic Bankart may be effective when there is minimal bone loss (< 10–15%), good soft tissue (no ALPSA) and ISIS < 3. With these assumptions long term recurrence rate (RR) can be stated as 8%. Adding of remplissage improves RR to 3–6%, which is comparable to Latarjet with RR 4.4–6%. Coracoid transfer has advantage of being quicker, safer and cheaper. It must be underlined that this type of surgery is effective for patients with risk factors (probably regardless risk). Moreover, we assume that good function and satisfaction level with high return to sport (85%) is associated with this intervention. Still some issues remain like frequent complications (mostly temporary) like apprehension or residual pain. Learning curve is also not in favor of this technique. Yet it is difficult to conclude whether Arthroscopic Bankart or Coracoid Transfer are superior. Free bone block has comparable results to Latarjet, with the main problem being donor side complication in autografts. Open Bankart also do not stand out of Coracoid Transfer